Evidence map›Paper›PMID 38918271›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2024

Identifying intraoperative events in a simulated laparotomy video: a multinational study of inattentional blindness among anesthesiologists.

Glenio B Mizubuti, Lais H N E Lima, Rodrigo M E Lima, Adrienne K Ho, Rita de Cássia Rodrigues, Daniel Carlos Cagnolati, Victório Dos Santos Júnior, Elio B R Belfiore, Filipe N C Santos, Wai Shun Vincent Lam and 13 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Is constant vigilance a realistic expectation for anesthesiologists?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Glenio B MizubutiDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada. gleniomizubuti@hotmail.com.ORCID 0000-0002-5515-829X
Lais H N E LimaDepartment of Anesthesiology, Perioperative and Pain Medicine, University of Manitoba, Winnipeg, MB, Canada.
Rodrigo M E LimaDepartment of Anesthesiology, Perioperative and Pain Medicine, University of Manitoba, Winnipeg, MB, Canada.
Adrienne K HoDepartment of Public Health Sciences (Epidemiology), Queen's University School of Medicine, Kingston, ON, Canada.
Rita de Cássia RodriguesDepartment of Anesthesiology, São Paulo Federal University, São Paulo, Brazil.
Daniel Carlos CagnolatiSanta Casa de Misericórdia de Ribeirão Preto Hospital, Ribeirão Preto, São Paulo, Brazil.
Victório Dos Santos JúniorDepartment of Anesthesiology, Faculty of Medicine of Marília, Marília, São Paulo, Brazil.
Elio B R BelfioreDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.
Filipe N C SantosDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.
Wai Shun Vincent LamDepartment of Anaesthesia, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Mandy ChuDepartment of Anaesthesia, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Linda T C KorzDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
Adam SzulewskiDepartment of Emergency Medicine, Queen's University, Kingston, ON, Canada.
Michael McMullenDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Jessica BurjorjeeDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Devin SydorDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Kathleen CartenDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Louie WangDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Rachel PhelanDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Bethany SmethurstDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Camilyn ChengDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Wilma M HopmanKingston General Hospital Research Institute, Kingston Health Sciences Centre, Kingston, ON, Canada.
Anthony M-H HoDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedical errors may be occasionally explained by inattentional blindness (IB), i.e., failing to notice an event/object that is in plain sight. We aimed to determine whether age/experience, restfulness/fatigue, and previous exposure to simulation education may affect IB in the anesthetic/surgical setting.

methodsIn this multicentre/multinational study, a convenience sample of 280 anesthesiologists watched an attention-demanding video of a simulated trauma patient undergoing laparotomy and (independently/anonymously) recorded the abnormalities they noticed. The video contained four expected/common abnormalities (hypotension, tachycardia, hypoxia, hypothermia) and two prominently displayed unexpected/rare events (patient's head movement, leaky central venous line). We analyzed the participants' ability to notice the expected/unexpected events (primary outcome) and the proportion of expected/unexpected events according to age group and prior exposure to simulation education (secondary outcomes).

resultsAnesthesiologists across all ages noticed fewer unexpected/rare events than expected/common ones. Overall, younger anesthesiologists missed fewer common events than older participants did (P = 0.02). There was no consistent association between age and perception of unexpected/rare events (P = 0.28), although the youngest cohort (< 30 yr) outperformed the other age groups. Prior simulation education did not affect the proportion of misses for the unexpected/rare events but was associated with fewer misses for the expected/common events. Self-perceived restfulness did not impact perception of events.

conclusionAnesthesiologists noticed fewer unexpected/rare clinical events than expected/common ones in an attention-demanding video of a simulated trauma patient, in keeping with IB. Prior simulation training was associated with an improved ability to notice anticipated/expected events, but did not reduce IB. Our findings may have implications for understanding medical mishaps, and efforts to improve situational awareness, especially in acute perioperative and critical care settings.

Indexed as

AnesthesiologistsAttentionLaparotomyVideo RecordingAdultAge FactorsFemaleHumansMaleMedical ErrorsMiddle AgedSimulation Traininganesthesiologyinattentional blindnesssimulationsituation awareness

Identifiers

PMID38918271

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.