Marjorie P Stiegler1, Keith J Ruskin. 1. Department of Anesthesiology, University of North Carolina at Chapel Hill, N2198 UNC Hospitals, North Carolina, USA.
Abstract
PURPOSE OF REVIEW: Anesthesiologists work in a complex environment that is intolerant of errors. Cognitive errors, or errors in thought processes, are mistakes that a clinician makes despite 'knowing better'. Several new studies provide a better understanding of how to manage risk while making better decisions. RECENT FINDINGS: Heuristics, or mental shortcuts, allow physicians to make decisions quickly and efficiently but may be responsible for errors in diagnosis and treatment. Using simple 'decision-making checklists' can help healthcare providers to make the correct decisions by monitoring their own thought processes. Anesthesiologists can adopt risk assessment tools that were originally developed for use by pilots to determine the hazards associated with a particular clinical management strategy. SUMMARY: Effective decision-making and risk management reduce the risk of adverse events in the operating room. This article proposes several new decision-making and risk assessment tools for use in the operating room.
PURPOSE OF REVIEW: Anesthesiologists work in a complex environment that is intolerant of errors. Cognitive errors, or errors in thought processes, are mistakes that a clinician makes despite 'knowing better'. Several new studies provide a better understanding of how to manage risk while making better decisions. RECENT FINDINGS: Heuristics, or mental shortcuts, allow physicians to make decisions quickly and efficiently but may be responsible for errors in diagnosis and treatment. Using simple 'decision-making checklists' can help healthcare providers to make the correct decisions by monitoring their own thought processes. Anesthesiologists can adopt risk assessment tools that were originally developed for use by pilots to determine the hazards associated with a particular clinical management strategy. SUMMARY: Effective decision-making and risk management reduce the risk of adverse events in the operating room. This article proposes several new decision-making and risk assessment tools for use in the operating room.
Authors: Michael J Sofis; Shea M Lemley; Alan J Budney; Catherine Stanger; David P Jarmolowicz Journal: Exp Clin Psychopharmacol Date: 2019-05-09 Impact factor: 3.157
Authors: Gustavo Saposnik; Donald Redelmeier; Christian C Ruff; Philippe N Tobler Journal: BMC Med Inform Decis Mak Date: 2016-11-03 Impact factor: 2.796
Authors: Stephen Gregory; Teresa M Murray-Torres; Bradley A Fritz; Arbi Ben Abdallah; Daniel L Helsten; Troy S Wildes; Anshuman Sharma; Michael S Avidan Journal: F1000Res Date: 2018-05-22
Authors: Teresa Murray-Torres; Aparna Casarella; Mara Bollini; Frances Wallace; Michael S Avidan; Mary C Politi Journal: JMIR Hum Factors Date: 2019-04-23
Authors: Monika C Kerckhoffs; Jannien Senekal; Diederik van Dijk; Antonio Artigas; Jenie Butler; Andrej Michalsen; Margo M C van Mol; Rui Moreno; Filipa Pais da Silva; Edoardo Picetti; Pedro Póvoa; Annette Robertsen; Johannes J M van Delden Journal: Crit Care Med Date: 2020-05 Impact factor: 7.598
Authors: Christopher R King; Joanna Abraham; Thomas G Kannampallil; Bradley A Fritz; Arbi Ben Abdallah; Yixin Chen; Bernadette Henrichs; Mary Politi; Brian A Torres; Angela Mickle; Thaddeus P Budelier; Sherry McKinnon; Stephen Gregory; Sachin Kheterpal; Troy Wildes; Michael S Avidan Journal: F1000Res Date: 2019-11-29