Identifying situation awareness training needs in anesthesia residents: a qualitative study

Carolina Daza-Beltrán; Francisco Olmos Vega; Martha Patricia Caro Gutierrez; Erika Muñoz Larsson; Daniel Ricardo Suarez Venegas

doi:10.5554/22562087.e1154

Identifying situation awareness training needs in anesthesia residents: a qualitative study

Título traducido de la contribución: Identificación de necesidades de entrenamiento en conciencia situacional en residentes de anestesiología: un estudio cualitativo

Carolina Daza-Beltrán, Francisco Olmos Vega, Martha Patricia Caro Gutierrez, Erika Muñoz Larsson, Daniel Ricardo Suarez Venegas

Producción: Contribución a una revista › Artículo › revisión exhaustiva

Resumen

Introducción: La pérdida de conciencia situacional (CE) representa el 82 % de los incidentes debido a errores humanos en anestesia. A pesar de su importancia, la formación en CE ha sido tradicionalmente informal e inconsistente. Integrar la CE en la formación de residentes es esencial para mejorar el rendimiento de los residentes.

Objetivo: Este estudio piloto tuvo como objetivo identificar las necesidades de formación en SA para los residentes de anestesiología.

Métodos: Se realizó un análisis de necesidades de capacitación en tres niveles: 1. Nivel organizacional: se realizaron grupos focales con profesores para identificar competencias críticas. 2. Nivel de tarea: se observaron cinco procedimientos quirúrgicos utilizando gafas de seguimiento ocular para detectar eventos no deseados observables (OUE). 3. Nivel personal: se realizaron entrevistas con residentes y profesores para analizar las causas de los OUE y las brechas de aprendizaje.

Resultados: Se identificaron 17 necesidades de formación. Los residentes de primer año necesitan desarrollar habilidades de percepción y comprensión; los de segundo año, mejorar sus habilidades de atención; y los de tercer año, centrarse en las habilidades de proyección.

Conclusiones: Este estudio observacional cualitativo permitió identificar deficiencias en la formación en anestesiología asistida (AS) entre los residentes. Se identificaron 17 necesidades específicas de formación, las cuales pueden implementarse en los programas de formación en AS para anestesiología en diversas instituciones. Para garantizar la evaluación y adaptación continuas, se recomienda que estos programas se desarrollen progresivamente mediante simulaciones clínicas de alta fidelidad, utilizando herramientas como gafas de seguimiento ocular.

Título traducido de la contribución	Identificación de necesidades de entrenamiento en conciencia situacional en residentes de anestesiología: un estudio cualitativo
Idioma original	Inglés
Número de artículo	e1154
Páginas (desde-hasta)	1-10
Número de páginas	10
Publicación	Colombian Journal of Anesthesiology
Volumen	53
N.º	4
DOI	https://doi.org/10.5554/22562087.e1154
Estado	Publicada - 04 jun. 2025

Palabras clave

Anestesiología
Competencia clínica
Procesos cognitivos
Evaluación de necesidades
Seguridad del paciente

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title = "Identifying situation awareness training needs in anesthesia residents: a qualitative study",

abstract = "Introduction: Loss of situational awareness (SA) accounts for 82\% of incidents due to human error in anesthesia. Despite its importance, SA training has traditionally been informal and inconsistent. Integrating SA into residency training is essential to enhance resident performance. Objective: This pilot study aimed to identify SA training needs for anesthesia residents. Methods: A three-level training needs analysis was conducted: 1. Organizational level: focus groups with faculty members were held to identify critical competencies. 2. Task level: five surgical procedures were observed using eye-tracking glasses to detect observable undesired events (OUEs). 3. Personal level: Interviews with residents and faculty were conducted to analyze the causes of OUEs and learning gaps. Results: A total of 17 training needs were identified. First-year residents require skill development in perception and comprehension, second-year residents need to improve attentional skills, and third-year residents should focus on projection skills. Conclusions: This qualitative observational study enabled the identification of gaps in SA training among anesthesiology residents. A total of 17 specific training needs were identified, which can be implemented in SA training programs for anesthesiology across various institutions. To ensure continuous evaluation and adaptation, it is recommended that these programs be progressively developed through high-fidelity clinical simulations, utilizing tools such as eye-tracking glasses.",

