Is aneurysm surgery too exciting for our own good?

Solheim, Ole

doi:10.1007/s00701-015-2685-0

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Stress, especially high levels, can negatively impact effective communications and, given that safe and successful surgery relies upon the coordinated actions of a team (anesthetist, surgeon, nurses, and orderlies), this may result in negative outcomes for patients if not dealt with appropriately . It is difficult to quantify the stress response that occurs in surgeons when faced with a novel or challenging situation.…”

Section: Discussionmentioning

confidence: 99%

Stress response and communication in surgeons undergoing training in endoscopic management of major vessel hemorrhage: a mixed methods study

Jukes

Mascarenhas

Murphy

et al. 2017

Int Forum Allergy Rhinol

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Section: Discussionmentioning

confidence: 99%

Stress response and communication in surgeons undergoing training in endoscopic management of major vessel hemorrhage: a mixed methods study

Jukes

Mascarenhas

Murphy

et al. 2017

Int Forum Allergy Rhinol

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“…13 Dealing with and controlling stress without compromising sound clinical judgement and the ability to engage in a meaningful and empathetic way with the patients is thus a necessary skill for the surgeon that can be seen as 'part of the drill'. 14 The experience of having been instrumental in causing a severe complications in a neurologically intact patient may however overwhelm the ability of the surgeon to successfully deal with the emotional impact of the event (e.g. 15 ).…”

Section: The Emotional Impact -Avoidance and Denialmentioning

confidence: 99%

Five psychological mechanisms that might bias learning from neurosurgical complications: case discussions and a narrative review

Sjöberg

2021

British Journal of Neurosurgery

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Purpose:The ability of neurosurgeons to analyze and reflect on their complications in a constructive way is important both for professional development and for patient safety. The purpose of the present paper is to highlight some psychological factors that might impair or bias the ability of the neurosurgeon to do this successfully. Methods: Five fictitious cases, loosely inspired by real events and situations, are used as a basis for a discussion of some of the most important potential sources of psychological bias in the context of understanding neurosurgical complications. Results: The issues of a) self-serving bias and the actor-observer effect; b) heuristics and biases in interpreting probabilistic events; c) emotional avoidance and denial; d) limitations of attention (dual systems theory) and e) errors of memory, are discussed. Conclusion: There are a number of psychological factors, that are well known to science that may be ubiquitous sources of influence on the ability of neurosurgeons to grow by reflection on their own complications. Exactly how these factors can and should be efficiently adressed by the individual neurosurgeon and/or the organisation and team in which the neurosurgeon works may vary according to type of bias, context and circumstances. However, being aware of these issues and addressing them on an individual and organizational level remains important to the quality of our craft.

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Is aneurysm surgery too exciting for our own good?

Cited by 2 publications

References 17 publications

Stress response and communication in surgeons undergoing training in endoscopic management of major vessel hemorrhage: a mixed methods study

Stress response and communication in surgeons undergoing training in endoscopic management of major vessel hemorrhage: a mixed methods study

Five psychological mechanisms that might bias learning from neurosurgical complications: case discussions and a narrative review

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