Zehnder Emily C, Law Brenda H Y, Schmölzer Georg M
Neonatal Research Unit, Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, Canada.
Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Front Pediatr. 2019 Aug 27;7:356. doi: 10.3389/fped.2019.00356. eCollection 2019.
Approximately 10% of newborn infants require resuscitative intervention at birth. Ideally, this care is provided by a team of expert healthcare professionals who possess exceptional cognitive, psychomotor, and communication skills. Human errors and deviations from resuscitation protocol are common and may be attributable to excessive cognitive demand experienced by the resuscitation team. Cognitive Task Analysis (CTA) is a group of methods used to assess knowledge, judgments, goals, and decision-making of expert healthcare professionals. These methods may be used during neonatal resuscitation to gain an improved understanding of the approaches used by healthcare professionals. CTA methods have been applied in many medical disciplines including neonatology. CTA has been used to identify information previously confined to the intuition of experts. This information has been used to assess, develop, and improve medical technology, clinical decision support tools (DSTs), communication structure, and training methods. Knowledge attained through CTA might be applied similarly to neonatal resuscitation, which may in turn decrease human errors, and improve patient safety.
约10%的新生儿在出生时需要复苏干预。理想情况下，这种护理由一组具备卓越认知、心理运动和沟通技能的专业医疗保健人员提供。人为错误和偏离复苏方案的情况很常见，可能归因于复苏团队所经历的过度认知需求。认知任务分析（CTA）是一组用于评估专业医疗保健人员的知识、判断、目标和决策的方法。这些方法可在新生儿复苏期间使用，以更好地了解医疗保健人员所采用的方法。CTA方法已应用于包括新生儿学在内的许多医学学科。CTA已被用于识别以前仅限于专家直觉的信息。这些信息已被用于评估、开发和改进医疗技术、临床决策支持工具（DST）、沟通结构和培训方法。通过CTA获得的知识可能同样适用于新生儿复苏，这反过来可能减少人为错误并提高患者安全性。
