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Lecture 2

Two assumptions:

  • finite resources
  • world doesn't stop changing

Alderson & Doyle - Robust yet fragile

Anesthesiology case study

  • resident taks to surgical fellow, gets word that it's a short procedure, surgeon expects little blood loss
  • attending recognizes details of patient's other conditions, and tells resident to show up early and put in extra lines
  • extra lines establish access to put in fluids or meds as needed, should crisis arrive

Attending is anticipating problems ahead.

Graceful extensibility: the ability to extend performance when events challenge the boundaries of the plan.

Table of oversimplifications: Paul Feltovich (I don’t know where this is)

References

Cook, Richard I; Woods, David D; McDonald, John S. Human Performance in Anesthesia. Technical Report CSEL91.003, April 1991. Cognitive Systems Engineering Laboratory, The Ohio State University, Columbus, OH 43210. DOI: 10.13140/RG.2.2.29675.36648