Safety, quality & education

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

Can J AnaesthPublished Cross-sectional study

Authors' conclusion

Anesthesiologists 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.

Study context

Population
Anesthesiologists watching an attention-demanding video of a simulated trauma patient undergoing laparotomyconvenience sample
Participants
280 participants
Exposure
Noticing of expected/common vs unexpected/rare events, by age, simulation education and restfulness
Outcome
Participants' ability to notice the expected/unexpected events
Methodological detailsmulticentre, multinational, convenience sample, simulation video
  • Multicentre
  • Multinational
  • Convenience sample
  • Simulation video

Main finding

As reported in the abstract

  • Anesthesiologists across all ages noticed fewer unexpected/rare events than expected/common ones

Observational data: associations, not effects.

Secondary outcomes

Missed expected/common events by age

Younger anesthesiologists missed fewer common events than older participants
P = 0.02

Perception of unexpected/rare events by age

No consistent association between age and perception of unexpected/rare events; youngest cohort (< 30 yr) outperformed other age groups
P = 0.28

Prior simulation education

Did not affect misses of unexpected/rare events but associated with fewer misses of expected/common events

Self-perceived restfulness

Did not impact perception of events

Original publication

Identifying intraoperative events in a simulated laparotomy video: a multinational study of inattentional blindness among anesthesiologists. Can J Anaesth. Published 25 June 2024. doi:10.1007/s12630-024-02788-0

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