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[A graphic presentation of the anesthesiologist's action pattern]
T Imamura1, S Kaihara, T Horiuchi
1Hospital Computer Center, Faculty of Medicine, University of Tokyo.
Masui. the Japanese Journal of Anesthesiology
|March 1, 1993
Summary
Anesthesiologists
Area of Science:
- Anesthesiology
- Medical Education
- Human Factors Engineering
Background:
- Individual anesthesiologists exhibit distinct action patterns during procedures.
- Standardized methods for visualizing and comparing these patterns are lacking.
Purpose of the Study:
- To develop a graphic presentation system, termed a "thought map", to visualize anesthesiologists' action patterns.
- To analyze differences in action patterns among individuals, over time, and across different anesthetic agents.
Main Methods:
- Collected data from 6 anesthesiologists (4 instructors, 2 new doctors) over 2 years.
- Recorded drug usage patterns for enflurane, sevoflurane, and isoflurane.
- Developed a "thought map" system for graphic representation and comparison of action patterns.
Main Results:
- Significant inter-individual differences in action patterns were observed.
- Introduction of new drugs led to observable alterations in practice patterns within the 2-year period.
- Thought maps illustrated the professional knowledge acquisition process in new anesthesiologists.
Conclusions:
- The "thought map" system effectively visualizes anesthesiologists' action patterns.
- The "immovable rate" index is proposed for evaluating human thinking and skill acquisition in anesthesiology.
- This system aids in understanding expertise development and practice variations.