Rubio-Martínez R, Espino-Núñez S, Espinoza-Tadeo A, Romero-Guillén P, Medina-Pérez ME, Coronado-Ávila S

Language: Spanish
References: 13
Page: 118-121
PDF size: 138.77 Kb.

ABSTRACT

A concept that has gained attention in the last years is the existance of cognitive biases and their influence in decision making and behaviour of human beings. Teams in the operating room are formed by different medical specialities with varied levels of experience, everyone has a role and every one can make decisions that have an impact in the patient. This decision making process might be based in previous experience, clinical reasoning, and context; the need to make a rapid diagnosis and treatment in some situations makes the anesthesiologist especially vulnerable to cognitive bias. We present different types of cognitive bias that might be present in the operating room for example the attention bias in which a relevant stimulus like the airway management could make the hemodynamic aspect go unnoticed. The goal of this paper is to aware anesthesiologists in particular about this cognitive biases, their presence in the decision making process in the operating room and to share a couple of ways to prevent them.

REFERENCES

1. Kohn L, Corrigan J, Donaldson M, eds. To err is human: building a safer health system. DC: Committee on Quality of Health Care in America, Institute of Medicine. National Academies Press; 1999. ISBN: 9780309068376. May 2018: 1-312.

2. James JT. A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety. 2013;9:122-128. doi: 10.1097/PTS.0b013e3182948a69.

3. Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22:bmjqs–2012–001748–815. doi: 10.1136/bmjqs-2012-001748.

4. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-499. doi: 10.1056/NEJMsa0810119.

5. Thomassen Ø, Storesund A, Søfteland E, Brattebø G. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiologica Scandinavica. 2013;58:5-18. doi: 10.1111/aas.12207.

6. Holzman RS, Cooper JB, Gaba DM, Philip JH, Small SD, Feinstem D. Anesthesia crisis resource management: real-life simulation training in operating room crises. Journal of Clinical Anesthesia. 1995;7:675-687. doi: 10.1016/0952-8180(95)00146-8.

7. Kurrek MM, Fish KJ. Anaesthesia crisis resource management training: an intimidating concept, a rewarding experience. Can J Anesth. 1996;43:430-434. doi: 10.1007/BF03018101.

8. O’Donnell J, Fletcher J, Dixon B, Palmer L. Planning and implementing an anesthesia crisis resource management course for student nurse anesthetists. CRNA. 1998;9:50-58.

9. Murray WB, Foster PA. Crisis resource management among strangers: principles of organizing a multidisciplinary group for crisis resource management. Journal of Clinical Anesthesia. 2000;12:633-638. doi: 10.1016/S0952-8180(00)00223-3.

10. Marshall S. The use of cognitive aids during emergencies in anesthesia: a review of the literature. Anesthesia & Analgesia. 2013;117:1162-1171. doi: 10.1213/ANE.0b013e31829c397b.

11. Haig KM, Sutton S, Whittington J. SBAR: A shared mental model for improving communication between clinicians. JCJQPS. 2006;32:167-175. doi: 10.1016/S1553-7250(06)32022-3.

12. Lorello GR, Cook DA, Johnson RL, Brydges R. Simulation-based training in anaesthesiology: a systematic review and meta-analysis. Br J Anaesth. 2014;112:231-245. doi: 10.1093/bja/aet414.

13. Kahneman D, Thinking F, York FSN, 2011. Straus and giroux.