Situational perception definition6/24/2023 ![]() We then studied the frequency and type of situational awareness errors in these malpractice claims where patients died or suffered severe brain damage between 20. We used the Anesthesia Closed Claims Project database to examine trends in permanent brain damage and death. ![]() 11, 14 To assess the role of cognitive skills involving situational awareness, we focused on claims involving a single anesthesiologist (rather than an anesthesia care team) to avoid misclassification with complex interactions with communication, team work, and different types of training among members of an anesthesia team. Due to the lack of validated classification of situational awareness in clinical anesthesia, our first study aim was to develop detailed protocol to operationalize definitions of perception, comprehension, and projection errors based upon the scientific literature. This study investigated the role of situational awareness errors by an individual anesthesiologist in major patient injury (severe brain damage and death) using anesthesia malpractice claims. ![]() The role of situational awareness errors in major injury associated with anesthesia has not been previously investigated. In primary care 11 and nursing, 12, 13 situational awareness errors were studied qualitatively, but without quantitative data. 5, 7, 8 In anesthesia, investigators in Australia 9 and Germany 10 reviewed voluntary critical incidents not resulting in patient injury and found a significant number of situational awareness errors (40 and 82%, respectively). 5, 7–10 Studies in surgery using observational techniques and review of operative notes suggested that complications of laparoscopic cholecystectomy ( e.g., bile duct injuries) and carotid endarterectomy were associated with situational awareness errors, especially involving perception. 6 Situational awareness errors may occur in surgery and anesthesia. In 2009, the World Health Organization recognized that situational awareness plays an important role in clinical decision-making by physicians. Situational awareness errors in medical care can lead to patient harm.
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