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Predicting battlefield vigilance: a multivariate approach to assessment of attentional resources.
Ergonomics
August 2015
a Institute of Simulation and Training , University of Central Florida, Orlando , FL , USA.
Technological innovation increasingly requires operators in various applied settings to maintain vigilance for extended periods. However, standard psychometric tests typically predict less than 10% of performance variance. The present study (N = 462) aimed to apply the resource theory of sustained attention to construct a multivariate test battery for predicting battlefield vigilance.
View Article and Find Full Text PDFHealth care clinicians successfully apply proven medical evidence in common acute, chronic, or preventive care processes less than 80 percent of the time. This low level of reliability at the basic process level means that health care's efforts to improve reliability start from a different baseline from most other industries, and therefore may require a different approach. This paper describes The Institute for Healthcare Improvement's (IHI) current approach to improving health care reliability, including a useful nomenclature for levels of reliability, and a focus on improving reliability of basic health care processes before moving on to more sophisticated high reliability organization concepts.
View Article and Find Full Text PDFVigilance is a word that is underused in current anesthesia practice. Attention is turning from the patient to the machine and monitor. Vigilance has a definite role in anesthesia safety and the high technology anesthesia environment only enhances the need for vigilance.
View Article and Find Full Text PDFPsychological aspects of postoperative pain control.
Acta Anaesthesiol Belg
July 1992
Department of Anesthesiology, University of Washington, School of Medicine, Seattle 98195.
This article examines the biological basis of emotional distress during postoperative pain, discussing the causal links between tissue injury and the mechanisms of centrally mediated emotional arousal. Neurologic signals from injured tissues induce spinoreticular transmission and extensive processing in limbic brain. Pain, as an emotion, shares central noradrenergic mechanisms with vigilance, a biologically important process.
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