Analysis of the clinical behaviour of anaesthetists: Recognition of uncertainty as a basis for practice

Medical Education

Volumn 31, Issue 6, 1997, Pages 449-456

  Klemola, U M ^a   Norros, L ^b  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

^b VTT TECHNICAL RESEARCH CENTRE OF FINLAND   (Finland)

Author keywords

Anaesthesia; Curriculum; Finland; Professional practice

Indexed keywords

ANESTHESIST; ARTICLE; BEHAVIOR; CLINICAL MEDICINE; CONTINUING EDUCATION; HUMAN; MEDICAL EDUCATION; MEDICAL PRACTICE; MEDICAL RESEARCH; NORMAL HUMAN; PATIENT MONITORING; PHYSICIAN ATTITUDE; TECHNIQUE;

EID: 0030732490     PISSN: 03080110     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2923.1997.00625.x     Document Type: Article

References (28)

1. Berg M (1995) Turning a practice into a science: Reconceptualizing postwar medical practice. Social Studies of Science 25, 437-76.
2. Cook R I & Woods D D (1994) Operating at the sharp end: The complexity of human error. In: Human Error in Medicine (ed. by M S Bogner), pp. 255-310. Lawrence Erlbaum Associates, Hillsdale, New Jersey.
3. Charmaz K (1995) Grounded theory. In: Rethinking Methods in Psychology (ed. by J A Smith, R Harré & L Van Langenhove), pp. 27-49. Sage, London.
4. Dowie J & Elstein A (1988) Professional Judgment: A Reader in Clinical Decision Making. Cambridge University Press, Cambridge, 255-322.
5. Endsley M R (1995) Toward a theory of situation awareness in dynamic systems. Human Factors 37, 32-64.
6. Eskola A (1993) On the methodological paradigms of psychological peace research. Conflict and Social Psychology. International Peace Research Institute, Oslo, 176-87.
7. Gaba D M (1994) Human error in medical domains. In: Human Error in Medicine (ed. by M S Bogner), pp. 197-224. Lawrence Erlbaum Associates, Hillsdale, New Jersey.
8. Gaba D M & Lee T (1990) Measuring the workload of the anesthesiologist. Anesthesia & Analgesia 71, 354-61.
9. Gaba D M, Maxwell M & DeAnda A (1987) Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology 66, 670-6.
10. Harré R (1993) Social Being. Blackwell Scientific Publications, Oxford.
11. Hukki K & Norros L (1993) Diagnostic orientation in control of disturbance situations. Ergonomics 36, 1317-28.
12. Keats A S (1990) Anesthesia mortality in perspective. Anesthesia & Analgesia 71, 113-19.
13. Norros L (1995) An orientation-based approach to expertise, In: Cognition and Human-Computer Cooperation (ed. by J-M Hoc, P C Cacciabue & E Hollnagel), pp. 141-66. Lawrence Erlbaum Associates, Hillsdale, New Jersey.
14. Orkin F K (1989) Practice standards: The Midas touch or the emperor's new clothes. Anesthesiology 70, 567-71.
15. Runciman W B, Seller A, Webb R K et al. (1993a) Errors, incidents and accidents in anaesthetic practice. Anaesthesia & Intensive Care 21, 506-99.
16. Runciman W B, Webb R K, Lee R K et al. (1993b) System failure: An analysis of 2000 incident reports. Anaesthesia & Intensive Care 21, 684-95.
17. Sayer A (1992) Method in Social Science: A Realist Approach. Routledge, London.
18. Schwid H A & O'Donnel D (1992) Anesthesiologists' management of simulated critical incidents. Anesthesiology 76, 495-501.
19. Schön D A (1988) From technical rationality to reflection-in-action, In: Professional Judgment: A Reader in Clinical Decision Making (ed. by J Dowie & A Elstein), pp. 60-77. Cambridge University Press, Cambridge, Massachusetts.
20. Severinghaus J W & Kelleher J F (1992) Recent developments in pulse oximetry. Anesthesiology 76, 1018-38.
21. Simpson M, Buckman R, Stewart M et al (1991) Doctor-patient communication: the Toronto consensus statement. British Medical Journal 303, 1385-7.
22. Smith J A, Harré R & Van Langenhove L (1995) Rethinking Method in Psychology. Sage, London.
23. Suchman L A (1990) Plans and Situated Actions: The Problem of Human-Machine Communication. Cambridge University Press, New York.
24. Weinger M B, Hemden O W, Zornow M H et al. (1994) An objective methodology for task analysis and workload assessment in anesthesia providers. Anesthesiology 80, 77-92.
25. Williamson J A, Webb R K, Seller A et al. (1993) Human failure: An analysis of 2000 incident reports. Anaesthesia & Intensive Care 21, 678-83.
26. Vygotsky L S (1979) Mind in Society: The Development of Higher Psychological Processes. Harvard University Press, Cambridge, Massachusetts.
27. Zuboff S (1988) In The Age of The Smart Machine: The Future of Work and Power. Heinemann Professional Publishing, Oxford.
28. Received 23 April 1996; editorial comments to authors 18 July 1996, 3 June 1997; accepted for publication 19 July 1997