| Managing unforeseen events in anesthesia: collective trade-off between "understanding" and "doing". | |
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MedLine Citation:
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PMID: 22317005 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This study aims to describe how anesthesia teams handle unforeseen events that may affect the patients' health. More precisely, it investigates the mechanisms of decisions made by anesthesia teams to manage unthought-of situations, i.e. situations that have not been foreseen as "possible" ones before their occurrence. An empirical study, based on the analysis of simulated situations, was conducted in a pediatric anesthesia service of a university hospital in France. The results highlighted three ways of managing unthought-of situations (determined management, cautious management and overwhelmed management). They support the hypothesis of a collective cognitive trade-off, whereby teams would behave as virtual operators, with their own collective trade-off between "understanding" and "doing". The discussion of the results questions the assessment criteria, the safety perspectives we adopt and the possible ways to improve the management of unforeseen situations. |
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Authors:
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L Cuvelier; P Falzon; J C Granry; M C Moll |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Work (Reading, Mass.) Volume: 41 ISSN: 1875-9270 ISO Abbreviation: Work Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-02-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204382 Medline TA: Work Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1972-9 Citation Subset: IM |
Affiliation:
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Centre d'études de l'emploi (Cee), Centre de recherches et d'études sur l'âge et les populations au travail (Créapt). |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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