How do surgeons make intraoperative decisions

作者: R. Flin , G. Youngson , S. Yule

DOI: 10.1136/QSHC.2006.020743

关键词:

摘要: Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes configuration training UK have reduced time spent by trainees operating theatre. The opportunity to replace this lost experience with active teaching important, but there seem been very few studies that directly examined cognitive skills underlying during operations. From available evidence surgery, and drawing from research other safety‐critical occupations, four decision‐making strategies surgeons may use are discussed: intuitive (recognition‐primed), rule based, option comparison creative. processes should be studied provide better base for environment.

参考文章(42)
Patricia Davidson, Cultivating a Thinking Surgeon. Anz Journal of Surgery. ,vol. 75, pp. 1131- 1131 ,(2005) , 10.1111/J.1445-2197.2005.03632.X
R Flin, Identifying and training non-technical skills for teams in acute medicine Quality and Safety in Health Care. ,vol. 13, pp. i80- i84 ,(2004) , 10.1136/QSHC.2004.009993
Gary Klein, Naturalistic Decision Making Human Factors. ,vol. 50, pp. 456- 460 ,(2008) , 10.1518/001872008X288385
Margaret T. Crichton, Rhona Flin, William A. R. Rattray, Training Decision Makers – Tactical Decision Games Journal of Contingencies and Crisis Management. ,vol. 8, pp. 208- 217 ,(2000) , 10.1111/1468-5973.00141
Guy Claxton, Hare Brain, Tortoise Mind ,(1997)
Gary A. Klein, Sources of Power ,(1998)
Kenneth R. Hammond, Judgement and Decision Making in Dynamic Tasks Information and decision technologies. ,vol. 14, pp. 3- 14 ,(1988) , 10.21236/ADA199907
Paul O'Connor, Rhona H. Flin, Margaret Crichton, Safety at the Sharp End: A Guide to Non-Technical Skills ,(2008)