TY  - JOUR
AU  - Park, Christine S.
AU  - Stojiljković, Ljuba
AU  - Miličić, Biljana
AU  - Lin, Brian F.
AU  - Dror, Itiel E.
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1956
AB  - Introduction Training-induced cognitive bias may affect performance. Using a simulation-based emergency airway curriculum, we tested the hypothesis that curriculum design would induce bias and affect decision making. Methods Twenty-three novice anesthesiology residents were randomized into 2 groups. The primary outcome measure was the initiation of supraglottic airway and cricothyroidotomy techniques in a simulated cannot-ventilate, cannot-intubate scenario during 3 evaluation sessions. Secondary outcomes were response times for device initiation. After a baseline evaluation and didactic lecture, residents received an initial practical training in either surgical cricothyroidotomy (CRIC group) or supraglottic airway (SGA group). After the midtest, the groups switched to receive the alternate training. Results From baseline to midtest, the SGA group increased initiation of supraglottic airway but not cricothyroidotomy. The CRIC group increased initiation of cricothyroidotomy but not supraglottic airway. After completion of training in both techniques, the SGA group increased initiation of both supraglottic airway and cricothyroidotomy. In contrast, the CRIC group increased initiation of cricothyroidotomy but failed to change practice in supraglottic airway. Final test response times showed that the CRIC group was slower to initiate supraglottic airway and faster to initiate cricothyroidotomy. Discussion Practical training in only 1 technique caused bias in both groups despite a preceding didactic lecture. The chief finding was an asymmetrical effect of training sequence even after training in both techniques. Initial training in cricothyroidotomy caused bias that did not correct despite subsequent supraglottic airway training. Educators must be alert to the risk of inducing cognitive bias when designing curricula.
PB  - Lippincott Williams & Wilkins, Philadelphia
T2  - Simulation in Healthcare - Journal of the Society for Simulation in Healthcare
T1  - Training Induces Cognitive Bias The Case of a Simulation-Based Emergency Airway Curriculum
VL  - 9
IS  - 2
SP  - 85
EP  - 93
DO  - 10.1097/SIH.0b013e3182a90304
ER  - 

@article{
author = "Park, Christine S. and Stojiljković, Ljuba and Miličić, Biljana and Lin, Brian F. and Dror, Itiel E.",
year = "2014",
abstract = "Introduction Training-induced cognitive bias may affect performance. Using a simulation-based emergency airway curriculum, we tested the hypothesis that curriculum design would induce bias and affect decision making. Methods Twenty-three novice anesthesiology residents were randomized into 2 groups. The primary outcome measure was the initiation of supraglottic airway and cricothyroidotomy techniques in a simulated cannot-ventilate, cannot-intubate scenario during 3 evaluation sessions. Secondary outcomes were response times for device initiation. After a baseline evaluation and didactic lecture, residents received an initial practical training in either surgical cricothyroidotomy (CRIC group) or supraglottic airway (SGA group). After the midtest, the groups switched to receive the alternate training. Results From baseline to midtest, the SGA group increased initiation of supraglottic airway but not cricothyroidotomy. The CRIC group increased initiation of cricothyroidotomy but not supraglottic airway. After completion of training in both techniques, the SGA group increased initiation of both supraglottic airway and cricothyroidotomy. In contrast, the CRIC group increased initiation of cricothyroidotomy but failed to change practice in supraglottic airway. Final test response times showed that the CRIC group was slower to initiate supraglottic airway and faster to initiate cricothyroidotomy. Discussion Practical training in only 1 technique caused bias in both groups despite a preceding didactic lecture. The chief finding was an asymmetrical effect of training sequence even after training in both techniques. Initial training in cricothyroidotomy caused bias that did not correct despite subsequent supraglottic airway training. Educators must be alert to the risk of inducing cognitive bias when designing curricula.",
publisher = "Lippincott Williams & Wilkins, Philadelphia",
journal = "Simulation in Healthcare - Journal of the Society for Simulation in Healthcare",
title = "Training Induces Cognitive Bias The Case of a Simulation-Based Emergency Airway Curriculum",
volume = "9",
number = "2",
pages = "85-93",
doi = "10.1097/SIH.0b013e3182a90304"
}

Park, C. S., Stojiljković, L., Miličić, B., Lin, B. F.,& Dror, I. E.. (2014). Training Induces Cognitive Bias The Case of a Simulation-Based Emergency Airway Curriculum. in Simulation in Healthcare - Journal of the Society for Simulation in Healthcare
Lippincott Williams & Wilkins, Philadelphia., 9(2), 85-93.
https://doi.org/10.1097/SIH.0b013e3182a90304

Park CS, Stojiljković L, Miličić B, Lin BF, Dror IE. Training Induces Cognitive Bias The Case of a Simulation-Based Emergency Airway Curriculum. in Simulation in Healthcare - Journal of the Society for Simulation in Healthcare. 2014;9(2):85-93.
doi:10.1097/SIH.0b013e3182a90304 .

