tailieunhanh - Báo cáo y học: "Critical care physician cognitive task analysis: an exploratory study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Critical care physician cognitive task analysis: an exploratory study. | Available online http content 13 2 R33 Research Critical care physician cognitive task analysis an exploratory study James C Fackler1 Charles Watts2 Anna Grome3 Thomas Miller3 Beth Crandall3 and Peter Pronovost1 Department of Anesthesiology and Critical Care Medicine The Johns Hopkins University School of Medicine 600 North Wolfe Street Baltimore MD 21287 USA division of Pulmonary and Critical Care Northwestern University School of Medicine 251 East Huron Chicago IL 60611 USA 3Klein Associates Applied Research Associates 1 750 Commerce Center Blvd Fairborn OH 45324 USA Corresponding author James C Fackler fackler@ Received 6 Jun 2007 Revisions requested 17 Aug 2007 Revisions received 23 Aug 2008 Accepted 5 Mar 2009 Published 5 Mar 2009 Critical Care 2009 13 R33 doi cc7740 This article is online at http content 13 2 R33 2009 Fackler et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction For better or worse the imposition of work-hour limitations on house-staff has imperiled continuity and or improved decision-making. Regardless the workflow of every physician team in every academic medical centre has been irrevocably altered. We explored the use of cognitive task analysis CTA techniques most commonly used in other high-stress and time-sensitive environments to analyse key cognitive activities in critical care medicine. The study objective was to assess the usefulness of CTA as an analytical tool in order that physician cognitive tasks may be understood and redistributed within the work-hour limited medical decision-making teams. Methods After approval from each Institutional Review Board two intensive care units ICUs within major university teaching .