Nuero_Exam 1_problem solving Flashcards
swiss cheese model: 8 slips, it only takes ____ barrieri
1
skill based errors: putting milk and cereal in pantry _____, leaving milk out ______, drop milk ______
slip commision, lapse ommision, fumble motor skill
skill based: routine errors require you to _____
stop think, self or second person check,
rule based: you are ____ to make mistakes
most likely
rule based:
apply our knowledge, education or experience to a situation
in rulse based system you omake about____
2/3 compiled mistakes
3 errors of rule based:
errors we experience, prevention strategy, process-improvement strategy
errors we experience____, _____, ______
used the wrong rule, misapplied rule, non-compliance
the most dangerous error we experience _____
non-compliance, not following the speed limit
most dangerous error______
not appreciating the risk
do the right thing______
lead by example
skill-based performance: errors _____, rule-based errors_ ______, knowledge based errros _____
1-2 per 1000, 1 per 100, 30-60 per 100
in knowledge based performance :
you still need to learn, but you must rely on other experts
in knowledge based performance we make mistakes ____
50%
clustering is when ____ and you will have _____
everyone is on the same team and you have predictable performance
drifting is when ______ and ______ are not consistant, you will have _____ (keep in mind ______)
direction, accountability, predictable variation, everyone could still be intending to do the right thing
although in drift ______
everyone is assumed to want to do the right thing, but there is a lack of SHARED MENTAL MODEL and ACCOUNTABILITY for the OUTCOME
causes of drift include internal distractors ______, and external distractors
priorities, drive, health well being; relationships, susistence and survival, professional environment
challenges to effective decision making: ___ and ____
anchoring premature closure
anchoring is a ______ and is defined as______
bias that challenges effective decision making, the tendency to perceptually lock on to salient features of the patient’s presentation too early in the diagnostic process
premature closure _____
decision making process ends way too early, exclude other options before verification
search satisfying is ______
think you found answer, or enough information, but you really don’t find the whole story
principles of anticipation:
preoccupation with failure, sensitivity to operations, reluctance to simplify
principles of containment
commitment to resiliance, deference to expertise
