• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>other >Cognitive Support to Promote Shared Mental Models during Safety-Critical Situations in Cardiac Surgery (Late Breaking Report)
【2h】

Cognitive Support to Promote Shared Mental Models during Safety-Critical Situations in Cardiac Surgery (Late Breaking Report)

机译：在心脏手术安全关键情况下促进共享心理模型的认知支持（最新报告）

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

To address the, currently unmet, need for intra­operative safety-critical cognitive support in cardiac surgery, we have developed, validated, and implemented a series of customized checklists to address intra-operative emergencies, using a simulated operative setting. These crisis checklists are designed to provide cognitive and communication support to the operative team to reduce the likelihood of adverse events and improve adherence to best-practice guidelines. We recruited a number of content specialists including members of the hospital safety network and intraoperative cardiac surgery team members, and utilized a Delphi consensus method to develop procedure-specific guidelines for select intraoperative crises. Cardiac surgery team members were subsequently trained on utilizing the developed checklists, performed operative simulations, and were surveyed to determine checklist facility and effectiveness. We developed and validated five checklists for the following cardiac surgery crisis scenarios: (a) Cardiopulmonary Bypass Failure; (b) Systemic Air Embolism; (c) Venous Air Lock; (d) Protamine Reaction; Heparin Resistance. Upon initiation of the crisis management, a crew resource management approach was triggered. A member of the operative team was designated as the “reader” for each scenario to guide the team through the process. After training, 89% of operative team members surveyed indicated that they would like the crisis checklist to be used if they had one of these events occurring to them. Crisis management challenges members of the cardiac surgery team in reasoning accurately and according to best practice during periods of high cognitive workload and psychological stress. These crisis checklists were developed, validated, and simulated with the goal of supporting human performance and shared mental models in the clinical setting.
机译：为了满足心脏手术中术中对安全至关重要的认知支持的当前未满足需求，我们使用模拟的手术环境，开发，验证并实施了一系列定制清单，以解决术中紧急情况。这些危机清单旨在为手术团队提供认知和沟通支持，以减少不良事件的可能性并提高对最佳实践准则的遵守程度。我们招募了许多内容专家，包括医院安全网络的成员和术中心脏外科手术团队的成员，并利用Delphi共识方法来制定针对特定术中危机的特定过程指南。随后，对心脏外科手术小组成员进行了利用已开发的清单的培训，进行了手术模​​拟，并进行了调查，以确定清单的设施和有效性。我们针对以下心脏手术危机情况制定并验证了五个清单：（a）心肺旁路衰竭； （b）全身性空气栓塞； （c）静脉气闸； （d）鱼精蛋白反应；肝素抵抗。在开始危机管理后，就触发了人员资源管理方法。每种情况下，执行团队的一名成员均被指定为“阅读者”，以指导团队完成整个过程。培训后，接受调查的89％的手术团队成员表示，如果他们发生以下事件之一，他们希望使用危机清单。危机管理挑战了心脏外科手术团队的成员，在认知工作量大和心理压力旺盛的时期，如何根据最佳实践进行正确的推理。开发，验证和模拟这些危机清单的目的是在临床环境中支持人类表现和共享的心理模型。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号