keywords = "Anesthesiology, Clinical competence, Cognitive processes, Needs assessment, Patient safety, Anestesiolog{\'i}a, Competencia cl{\'i}nica, Procesos cognitivos, Evaluaci{\'o}n de necesidades, Seguridad del paciente",

author = "Carolina Daza-Beltr{\'a}n and \{Olmos Vega\}, Francisco and \{Caro Gutierrez\}, \{Martha Patricia\} and \{Mu{\~n}oz Larsson\}, Erika and \{Suarez Venegas\}, \{Daniel Ricardo\}",

note = "Publisher Copyright: {\textcopyright} 2025 Sociedad Colombiana de Anestesiolog{\'i}a y Reanimaci{\'o}n (S.C.A.R.E.). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).",

year = "2025",

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doi = "10.5554/22562087.e1154",

language = "English",

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T1 - Identifying situation awareness training needs in anesthesia residents

T2 - a qualitative study

AU - Daza-Beltrán, Carolina

AU - Olmos Vega, Francisco

AU - Caro Gutierrez, Martha Patricia

AU - Muñoz Larsson, Erika

AU - Suarez Venegas, Daniel Ricardo

N1 - Publisher Copyright: © 2025 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

PY - 2025/6/4

Y1 - 2025/6/4

N2 - Introduction: Loss of situational awareness (SA) accounts for 82% of incidents due to human error in anesthesia. Despite its importance, SA training has traditionally been informal and inconsistent. Integrating SA into residency training is essential to enhance resident performance. Objective: This pilot study aimed to identify SA training needs for anesthesia residents. Methods: A three-level training needs analysis was conducted: 1. Organizational level: focus groups with faculty members were held to identify critical competencies. 2. Task level: five surgical procedures were observed using eye-tracking glasses to detect observable undesired events (OUEs). 3. Personal level: Interviews with residents and faculty were conducted to analyze the causes of OUEs and learning gaps. Results: A total of 17 training needs were identified. First-year residents require skill development in perception and comprehension, second-year residents need to improve attentional skills, and third-year residents should focus on projection skills. Conclusions: This qualitative observational study enabled the identification of gaps in SA training among anesthesiology residents. A total of 17 specific training needs were identified, which can be implemented in SA training programs for anesthesiology across various institutions. To ensure continuous evaluation and adaptation, it is recommended that these programs be progressively developed through high-fidelity clinical simulations, utilizing tools such as eye-tracking glasses.

AB - Introduction: Loss of situational awareness (SA) accounts for 82% of incidents due to human error in anesthesia. Despite its importance, SA training has traditionally been informal and inconsistent. Integrating SA into residency training is essential to enhance resident performance. Objective: This pilot study aimed to identify SA training needs for anesthesia residents. Methods: A three-level training needs analysis was conducted: 1. Organizational level: focus groups with faculty members were held to identify critical competencies. 2. Task level: five surgical procedures were observed using eye-tracking glasses to detect observable undesired events (OUEs). 3. Personal level: Interviews with residents and faculty were conducted to analyze the causes of OUEs and learning gaps. Results: A total of 17 training needs were identified. First-year residents require skill development in perception and comprehension, second-year residents need to improve attentional skills, and third-year residents should focus on projection skills. Conclusions: This qualitative observational study enabled the identification of gaps in SA training among anesthesiology residents. A total of 17 specific training needs were identified, which can be implemented in SA training programs for anesthesiology across various institutions. To ensure continuous evaluation and adaptation, it is recommended that these programs be progressively developed through high-fidelity clinical simulations, utilizing tools such as eye-tracking glasses.

KW - Anesthesiology

KW - Clinical competence

KW - Cognitive processes

KW - Needs assessment

KW - Patient safety

KW - Anestesiología

KW - Competencia clínica

KW - Procesos cognitivos

KW - Evaluación de necesidades

KW - Seguridad del paciente

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DO - 10.5554/22562087.e1154

M3 - Article

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JO - Colombian Journal of Anesthesiology

JF - Colombian Journal of Anesthesiology

IS - 4

M1 - e1154

ER -

Identifying situation awareness training needs in anesthesia residents: a qualitative study

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