Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.

<h4>Introduction</h4>People are not able to anticipate unexpected events. Inattentional blindness is demonstrated to happen not only in naïve observers engaged in an unfamiliar task but also in field experts with years of training. Anaesthesia is the perfect example of a discipline which...

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Autores principales:	Alessandro De Cassai, Sebastiano Negro, Federico Geraldini, Annalisa Boscolo, Nicolò Sella, Marina Munari, Paolo Navalesi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bd7723f5ddbe48ddb5379adeae39a923
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spelling	oai:doaj.org-article:bd7723f5ddbe48ddb5379adeae39a9232021-12-02T20:08:02ZInattentional blindness in anesthesiology: A gorilla is worth one thousand words.1932-620310.1371/journal.pone.0257508https://doaj.org/article/bd7723f5ddbe48ddb5379adeae39a9232021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257508https://doaj.org/toc/1932-6203<h4>Introduction</h4>People are not able to anticipate unexpected events. Inattentional blindness is demonstrated to happen not only in naïve observers engaged in an unfamiliar task but also in field experts with years of training. Anaesthesia is the perfect example of a discipline which requires a high level of attention and our aim was to evaluate if inattentional blindness can affect anesthesiologists during their daily activities.<h4>Materials and methods</h4>An online survey was distributed on Facebook between May 1, 2021 and May 31, 2021. The survey consisted of five simulated cases with questions investigating the anesthetic management of day-case surgeries. Each case had an introduction, a chest radiography, an electrocardiogram, preoperative blood testing and the last case had a gorilla embedded in the chest radiography.<h4>Results</h4>In total 699 respondents from 17 different countries were finally included in the analysis. The main outcome was to assess the incidence of inattentional blindness. Only 34 (4.9%) respondents were able to spot the gorilla. No differences were found between anesthesiologists or residents, private or public hospitals, or between medical doctors with different experience.<h4>Discussion</h4>Our findings assess that inattentional blindness is common in anesthesia, and ever-growing attention is deemed necessary to improve patient safety; to achieve this objective several strategies should be adopted such as an increased use of standardized protocols, promoting automation based strategies to reduce human error when performing repetitive tasks and discouraging evaluation of multiple consecutive patients in the same work shifts independently of the associated complexity.Alessandro De CassaiSebastiano NegroFederico GeraldiniAnnalisa BoscoloNicolò SellaMarina MunariPaolo NavalesiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257508 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Alessandro De Cassai Sebastiano Negro Federico Geraldini Annalisa Boscolo Nicolò Sella Marina Munari Paolo Navalesi Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
description	<h4>Introduction</h4>People are not able to anticipate unexpected events. Inattentional blindness is demonstrated to happen not only in naïve observers engaged in an unfamiliar task but also in field experts with years of training. Anaesthesia is the perfect example of a discipline which requires a high level of attention and our aim was to evaluate if inattentional blindness can affect anesthesiologists during their daily activities.<h4>Materials and methods</h4>An online survey was distributed on Facebook between May 1, 2021 and May 31, 2021. The survey consisted of five simulated cases with questions investigating the anesthetic management of day-case surgeries. Each case had an introduction, a chest radiography, an electrocardiogram, preoperative blood testing and the last case had a gorilla embedded in the chest radiography.<h4>Results</h4>In total 699 respondents from 17 different countries were finally included in the analysis. The main outcome was to assess the incidence of inattentional blindness. Only 34 (4.9%) respondents were able to spot the gorilla. No differences were found between anesthesiologists or residents, private or public hospitals, or between medical doctors with different experience.<h4>Discussion</h4>Our findings assess that inattentional blindness is common in anesthesia, and ever-growing attention is deemed necessary to improve patient safety; to achieve this objective several strategies should be adopted such as an increased use of standardized protocols, promoting automation based strategies to reduce human error when performing repetitive tasks and discouraging evaluation of multiple consecutive patients in the same work shifts independently of the associated complexity.
format	article
author	Alessandro De Cassai Sebastiano Negro Federico Geraldini Annalisa Boscolo Nicolò Sella Marina Munari Paolo Navalesi
author_facet	Alessandro De Cassai Sebastiano Negro Federico Geraldini Annalisa Boscolo Nicolò Sella Marina Munari Paolo Navalesi
author_sort	Alessandro De Cassai
title	Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
title_short	Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
title_full	Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
title_fullStr	Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
title_full_unstemmed	Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.
title_sort	inattentional blindness in anesthesiology: a gorilla is worth one thousand words.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bd7723f5ddbe48ddb5379adeae39a923
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Inattentional blindness in anesthesiology: A gorilla is worth one thousand words.

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