Beyond monitoring: distributed situation awareness in anaesthesia

E. Fioratou; R. Flin; R. Glavin; R. Patey

doi:10.1093/bja/aeq137

Beyond monitoring: distributed situation awareness in anaesthesia

E. Fioratou (Lead / Corresponding author), R. Flin, R. Glavin, R. Patey

Research output: Contribution to journal › Review article › peer-review

134 Citations (Scopus)

Abstract

Situation awareness (SA) is one of the essential non-technical skills for effective and safe practice in high-risk industries, such as healthcare; yet, there is limited research of its significance in anaesthetic practice. In this paper, we review this scant research that focuses on SA as patient monitoring alone and advocate for a more comprehensive view of SA in anaesthetic practice and training that extends beyond monitoring, namely, a distributed cognition approach. We identify further factors influencing anaesthetists' SA and provide a case that resulted in an anaesthetic fatality to illustrate the application of an alternative view of SA in anaesthesia. Distributed SA in anaesthetic practice provides the foundation for further research that may in turn influence the teaching and assessment of this important non-technical skill.

Original language	English
Pages (from-to)	83-90
Number of pages	8
Journal	British Journal of Anaesthesia
Volume	105
Issue number	1
DOIs	https://doi.org/10.1093/bja/aeq137
Publication status	Published - Jul 2010

Keywords

ROOM
monitoring
risk management
anaesthesia
task performance and analysis
NONTECHNICAL SKILLS
safety management
ERRORS
PERFORMANCE
intraoperative
REPRESENTATIONS
TEAMWORK
WORK
DISPLAYS
DYNAMIC-SYSTEMS
COGNITION

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title = "Beyond monitoring: distributed situation awareness in anaesthesia",

abstract = "Situation awareness (SA) is one of the essential non-technical skills for effective and safe practice in high-risk industries, such as healthcare; yet, there is limited research of its significance in anaesthetic practice. In this paper, we review this scant research that focuses on SA as patient monitoring alone and advocate for a more comprehensive view of SA in anaesthetic practice and training that extends beyond monitoring, namely, a distributed cognition approach. We identify further factors influencing anaesthetists' SA and provide a case that resulted in an anaesthetic fatality to illustrate the application of an alternative view of SA in anaesthesia. Distributed SA in anaesthetic practice provides the foundation for further research that may in turn influence the teaching and assessment of this important non-technical skill.",

keywords = "ROOM, monitoring, risk management, anaesthesia, task performance and analysis, NONTECHNICAL SKILLS, safety management, ERRORS, PERFORMANCE, intraoperative, REPRESENTATIONS, TEAMWORK, WORK, DISPLAYS, DYNAMIC-SYSTEMS, COGNITION",

author = "E. Fioratou and R. Flin and R. Glavin and R. Patey",

year = "2010",

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doi = "10.1093/bja/aeq137",

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T2 - distributed situation awareness in anaesthesia

AU - Fioratou, E.

AU - Flin, R.

AU - Glavin, R.

AU - Patey, R.

PY - 2010/7

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N2 - Situation awareness (SA) is one of the essential non-technical skills for effective and safe practice in high-risk industries, such as healthcare; yet, there is limited research of its significance in anaesthetic practice. In this paper, we review this scant research that focuses on SA as patient monitoring alone and advocate for a more comprehensive view of SA in anaesthetic practice and training that extends beyond monitoring, namely, a distributed cognition approach. We identify further factors influencing anaesthetists' SA and provide a case that resulted in an anaesthetic fatality to illustrate the application of an alternative view of SA in anaesthesia. Distributed SA in anaesthetic practice provides the foundation for further research that may in turn influence the teaching and assessment of this important non-technical skill.

AB - Situation awareness (SA) is one of the essential non-technical skills for effective and safe practice in high-risk industries, such as healthcare; yet, there is limited research of its significance in anaesthetic practice. In this paper, we review this scant research that focuses on SA as patient monitoring alone and advocate for a more comprehensive view of SA in anaesthetic practice and training that extends beyond monitoring, namely, a distributed cognition approach. We identify further factors influencing anaesthetists' SA and provide a case that resulted in an anaesthetic fatality to illustrate the application of an alternative view of SA in anaesthesia. Distributed SA in anaesthetic practice provides the foundation for further research that may in turn influence the teaching and assessment of this important non-technical skill.

KW - ROOM

KW - monitoring

KW - risk management

KW - anaesthesia

KW - task performance and analysis

KW - NONTECHNICAL SKILLS

KW - safety management

KW - ERRORS

KW - PERFORMANCE

KW - intraoperative

KW - REPRESENTATIONS

KW - TEAMWORK

KW - WORK

KW - DISPLAYS

KW - DYNAMIC-SYSTEMS

KW - COGNITION

U2 - 10.1093/bja/aeq137

DO - 10.1093/bja/aeq137

M3 - Review article

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SN - 0007-0912

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SP - 83

EP - 90

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

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ER -

Beyond monitoring: distributed situation awareness in anaesthesia

Abstract

Keywords

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