How do surgeons make intraoperative decisions?

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes In the configuration of surgical training in the UK have reduced the time spent by trainees in the operating theatre. The opportunity to replace this lost experience with active teaching of decision making is important, but there seem to have been very few studies that have directly examined the cognitive skills underlying surgical decision making during operations. From the available evidence in surgery, and drawing from research In other safety-critical occupations, four decision-making strategies that surgeons may use are discussed: intuitive (recognition-primed), rule based, option comparison and creative. Surgeons' decision-making processes should be studied to provide a better evidence base for the training of cognitive skills for the intraoperative environment.

Original languageEnglish
Pages (from-to)235-239
Number of pages5
JournalQuality & safety in health care
Volume16
Issue number3
DOIs
Publication statusPublished - Jun 2007

Keywords

  • nontechnical skills

Cite this

How do surgeons make intraoperative decisions? / Flin, Rhona; Youngson, George; Yule, Steven.

In: Quality & safety in health care, Vol. 16, No. 3, 06.2007, p. 235-239.

Research output: Contribution to journalArticle

@article{31efd25e8d924536b1c5abe379e65244,
title = "How do surgeons make intraoperative decisions?",
abstract = "Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes In the configuration of surgical training in the UK have reduced the time spent by trainees in the operating theatre. The opportunity to replace this lost experience with active teaching of decision making is important, but there seem to have been very few studies that have directly examined the cognitive skills underlying surgical decision making during operations. From the available evidence in surgery, and drawing from research In other safety-critical occupations, four decision-making strategies that surgeons may use are discussed: intuitive (recognition-primed), rule based, option comparison and creative. Surgeons' decision-making processes should be studied to provide a better evidence base for the training of cognitive skills for the intraoperative environment.",
keywords = "nontechnical skills",
author = "Rhona Flin and George Youngson and Steven Yule",
year = "2007",
month = "6",
doi = "10.1136/qshc.2006.020743",
language = "English",
volume = "16",
pages = "235--239",
journal = "Quality & safety in health care",
issn = "1475-3898",
publisher = "BMJ Publishing Group",
number = "3",

}

TY - JOUR

T1 - How do surgeons make intraoperative decisions?

AU - Flin, Rhona

AU - Youngson, George

AU - Yule, Steven

PY - 2007/6

Y1 - 2007/6

N2 - Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes In the configuration of surgical training in the UK have reduced the time spent by trainees in the operating theatre. The opportunity to replace this lost experience with active teaching of decision making is important, but there seem to have been very few studies that have directly examined the cognitive skills underlying surgical decision making during operations. From the available evidence in surgery, and drawing from research In other safety-critical occupations, four decision-making strategies that surgeons may use are discussed: intuitive (recognition-primed), rule based, option comparison and creative. Surgeons' decision-making processes should be studied to provide a better evidence base for the training of cognitive skills for the intraoperative environment.

AB - Surgeons' intraoperative decision making is a key element of clinical practice, yet has received scant attention in the surgical literature. In recent years, serial changes In the configuration of surgical training in the UK have reduced the time spent by trainees in the operating theatre. The opportunity to replace this lost experience with active teaching of decision making is important, but there seem to have been very few studies that have directly examined the cognitive skills underlying surgical decision making during operations. From the available evidence in surgery, and drawing from research In other safety-critical occupations, four decision-making strategies that surgeons may use are discussed: intuitive (recognition-primed), rule based, option comparison and creative. Surgeons' decision-making processes should be studied to provide a better evidence base for the training of cognitive skills for the intraoperative environment.

KW - nontechnical skills

U2 - 10.1136/qshc.2006.020743

DO - 10.1136/qshc.2006.020743

M3 - Article

VL - 16

SP - 235

EP - 239

JO - Quality & safety in health care

JF - Quality & safety in health care

SN - 1475-3898

IS - 3

ER -