Park, Christine S., Stojiljković, Ljuba, Miličić, Biljana, Lin, Brian F., Dror, Itiel E., "Training Induces Cognitive Bias The Case of a Simulation-Based Emergency Airway Curriculum" in Simulation in Healthcare - Journal of the Society for Simulation in Healthcare, 9, no. 2 (2014):85-93,
https://doi.org/10.1097/SIH.0b013e3182a90304 . .

TY  - JOUR
AU  - Palibrk, Ivan
AU  - Miličić, Biljana
AU  - Stojiljković, Ljuba
AU  - Manojlović, Nebojša
AU  - Dugalić, Vladimir
AU  - Bumbaširević, Vesna
AU  - Kalezić, Nevena
AU  - Žuvela, Marinko
AU  - Milicević, Miroslav
PY  - 2012
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1736
AB  - Background/Aims: Liver resection is the gold standard in managing patients with metastatic or primary liver cancer. The aim of our study was to compare the traditional clamp-crushing technique to the radiofrequency-assisted liver resection technique in terms of postoperative liver function. Methodology: Liver function was evaluated preoperatively and on postoperative days 3 and 7. Liver synthetic function parameters (serum albumin level, prothrombin time and international normalized ratio), markers of hepatic injury and necrosis (serum alanine aminotransferase, aspartate aminotransferase and total bilirubin level) and microsomal activity (quantitative lidocaine test) were compared. Results: Forty three patients completed the study (14 had clamp-crushing and 29 had radiofrequency assisted liver resection). The groups did not differ in demographic characteristics, pre-operative liver function, operative time and perioperative transfusion rate. In postoperative period, there were similar changes in monitored parameters in both groups except albumin levels, that were higher in radiofrequency-assisted liver resection group (p=0.047). Conclusions: Both, traditional clamp-crushing technique and radiofrequency assisted liver resection technique, result in similar postoperative changes of most monitored liver function parameters.
PB  - H G E Update Medical Publishing S A, Athens
T2  - Hepato-Gastroenterology
T1  - Clamp-Crushing vs. Radiofrequency-Assisted Liver Resection: Changes in Liver Function Tests
VL  - 59
IS  - 115
SP  - 800
EP  - 804
DO  - 10.5754/hge11539
ER  - 

@article{
author = "Palibrk, Ivan and Miličić, Biljana and Stojiljković, Ljuba and Manojlović, Nebojša and Dugalić, Vladimir and Bumbaširević, Vesna and Kalezić, Nevena and Žuvela, Marinko and Milicević, Miroslav",
year = "2012",
abstract = "Background/Aims: Liver resection is the gold standard in managing patients with metastatic or primary liver cancer. The aim of our study was to compare the traditional clamp-crushing technique to the radiofrequency-assisted liver resection technique in terms of postoperative liver function. Methodology: Liver function was evaluated preoperatively and on postoperative days 3 and 7. Liver synthetic function parameters (serum albumin level, prothrombin time and international normalized ratio), markers of hepatic injury and necrosis (serum alanine aminotransferase, aspartate aminotransferase and total bilirubin level) and microsomal activity (quantitative lidocaine test) were compared. Results: Forty three patients completed the study (14 had clamp-crushing and 29 had radiofrequency assisted liver resection). The groups did not differ in demographic characteristics, pre-operative liver function, operative time and perioperative transfusion rate. In postoperative period, there were similar changes in monitored parameters in both groups except albumin levels, that were higher in radiofrequency-assisted liver resection group (p=0.047). Conclusions: Both, traditional clamp-crushing technique and radiofrequency assisted liver resection technique, result in similar postoperative changes of most monitored liver function parameters.",
publisher = "H G E Update Medical Publishing S A, Athens",
journal = "Hepato-Gastroenterology",
title = "Clamp-Crushing vs. Radiofrequency-Assisted Liver Resection: Changes in Liver Function Tests",
volume = "59",
number = "115",
pages = "800-804",
doi = "10.5754/hge11539"
}

Palibrk, I., Miličić, B., Stojiljković, L., Manojlović, N., Dugalić, V., Bumbaširević, V., Kalezić, N., Žuvela, M.,& Milicević, M.. (2012). Clamp-Crushing vs. Radiofrequency-Assisted Liver Resection: Changes in Liver Function Tests. in Hepato-Gastroenterology
H G E Update Medical Publishing S A, Athens., 59(115), 800-804.
https://doi.org/10.5754/hge11539

Palibrk I, Miličić B, Stojiljković L, Manojlović N, Dugalić V, Bumbaširević V, Kalezić N, Žuvela M, Milicević M. Clamp-Crushing vs. Radiofrequency-Assisted Liver Resection: Changes in Liver Function Tests. in Hepato-Gastroenterology. 2012;59(115):800-804.
doi:10.5754/hge11539 .

Palibrk, Ivan, Miličić, Biljana, Stojiljković, Ljuba, Manojlović, Nebojša, Dugalić, Vladimir, Bumbaširević, Vesna, Kalezić, Nevena, Žuvela, Marinko, Milicević, Miroslav, "Clamp-Crushing vs. Radiofrequency-Assisted Liver Resection: Changes in Liver Function Tests" in Hepato-Gastroenterology, 59, no. 115 (2012):800-804,
https://doi.org/10.5754/hge11539 . .