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"直接进入中心":对手术室指令方向的语义分析
Tanvi Karmarkar1, Ashna Mahadev1, Austin Bachar1
1Female Pelvic Medicine and Reconstructive Surgery, University of Missouri Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO 64108.
Journal of surgical education
|March 28, 2024
概括
外科医生在手术室中经常使用模两可的方向语言,导致误解,特别是在经验较少的外科医生中. 使用像指针这样的身体手势可以提高对口头指示的清晰度.
科学领域:
- 医学沟通 医学沟通
- 进行外科手术教育.
- 医学中的人类因素
背景情况:
- 之前的研究发现,在手术室 (OR) 经常使用模两可的语言.
- 定向参考框架 (DFoR) 术语是常见的模两可的来源.
- 了解DFoR对于有效的外科沟通至关重要.
研究的目的:
- 在手术环境中检查模两可的方向参考框架 (DFoR) 例子.
- 识别有助于理解或误解 DFoR 指令的因素.
- 在关键的手术时刻分析外科医生对方向术语的理解.
主要方法:
- 从6个手术室录制了手术关键时刻的录像.
- 应用正式语义来识别模两可的DFOR术语.
- 采访主治和住院外科医生关于DFOR术语含义.
- 比较外科医生对方向协议的反应,并进行主题分析.
主要成果:
- 在34.6%的DFOR例子中,外科医生在指导方面存在分歧.
- 误解源于对3D空间使用线性术语,将度变量器与DFoR结合起来,使用轴性术语,并混左/右.
- 缺乏经验与误解相关,而身体指针可以减轻误解.
结论:
- 模两可的DFOR语言带来了误解的高风险,特别是对于初学者外科医生来说.
- 建议包括避免线性方向和轴部分,以支持物理指向复杂的3D方向.
- 用精确的距离取代模糊的度变量符号,并使用分线可以提高清晰度.
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