CAREER: Cognitive Engineering of Surgical Work Processes

该项目有两个主要目标：1）了解目前的沟通和协调活动在医院手术室（OR），专注于手术团队作为活动的中心，和2）发展和测试决策技能的情境学习理论。 第一个目标将通过观察手术和采访关键人员来实现。 我们将收集视频数据，音频数据，并使用口头协议分析对房间内人员之间的通信活动进行编码。我们还将对外科医生、护士、麻醉师和手术室工作人员进行一系列结构化访谈，专门询问这些人员的沟通和协调实践。第二个目标将通过使用基于计算机的培训开发手术环境的部分任务模拟来实现，并通过这种模拟来测量教授各种手术病例的关键情况评估技能的能力。这项研究将影响我们对手术决策的理解，并提供一种在安全的模拟环境中训练手术决策的切实手段。 这项研究的影响将是减少医疗错误，改善培训实践，并提高团队沟通和协调的OR。

This project has two main objectives: 1) to understand the current communication and coordination activities in the Hospital Operating Room (OR), focusing on the surgical team as the center of activity, and 2) to develop and test a theory of situated learning of decision skills. The first objective will be met through observations of surgeries and interviewing key personnel. We will collect video data, audio data, and code the communication activities between personnel in the room using verbal protocol analysis. We will also conduct a series of structured interviews with surgeons, nurses, anesthesiologists and OR staff to specifically ask these personnel about communication and coordination practices. The second objective will be met by developing a part-task simulation of the surgical environment using computer-based training, and measuring the ability to teach key situation assessment skills for various surgical cases with this simulation. This research will impact our understanding of surgical decision making, and provide a tangible means to train surgical decision making in a safe, simulated environment. The impact of this research will be to reduce medical error, improve training practices, and improve team communication and coordination in the OR.