Ariadne Labs, 401 Park Drive 3-West, Boston, MA 02215, USA; Tufts University School of Medicine, Boston, MA, USA.
Anesthesiol Clin. 2020 Dec;38(4):789-800. doi: 10.1016/j.anclin.2020.08.002. Epub 2020 Oct 13.
Critical events are rare and stressful. These properties make reliance on memory for clinical management highly susceptible to failure. In the past 10 to 20 years, health care has begun to accept the experience of aviation and other high-reliability organizations in addressing failure to rescue from these events through a combination of practice through simulation and the introduction of cognitive aids, known as checklists or emergency manuals. Cognitive aids have a persuasive body of evidence from simulation studies to establish their value in improving clinician performance. However, their introduction to practice is more complex than distribution of the tools.
危急事件罕见且紧张。这些特性使得临床管理依赖记忆极易失败。在过去的 10 到 20 年中，医疗保健开始借鉴航空和其他高可靠性组织的经验，通过模拟实践和引入认知辅助工具（称为检查表或应急手册）来解决这些事件中的救援失败问题。认知辅助工具已经通过模拟研究证明了其在提高临床医生表现方面的价值，具有令人信服的证据基础。然而，将其引入实践比分发工具要复杂得多。
