HHE Haematology supplement 2018 - Page 27

Hospital Healthcare Europe Cardiovascular Emergency and critical care Haematology and oncology Neurology Pathology and diagnostics Radiology and imaging Rheumatology and musculoskeletal Theatre and surgery The Official HOPE Reference Book hospitalhealthcare.com p1_HHE2018_cover_v2.indd 1 23/08/2018 13:26 Re-register to continue receiving Hospital Healthcare Europe 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 ‘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 create a notion of the situation and anticipate future events. Therefore, SA is important for effective decision-making, performance and teamwork. 2 Understanding the meaning of SA and how to improve it in a complex work environment, such as the operating room (OR), is essential for patient safety. Individual SA According to the definition, SA is subdivided into three levels: perception (level I), comprehension (level II) and projection (level III). 2 The first level comprises the identification of the key elements that assess the ongoing situation; in the OR, the perception of the patient’s state is provided by the patient (for example, through verbal communication or appearance), monitors, patient charts, communication within the team, anaesthesia mac W2&W7&F'2BFP7W&v6fVB2FR6V6BWfV6&6W2FP6&VV6BFVw&FbVFRV6W0bf&FBFRFWFW&֖FbFV &VWf6RFFR6GVFFf&6W&V@VF7GW&RfǒFRvW7BWfVVF0FR&ƗGFf&V67BFRgWGW&RFWfVV@bFRFVN( 27FFRBFWFW&֖RFR&W7BvF&6VVBvVW&Fr4BFrBBvWfV6&VGV6RFR&&&ƗGbFVBW'&V6W6RFRVF6&R&fFW"6&W7@&RV6ǒFVW&vr&&VBB6r&7FfRvVVBbV@FW&&W6W&6W2GW&r7&622@FV4E4E42( FRFVw&VRFv6WfW'FVV&W 76W76W2FR4&WV&VBf"2"W &W76&ƗFW>( RFVv&26&7FW&7F0FFR"vW&RFW&F66Ɩ'FV`FfGV22VvvVBFR6&V7@b( FVBG&VFVN( 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