Situational Awareness in the Context of Clinical Practice.

Journal: Healthcare (Basel, Switzerland)

Volume: 11

Issue: 23

Year of Publication: 

Affiliated Institutions:  University of Witwatersrand, Fir Avenue, Bantry Bay, Cape Town , South Africa. Department of Community Dentistry, School of Dentistry, University of Pretoria, Pretoria , South Africa. Department of Radiation Oncology, University of Witwatersrand, Johannesburg and Charlotte Maxeke Academic Hospital, Johannesburg , South Africa. Department of Periodontics and Oral Medicine, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria , South Africa. Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria , South Africa.

Abstract summary 

In the context of clinical practice, situational awareness refers to conscious awareness (knowledge), which is a mental model of a given clinical situation in terms of its elements and the significance of their interrelation. Situational awareness (SA) facilitates clinical reasoning, diagnostic accuracy, and appropriate goal-directed performance, and it enables clinicians to immediately adapt treatment strategies in response to changes in clinical situational actualities and to modify the course of goal-directed activities accordingly. It also helps clinicians prepare future operational plans and procedures based on the projection of situational developments. SA, therefore, is an important prerequisite for safe clinical procedures. The purpose of this narrative review is to highlight certain cognitive and external (environmental) situational factors that influence the development of situational awareness. Understanding the dynamic, adaptive, and complex interactions between these factors may assist clinicians and managers of healthcare systems in developing methods aimed at facilitating the acquisition of accurate clinical situational awareness and, in turn, may bring about a reduction in the incidence of SA, diagnostic, and operational errors.

Authors & Co-authors:  Feller Shani S Feller Liviu L Bhayat Ahmed A Feller Gal G Khammissa Razia Abdool Gafaar RAG Vally Zunaid Ismail ZI

Study Outcome 

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Statistics
Citations :  O’Dea A., Morris M., O’Keeffe D. Experiential Training for Situation Awareness in the Operating Room. JAMA Surg. 2022;157:66–67. doi: 10.1001/jamasurg.2021.4886.
Authors :  6
Identifiers
Doi : 3098
SSN : 2227-9032
Study Population
Male,Female
Mesh Terms
Other Terms
clinical judgement;clinical reasoning;decision making;electronic health records;information processing;mental models;pattern recognition;situational awareness
Study Design
Narrative Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Switzerland