HHE Emergency care supplement 2018 - Page 24

emergency and critical care Situation awareness during crisis in the OR The operating room is a complex environment and knowledge and improvement of situation awareness can increase the performance in this domain, leading to better patient outcomes Diana Zamudio Penko PhD Daniel Arnal Velasco MD Department of Anaesthesia and Critical Care, The Alcorcon Foundation University Hospital, Spain Situation awareness (SA) can be defined as β€˜the perception of elements of the environment within a volume of time and space, the comprehension of their meaning and the projection of their status in the near future’. 1 In simple terms, it is knowing what is going on around you by extracting information from the environment and then integrating that information to creat ”„Ή½Ρ₯½Έ½˜Ρ‘”Ν₯ΡΥ…Ρ₯½Έ…Ή)…ΉΡ₯₯Α…Ρ”™ΥΡΥΙ”•Ω•ΉΡΜΈQ‘•Ι•™½Ι”°M₯́₯΅Α½ΙΡ…ΉΠ)™½Θ•™™•Ρ₯Ω”‘•₯Ν₯½Έ΅΅…­₯Ήœ°Α•Ι™½Ι΅…Ή”…Ή)Ρ•…΅έ½Ι¬Έ€ΘUΉ‘•ΙΝΡ…Ή‘₯ΉœΡ‘”΅•…Ή₯Ήœ½˜M…Ή)‘½άΡΌ₯΅ΑΙ½Ω”₯Ё₯Έ„½΅Α±•ΰέ½Ι¬•ΉΩ₯Ι½Ή΅•ΉΠ°)ΝՍ …́ё”½Α•Ι…Ρ₯ΉœΙ½½΄€‘=H€°₯́•ΝΝ•ΉΡ₯…°™½Θ)Α…Ρ₯•ΉΠΝ…™•ΡδΈ)%Ή‘₯Ω₯‘Υ…°M)½Ι‘₯ΉœΡΌΡ‘”‘•™₯Ή₯Ρ₯½Έ°M₯́ΝΥ‰‘₯Ω₯‘•₯ΉΡΌ(ΘΠ)!!€ΘΐΔΰπ‘½ΝΑ₯Ρ…±‘•…±Ρ‘…Ι”Ή½΄)Ρ‘Ι•”±•Ω•±ΜθΑ•Ι•ΑΡ₯½Έ€‘±•Ω•°$€°½΅ΑΙ•‘•ΉΝ₯½Έ(‘±•Ω•°%$€…ΉΑΙ½©•Ρ₯½Έ€‘±•Ω•°%%$€Έ€ΘQ‘”™₯ΙΝЁ±•Ω•°)½΅ΑΙ₯͕́ё”₯‘•ΉΡ₯™₯…Ρ₯½Έ½˜Ρ‘”­•δ•±•΅•ΉΡΜ)Ρ‘…Ё…ΝΝ•Ν́ё”½Ή½₯ΉœΝ₯ΡΥ…Ρ₯½Έμ₯ΈΡ‘”=H°Ρ‘”)Α•Ι•ΑΡ₯½Έ½˜Ρ‘”Α…Ρ₯•ΉΣŠéΝΡ…Ρ”₯́ΑΙ½Ω₯‘•‰δ)Ρ‘”Α…Ρ₯•ΉΠ€‘™½Θ•α…΅Α±”°Ρ‘ɽ՝ Ω•Ι‰…°)½΅΅ΥΉ₯…Ρ₯½Έ½Θ…ΑΑ•…Ι…Ή”€°΅½Ή₯Ρ½ΙΜ°)Α…Ρ₯•ΉΠ‘…ΙΡΜ°½΅΅ΥΉ₯…Ρ₯½Έέ₯Ρ‘₯ΈΡ‘”Ρ•…΄°)…Ή…•ΝΡ‘•Ν₯„΅…‘₯Ή•Μ°Ι•ΝΑ₯Ι…Ρ½ΙΜ°…ΉΡ‘”)ΝΥɝ₯…°™₯•±Έ€ΜQ‘”Ν•½Ή±•Ω•°½΅ΑΙ₯͕́ё”)½΅ΑΙ•‘•ΉΝ₯½Έ…Ή₯ΉΡ•Ι…Ρ₯½Έ½˜΅Υ±Ρ₯Α±”Α₯••Μ)½˜₯Ή™½Ι΅…Ρ₯½Έ…ΉΡ‘”‘•Ρ•Ι΅₯Ή…Ρ₯½Έ½˜Ρ‘•₯Θ)Ι•±•Ω…Ή”ΡΌΡ‘”Ν₯ΡΥ…Ρ₯½ΈΡΌ™½Ι΄„½‘•Ι•ΉΠ)΅•ΉΡ…°Α₯ΡΥΙ”Έ₯Ή…±±δ°Ρ‘”‘₯‘•ΝЁ±•Ω•°•ΉΡ…₯±Μ)Ρ‘”…‰₯±₯ΡδΡΌ™½Ι•…ΝЁё”™ΥΡΥΙ”‘•Ω•±½Α΅•ΉΠ)½˜Ρ‘”Α…Ρ₯•ΉΣŠéΝΡ…Ρ”…Ή‘•Ρ•Ι΅₯Ή”Ρ‘”‰•ΝЁ݅δ)ΡΌΑΙ½••Έ