This is a AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH report procured by the Pentagon and made available for public release. It has been reproduced in the best form available to the Pentagon. It is not spiral-bound, but rather assembled with Velobinding in a soft, white linen cover. The Storming Media report number is A070423. The abstract provided by the Pentagon follows: Minimally invasive surgery is a double-edged sword presenting both advantages and dangers to a patient. On the one hand, damage to healthy tissue is reduced and recovery periods are shorter. On the other hand, the surgeon is handicapped by degraded perceptual information so that the probability of certain types of errors is increased (e.g., cutting or damaging the common bile duct during laparoscopic cholecystectomy). In challenging cases surgeons continually assess whether the patient's best interest might be served by converting a laparoscopic case to an open-incision one. Converting widens the scope and quality of perceptual information available, providing hands and eyes with direct access to the operative area. This research focuses on surgical decision making in the context of the decision to convert. A cognitive task analysis effort, involving field observations and a research study, was undertaken to elicit information about decisions made during surgery. Ten experienced (staff) and ten senior resident surgeons were shown videotape from a difficult laparoscopic surgery case. The surgeons responded to structured questions at critical points in the procedure and also provided running commentary as the operation unfolded. Based on their observations, approximately half of the surgeons decided that the case should be converted to an open procedure at some point during the operation. The verbal protocols were analyzed to identify differences as a function of expertise (staff vs. resident) and of the conversion decision (opener vs. nonopener).
Book Description
Product Details
Would you like to update product info or give feedback on images?
|
Customer Reviews
|
There are no customer reviews yet.
|
|||
|
Video reviews
|
Tag this product(What's this?)Think of a tag as a keyword or label you consider is strongly related to this product.
Tags will help all customers organize and find favorite items. |
Sell a Digital Version of This Book in the Kindle Store
If you are a publisher or author and hold the digital rights to a book, you can sell a digital version of it in our Kindle Store.
Learn more
