Beyond monitoring

distributed situation awareness in anaesthesia

E. Fioratou, R. Flin, R. Glavin, R. Patey

Research output: Contribution to journalArticle

94 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 languageEnglish
Pages (from-to)83-90
Number of pages8
JournalBritish Journal of Anaesthesia
Volume105
Issue number1
DOIs
Publication statusPublished - Jul 2010

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Anesthesia
Anesthetics
Research
Physiologic Monitoring
Cognition
Industry
Teaching
Delivery of Health Care

Keywords

  • anaesthesia
  • monitoring, intraoperative
  • risk management
  • safety management
  • task performance and analysis

Cite this

Beyond monitoring : distributed situation awareness in anaesthesia. / Fioratou, E.; Flin, R.; Glavin, R.; Patey, R.

In: British Journal of Anaesthesia, Vol. 105, No. 1, 07.2010, p. 83-90.

Research output: Contribution to journalArticle

Fioratou, E. ; Flin, R. ; Glavin, R. ; Patey, R. / Beyond monitoring : distributed situation awareness in anaesthesia. In: British Journal of Anaesthesia. 2010 ; Vol. 105, No. 1. pp. 83-90.
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