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The Challenge of Acute Healthcare

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Crisis Management in Acute Care Settings

Abstract

At a large inner-city hospital, an anesthesiologist covers the OR as well as the obstetric department. After a busy day, she starts her night shift, during which she is called several times to the delivery ward to insert an epidural in a parturient. At 2:00 a.m., she is called to the emergency department where she is part of a trauma team that takes care of a 32-year-old patient brought to the hospital by EMS following a motor vehicle accident. The victim suffered severe head trauma, maxillofacial injuries, blunt thoracic trauma, an open fracture of the femur, and suspicion of a contained subcapsular hematoma of the spleen.

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References

  • Atlee JL (2007) Complications in anesthesia. Saunders, Philadelphia

    Google Scholar 

  • Badke-Schaub P (2002) Kritische Situationen als Analyseeinheit komplexer Handlungen [Critical situations as a unit for analyzing complex actions]. In: Trimpop R, Zimolong B, Kalveram A (eds) Psychologie der Arbeitssicherheit und Gesundheit, Neue Welten – alte Welten [Psychology of work safety and health]. Asanger, Heidelberg, pp 137–142

    Google Scholar 

  • Carraccio CL, Benson BJ, Nixon LJ, Derstine PL (2008) From the educational vench to the clinical bedside: translating the Dreyfus developmental model to the learning of clinical skills. Acad Med 83:761–767

    Article  PubMed  Google Scholar 

  • Cook R, Woods D (2001) Operating at the sharp end: the complexity of human error. In: Salas E, Bowers C, Edens E (eds) Improving teamwork in organizations: applications of resource management training. Erlbaum, Mahwah, pp 255–310

    Google Scholar 

  • Dörner D (1996) The logic of failure: recognizing and avoiding error in complex situations. Metropolitan Books, New York

    Google Scholar 

  • Dörner D, Schaub H (1994) Errors in planning and decision-making and the nature of human information processing. Appl Psychol Int Rev 43:433–453

    Article  Google Scholar 

  • Dreyfus HL, Dreyfus SE (1986) Mind over machine: the power of human intuition and expertise in the age of the computer. Basil Blackwell, Oxford

    Google Scholar 

  • Dreyfus HL, Dreyfus SE (2005) Expertise in real world context. Organization Studies 26(5):779–792

    Article  Google Scholar 

  • Ericsson KA, Prietula MJ, Cokely ET (2007) The making of an expert. Harv Bus Rev 85(7):114–121

    PubMed  Google Scholar 

  • Frensch A, Funke J (eds) (1995) Complex problem-solving: the European perspective. Erlbaum, Hillsdale

    Google Scholar 

  • Gaba D (1992) Dynamic decision-making in anesthesiology: cognitive models and training approaches. In: Evans DA, Patel VL (eds) Advanced models of cognition for medical training and practice. Springer, Berlin/Heidelberg/New York, pp 123–148

    Chapter  Google Scholar 

  • Gaba DM, Fish KJ, Howard SK (1994) Crisis management in anesthesia. Churchill Livingstone, New York

    Google Scholar 

  • Gravenstein N, Kirby RR (1995) Complications in anaesthesiology. Lippincott-Raven, Philadelphia

    Google Scholar 

  • Halpern DF (2002) Thought & knowledge. Lawrence Erlbaum, Hillsdale

    Google Scholar 

  • Kahneman D, Slovic P, Tversky A (1982) Judgment under uncertainty: heuristics and biases. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Klein G (1992) A recognition-primed decision (RPD) model of rapid decision-making. In: Klein G, Orasanu J, Calderwood R, Zsamboka E (eds) Decision-making in action: models and methods. Ablex, Norwood, pp 138–147

    Google Scholar 

  • Kohn L, Corrigan J, Donaldson M (1999) To err is human: building a safer health system. Committee on Quality of Healthcare in America, Institute of Medicine (IOM). National Academy, Washington

    Google Scholar 

  • Lingard L, Reznick R, DeVito I, Espin S (2002) Forming professional identities on the health care team: discursive constructions of the ‘other‘in the operating room. Med Educ 36:728–734

    Article  CAS  PubMed  Google Scholar 

  • Perrow C (1999) Normal accidents. Living with high-risk technologies. Princeton University Press, Princeton

    Google Scholar 

  • Rasmussen J (1979) On the structure of knowledge: a morphology of mental models in a man−machine systems context. Technical Report Riso-M-2192. Riso National Laboratory, Roskilde

    Google Scholar 

  • Rasmussen J (1983) Skills, rules, knowledge: signals, signs and symbols and other distinctions in human performance models. IEEE Trans Systems, Man and. Cybernetics SMC-13(3):257–267

    Article  Google Scholar 

  • Rasmussen J (1987) Cognitive control and human error mechanisms. In: Rasmussen J, Duncan K, Leplat J (eds) New technology and human error. Wiley, Chichester, pp 53–61

    Google Scholar 

  • Rasmussen J, Lind M (1981) Coping with complexity. Technical Report Riso-M-2293. Riso National Laboratory, Roskilde

    Google Scholar 

  • Reason J (1990) Human error. Cambridge University Press, Cambridge, UK

    Book  Google Scholar 

  • Reason J (1997) Managing the risks of organizational accidents. Ashgate, Aldershot

    Google Scholar 

  • Rosenthal MM, Sutcliffe KM (eds) (2002) Medical error. What do we know? What do we do? Jossey-Bass, San Francisco

    Google Scholar 

  • Salas E, Dickinson TL, Converse SA, Tannenbaum SI (1992) Toward an understanding of team performance and training. In: Swezey RW, Salas E (eds) Teams: their training and performance. Ablex, Norwood, pp 3–30

    Google Scholar 

  • Sterman JD (1994) Learning in and about complex systems. Syst Dyn Rev 10:291–330

    Article  Google Scholar 

  • Taylor TH, Major E (1987) Hazards and complications in anaesthesia. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Tversky A, Kahneman D (1974) Judgment under uncertainty: heuristics and biases. Science 185:1124–1131

    Article  CAS  PubMed  Google Scholar 

  • Vincent C (ed) (2002) Clinical risk management. BMJ Publishing Group, London

    Google Scholar 

  • Woods D (1988) Coping with complexity: the psychology of human behaviour in complex systems. In: Goodstein L, Andersen H, Olsen S (eds) Tasks, errors and mental models. Taylor Francis, London, pp 128–147

    Google Scholar 

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St.Pierre, M., Hofinger, G., Simon, R. (2016). The Challenge of Acute Healthcare. In: Crisis Management in Acute Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-41427-0_2

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  • DOI: https://doi.org/10.1007/978-3-319-41427-0_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41425-6

  • Online ISBN: 978-3-319-41427-0

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