Intra-operative decision making: More than meets the eye

Carla M. Pugh*, Susan Santacaterina, Debra A. DaRosa, Richard E. Clark

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Operating room teams consist of team members with diverse training backgrounds. In addition to differences in training, each team member has unique and complex decision making paths. As such, team members may function in the same environment largely unaware of their team members' perspectives. The goal of our work was to use a theory-based approach to better understand the complexity of knowledge-based intra-operative decision making. Cognitive task analysis methods were used to extract the knowledge, thought processes, goal structures and critical decisions that provide the foundation for surgical task performance. A triangulated and iterative approach is presented.

Original languageEnglish (US)
Pages (from-to)486-496
Number of pages11
JournalJournal of Biomedical Informatics
Issue number3
StatePublished - Jun 2011


  • Cognition
  • Decision theory
  • Operating rooms
  • Surgery
  • Team training

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications


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