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微创手术中的人员可靠性与培训

Human reliability and training in minimally invasive surgery.

机构信息

Section Man-Machine Systems, Faculty of Mechanical Engineering and Marine Technology Delft University of Technology Delft The Netherlands.

出版信息

Minim Invasive Ther Allied Technol. 2003 Jul;12(3):129-35. doi: 10.1080/13645700310007689.

DOI:10.1080/13645700310007689
PMID:16754091
Abstract

Effective training is essential to decrease the number of errors during surgery, especially during minimally invasive surgery. To develop effective training methods, it should be realized that different types of errors exist. Errors can be divided into slips, lapses and mistakes. The type of error very much depends on the complexity of the task performed. Therefore, these error types can be roughly classified to the level of surgeon's behavior which can be modelled using Rasmussen's model of human behavior that distinguishes between skill, rule and knowledge-based behavior. To avoid errors, training methods for the different levels of behavior are needed, having their own objectives, means and needs. To date, training objectives, means and needs are not standardized.

摘要

有效的培训对于减少手术过程中的错误数量至关重要,尤其是在微创手术期间。为了开发有效的培训方法,应该认识到存在不同类型的错误。错误可分为失误、疏忽和差错。错误的类型很大程度上取决于所执行任务的复杂性。因此,这些错误类型可以大致归类到外科医生行为的层面,而这可以使用拉斯穆森的人类行为模型来建模,该模型区分了基于技能、规则和知识的行为。为了避免错误,需要针对不同行为层面的培训方法,这些方法有各自的目标、手段和需求。迄今为止,培训目标、手段和需求尚未标准化。

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