Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents

Goldhaber-Fiebert, Sara N.; Pollock, John C.; Howard, Steven K.; Merrell, Sylvia Bereknyei

doi:10.1097/sa.0000000000000295

Cited by 8 publications

(24 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although cognitive aid use improves clinician compliance with evidence‐based care . they may not be widely used, possibly due to mixed perceptions of their usefulness . Further work is needed to evaluate whether cognitive aids deemed more usable actually increase usage among anesthesia clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike clinicians on a code team who are called to a cardiac arrest, anesthesia providers are present when an intraoperative critical event begins and are already familiar with the patient. They may thus already have an initial differential diagnosis, know the appropriate first responses, and only use a cognitive aid to obtain specific information such as drug doses or additional treatment ideas . The usability of this type of aid use—“sampling” only for specific information—may be hampered by a linear, step‐by‐step aid design where the needed information is buried within a list of recommended actions .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of cognitive aid design on the perceived usability of critical event cognitive aids

Clebone

Burian

Tung

2019

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Background Critical events require that clinicians process information and make decisions quickly. To reduce mental workload during such events, cognitive aids have been developed. We have previously observed that designing such aids to facilitate discrete information transfer decreased time to information finding. However, whether clinicians perceive aids designed for discrete information transfer as more usable than step‐by‐step designs remains unclear. We hypothesized that experimental cognitive aids designed for discrete information transfer would be judged more usable than step‐by‐step Linear aids. Methods Volunteer clinicians were asked to use cognitive aids during low fidelity simulation scenarios. Experimental cognitive aids featuring color‐coded, labeled, and consistently located content clusters were compared with aids formatted in a traditional step‐by‐step fashion. We then performed a quantitative assessment of perceived usability and conducted structured knowledge elicitation interviews. Results Clinicians rated the two experimental cognitive aids as more usable than the Linear aid. On a 0‐100 scale the median (IQR) rating was 25(18,23) for the Linear aid and 89(80,95) and 81(65,90) for the two experimental designs, respectively, with a higher number indicating greater ease of use (P < .01 for each). Narrative responses suggested specific features that improved usability and a thematic analysis identified six major themes driving preference for cognitive aid use. Conclusion During simulated critical events, cognitive aids designed for discrete information transfer were considered more usable than step by step Linear aids. Specific themes governing usability were identified during mixed methods analysis. Further work is needed to optimize cognitive aid use among anesthesia clinicians.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of cognitive aid design on the perceived usability of critical event cognitive aids

Clebone

Burian

Tung

2019

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

“…Studies consistently show that at least 80% of clinicians report they would use cognitive aids if they were available during an emergency . However, the reality is quite different, with as few as 7% of users accessing the aid in some observational studies .…”

Section: Knowledge Gaps In Cognitive Aid Researchmentioning

confidence: 99%

“…However, the reality is quite different, with as few as 7% of users accessing the aid in some observational studies . Barriers to emergency cognitive aid use include: the lack of a supportive clinical and educational culture; insufficient time; forgetting it was available; or poor design of the aid . Clearly, we can learn much about the required countermeasures to ensure widespread and effective use of emergency cognitive aids from these data.…”

Section: Knowledge Gaps In Cognitive Aid Researchmentioning

confidence: 99%

“…Education with and about cognitive aids is an important component of them becoming accepted. A recent study by Goldhaber‐Fiebert et al demonstrated that use during simulated emergencies and for self‐reflection are powerful methods that promote cognitive aid use . Ideally, education should include an orientation to how the cognitive aid is best used in relation to its design.…”

Section: Knowledge Gaps In Cognitive Aid Researchmentioning

confidence: 99%

See 1 more Smart Citation

Helping experts and expert teams perform under duress: an agenda for cognitive aid research

Marshall

2016

Anaesthesia

View full text Add to dashboard Cite

Creating a Cognitive Aid for Use During Intraoperative Power Failures

Jackson¹,

Morgan²,

Leddy³

et al. 2021

AORN Journal

View full text Add to dashboard Cite

An intraoperative power failure (IOPF) is a complete or partial absence of the electrical power supply with or without the availability of a backup generator system during an operative or other invasive procedure. An IOPF can be stressful for the OR team and puts surgical patients at risk for adverse outcomes. To prepare providers for an IOPF, a CRNA piloted a project to create an evidence‐based, facility‐specific cognitive aid (CA) to guide decision making and enhance patient management and outcomes during an IOPF. The project team tested the battery‐power capabilities of essential anesthesia equipment, including anesthesia gas machines, IV pumps, and vital sign monitors, and included the results in the CA. A needs assessment survey was sent to the anesthesia professionals at the facility to promote clinician buy‐in and solicit feedback for creating the CA.

show abstract

Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents

Cited by 8 publications

References 0 publications

The effect of cognitive aid design on the perceived usability of critical event cognitive aids

The effect of cognitive aid design on the perceived usability of critical event cognitive aids

Helping experts and expert teams perform under duress: an agenda for cognitive aid research

Creating a Cognitive Aid for Use During Intraoperative Power Failures

Contact Info

Product

Resources

About