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Intra–operative Sensemaking by Surgeons: Analysis of Operative Reports for Uncertainty and Irregular Cues

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9th Bi-annual International Conference on Naturalistic Decision Making (NDM9) (NDM)

Naturalistic Decision Making (NDM9)

23 - 26 June 2009

Sensemaking, Surgery, linguistics

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      Motivation – Understanding surgeons’ intraoperative sensemaking and whether linguistic and descriptive choices reflect unconscious thought. Research approach – Analysis of surgeons’ sensemaking, using laparoscopic cholecystectomy operative reports of cases with and without bile duct injuries, examining for linguistic modifiers of uncertainty and description of irregular cues. Findings/Design – qualifiers of uncertainty and an increased number of irregular cues were more common in bile duct injury cases. Research Implications – These data suggest the unconscious mind detects aberrations whose significance cannot break through to conscious recognition. Originality/Value – Both complicated and uncomplicated cases were studied. The importance of linguistic qualifiers has not been previously studied in this domain. Take away message – descriptive and linguistic choices reflect unconscious thought.

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      The Prevention of Laparoscopic Bile Duct Injuries An Analysis of 300 Cases of from a Human Factors and Cognitive Psychology Perspective


        Author and article information

        University of California

        San Francisco
        Klein Associates, a Division of ARA
        June 2009
        June 2009
        : 297-298
        © Lygia Stewart et al. Published by BCS Learning and Development Ltd. 9th Bi-annual International Conference on Naturalistic Decision Making (NDM9), BCS London

        This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit

        9th Bi-annual International Conference on Naturalistic Decision Making (NDM9)
        BCS London
        23 - 26 June 2009
        Electronic Workshops in Computing (eWiC)
        Naturalistic Decision Making (NDM9)
        Product Information: 1477-9358 BCS Learning & Development
        Self URI (journal page):
        Electronic Workshops in Computing


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