SITUATION AWARENESS IN ANESTHESIOLOGY

被引:192
作者
GABA, DM
HOWARD, SK
机构
[1] MASSACHUSETTS GEN HOSP, BOSTON, MA 02114 USA
[2] STANFORD UNIV, MED CTR, SCH MED, STANFORD, CA 94305 USA
[3] HARVARD UNIV, SCH MED, BOSTON, MA 02115 USA
关键词
D O I
10.1518/001872095779049435
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Situation awareness has primarily been confined to the aviation field. We believe that situation awareness is an equally important characteristic in the complex, dynamic, and risky field of anesthesiology. We describe three aspects of situations of which the decision maker must remain aware: subtle cues, evolving situations, and special knowledge elements. We provide examples of real or simulated anesthesia situations in which situation awareness is clearly involved in the provision of optimal patient care, and we map the elements of situation awareness onto a cognitive process model of the anesthesiologist. Finally, we consider how situation awareness can be further investigated and taught in this medical domain using anesthesia simulators and analyses of real cases. The study of situation awareness in anesthesiology may provide a good example of the wider application of the concept of situation awareness to nonaerospace environments.
引用
收藏
页码:20 / 31
页数:12
相关论文
共 45 条
[1]  
[Anonymous], 1994, HUMAN ERROR MED
[2]   ANESTHETIC MACHINE - STUDY OF FUNCTION AND DESIGN [J].
BOQUET, G ;
BUSHMAN, JA ;
DAVENPORT, HT .
BRITISH JOURNAL OF ANAESTHESIA, 1980, 52 (01) :61-67
[3]  
BOTNEY R, 1993, ANESTHESIOLOGY, V79, pA1118
[4]  
BOTNEY R, 1993, ANESTHESIOLOGY, V79, pA1115
[5]  
COOK RI, 1991, CSEL91003 OH STAT U
[6]   AN ANALYSIS OF MAJOR ERRORS AND EQUIPMENT FAILURES IN ANESTHESIA MANAGEMENT - CONSIDERATIONS FOR PREVENTION AND DETECTION [J].
COOPER, JB ;
NEWBOWER, RS ;
KITZ, RJ .
ANESTHESIOLOGY, 1984, 60 (01) :34-42
[7]   PREVENTABLE ANESTHESIA MISHAPS - STUDY OF HUMAN-FACTORS [J].
COOPER, JB ;
MCPEEK, B ;
LONG, CD ;
NEWBOWER, RS .
ANESTHESIOLOGY, 1978, 49 (06) :399-406
[8]  
DEANDA A, 1990, ANESTH ANALG, V71, P77
[9]  
DEANDA A, 1991, ANESTH ANALG, V72, P308
[10]  
DEKEYSER V, 1990, ISPRA C REL, P231