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The PowerPoint presentation that cost lives. A lesson in how important visual communication can really be. by Alex Pribula What happened? On the 16th of January 2003, NASA launched space shuttle Columbia into NASA officials sat down orbit.


  1. The PowerPoint presentation that cost lives. A lesson in how important visual communication can really be. by Alex Pribula

  2. What happened? On the 16th of January 2003, NASA launched space shuttle Columbia into NASA officials sat down orbit. with Boeing engineers who Columbia and her had created a 28 slide seven person crew It was assumed that the PowerPoint presentation on were lost on re-entry. launch was successful. the issue. NASA reviewed the launch It was decided that re-entry would be footage and discovered a piece of completed as normal, due to the NASA foam detached and damaged officials’ understanding of the some tiles on the left wing of the presentation. shuttle.

  3. What went wrong? After the incident, an investigation by the Columbia Accident Investigation board was completed. They came to a tragic, regrettable conclusion. “ The Board views the endemic use of PowerPoint brie fj ng slides instead of technical papers as an illustration of the problematic methods ” of technical communication at NASA. — the Columbia Accident Investigation Board

  4. What was on those slides? It wasn’t as much what was on those slides, as to Readabilit how those slides were put together that led to the Columbia disaster (Lasoen, 2015). Multiple design principles were violated. Highligh Before we can attempt to ‘fix’ the Columbia slides and design a solution that would have prevented the disaster, we first have to understand why the slides were ineffective. Legibility Hierarchy Let’s break down one of the Columbia slides in detail to find out.

  5. title is misleadingly reassuring. qualitative wording is ambiguous in this situation. what does bad bullet point “significantly” hierarchy. actually mean? 6 levels of the 4 core hierarchy. messages are lost. Slide retrieved from the Columbia Accident Investigation Board the most important point was written in the smallest font size. “ …it is easy to understand how a senior manager might read this PowerPoint slide and not realize — the Columbia Accident Investigation Board that it addresses a life-threatening situation. ”

  6. What Legibility. Interference effects. principles Legibility refers to the visual clarity of text, based on size, Mental processing can be were typeface contract, text made slower and less blocks and spacing of accurate through competing characters used. violated? mental processes; known as Lots of information on the interference effects. Columbia slides is bunched The incoherent use of closely together, making qualitative and quantitative reading a strenuous process. data on the Columbia slides creates ambiguity. Hierarchy. Readability. Hierarchical organisation is Highlighting. the best way to visualise Sentences need to be and understand complex concise to be effective. Run- Highlighting information problems and information. on and conjoined ranks it as more critical. The Columbia slides show a sentences, such as those in There is little to no use of very poor understanding of the Columbia slides, can highlighting in the Columbia hierarchy, and ultimately led impact readability and, in slides, all information to misinterpretation of turn, information can be lost incorrectly represented as of importance by the audience in translation to the audience. the same level of importance. (Tufte, 2003).

  7. How do we prevent this from happening again? A framework. We need to build a framework that prevents misunderstanding, miscommunication, and room for error when presenting information. Visual communication is always important. However, when in the context of life threatening information, there is no room for misinterpretation. All presentations of information, regardless of medium, need to follow a strict set of guidelines, or rather a framework, in order to be as effective and risk-avoiding as possible; mitigating room for error in the conveyance of critical information.

  8. What makes up the framework? e g i b i l i L t y These design s s H e i e n r e a v principles are core to r i c g h r o y F the framework. H y t i g i l The framework is i h b l a i g d h designed to apply to a t i e n R g scenarios involving A framework g to mitigate L n a i room for error y k e n in the conveyance r u i n h of critical g C information. s t c S e f e f r e i These principles a e l c p n o must all be considered e s r i e t i f o r when applying the n e t n I framework to y S c t n o e r different disciplinary t y s t i e s l n l i o n C g areas and contexts. y P t i c i r t o i u r e e r p u s

  9. The framework. Workplace culture. Clarity and care needs to be paramount within every workplace, especially ones concerning such operations as space travel. Operant conditioning. Development cycle. Hierarchy of needs. It was determined that by the The Space Shuttle program as By establishing a hierarchy of time of the Columbia disaster a whole was less efficient, needs within a company, a “inadequate concern over more expensive, and more tone of safety and deviations from expected dangerous (Schwartz, 2003) transparency can be set performance, a silent safety than prior programs at NASA. amongst the workplace, program, and schedule “Go fever”, a term that refers to filtering down through the pressure”(CAIB) was the NASA being in a rush to meet ranks. Within NASA, setting the culture at NASA. By reinforcing deadlines while overlooking tone of safety would draw the safety-focused behaviour mistakes, could be mitigated by a company away from it’s “get- throughout the company, more stringent and thorough home-itis” attitude; achieving unsafe scenarios should not development cycle with more goals no matter the human cost exist in future. iterating and achievable deadlines. (Woods).

  10. The framework. Presentation protocol. The five rules to effective conveyance of critical information: ◆ Never overload users or audiences with more than 3 chunks of information at a time. Our minds can’t process more than this, and we don’t want information to be missed; interference effects. ◆ Use visual representations when appropriate. Based on the idea of the picture superiority effect, visuals can very simply communicate important ideas effectively and with ease. ◆ Critical information should always be more prominent than regular copy. Users and audiences need to know this information in particular, and as such it should be hierarchically above regular information. ◆ Understand hierarchy and stick to it. Don’t use sub bullets, you shouldn’t have to. Find a way to present information that is relevant, clear and easy to understand. ◆ Engage audiences. Use rhetorical questions, statements, and keep it succinct. Don’t just leave prose on your slides, make it fun to listen to, make it engaging, whatever the purpose. Create a narrative; use storytelling.

  11. Let’s apply the framework to the Columbia slide from earlier. The title should surmise the key points on the slide. Misleading titles like the one for the Columbia slides can lead to jumping to conclusions and missing the point of the information. Too many ideas on one slide can lead to confusion. The Columbia presentation had too much info on each slide, our working memory is not able to process this much. Bullet points can be good, but sub-bullets can be confusing. Information gets lost, and information hierarchy becomes too complex to handle. The Columbia slides have 6 levels of hierarchy, at which point it becomes useless. Pictures really do ‘tell a thousand words’. With critical information like that on the Columbia slides, an annotated image would have told the best and worst case Let’s see what the scenario clearly and effortlessly. slide would look like.

  12. We need to determine if the wing has been damaged before proceeding. • The simulations predicted the foam strike completely penetrated through to the wing’s frame. • However, the results are inconclusive as the foam strike was 600 times larger than anything previously recorded in the database. • The damage would be insignificant if the heat tiles were hit. • If the wing was struck, we have a critical problem.

  13. We need in-orbit photos of the wing. We need to check these two coloured areas for damage: this is the best case. (insignificant) this is the worst case. (critical problem)

  14. Applying the framework. Medicine. There were 121 cases of ingestion of this product in the year 2010. A “for skin use only” was added, Applications in medicine. however a “DO NOT DRINK” label would be more concise. Between 44,000 and 98,000 people die every year because of medication errors (Institute of Medicine, 2000). Current medicinal packaging templates “do not differentiate between medicines, users, actions, languages, and contexts.” (Van de Waarde, 2005). Templates don’t always accomodate for the “most relevant information” for users, in direct conflict with the EU guidelines. Marketing terms distract from Instead of a template based approach, medicinal critical information concerning packaging would benefit from adhering to the framework, users health. Instead, directions designing for each individual case instead of blanket- and dosage should be front and centre. designing for all medicine types. Images of Tylenol and Benadryl packaging. Retrieved from: https://consumermedsafety.org

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