NDLI: Critical care physician cognitive task analysis: an exploratory study

Content Provider	Springer Nature : BioMed Central
Author	Fackler, James C Watts, Charles Grome, Anna Miller, Thomas Crandall, Beth Pronovost, Peter
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 hospitals served as data collection sites for CTA observations and interviews of critical care providers. Results Five broad categories of cognitive activities were identified: pattern recognition; uncertainty management; strategic vs. tactical thinking; team coordination and maintenance of common ground; and creation and transfer of meaning through stories. Conclusions CTA within the framework of Naturalistic Decision Making is a useful tool to understand the critical care process of decision-making and communication. The separation of strategic and tactical thinking has implications for workflow redesign. Given the global push for work-hour limitations, such workflow redesign is occurring. Further work with CTA techniques will provide important insights toward rational, rather than random, workflow changes.
Related Links	https://ccforum.biomedcentral.com/counter/pdf/10.1186/cc7740.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	13648535
DOI	10.1186/cc7740
Journal	Critical Care
Issue Number	2
Volume Number	13
Language	English
Publisher	BioMed Central
Publisher Date	2009-03-05
Access Restriction	Open
Subject Keyword	Intensive Critical Care Medicine Emergency Medicine Critical Care Mental Model Common Ground Cognitive Activity Health Care Team
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine
Journal Impact Factor	8.8/2023
5-Year Journal Impact Factor	10.4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Critical care physician cognitive task analysis: an exploratory study

Medical Emergency Team syndromes and an approach to their management

Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams

Model Team in the ICU: does the implementation of intensive care assistants affect ICU nursing activity?

Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams

Improving care by understanding the way we work: human factors and behavioural science in the context of intensive care

An analysis of outcomes of emergency physician/department-based thrombolysis for stroke

Implementation of a horizontal intensive care team can impact efficiency in an emergency observation unit in Brazil

Medical emergency team use and outcomes in an Australian private hospital

Critical care physician cognitive task analysis: an exploratory study

Similar Documents

Critical care physician cognitive task analysis: an exploratory study

Medical Emergency Team syndromes and an approach to their management

Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams

Model Team in the ICU: does the implementation of intensive care assistants affect ICU nursing activity?

Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams

Improving care by understanding the way we work: human factors and behavioural science in the context of intensive care

An analysis of outcomes of emergency physician/department-based thrombolysis for stroke

Implementation of a horizontal intensive care team can impact efficiency in an emergency observation unit in Brazil

Medical emergency team use and outcomes in an Australian private hospital

Critical care physician cognitive task analysis: an exploratory study