Autopilots in the Operating Room: Safe Use of Automated Medical Technology.

Automated medical technology is becoming an integral part of routine anesthetic practice. Automated technologies can improve patient safety, but may create new workflows with potentially surprising adverse consequences and cognitive errors that must be addressed before these technologies are adopted into clinical practice. Industries such as aviation and nuclear power have developed techniques to mitigate the unintended consequences of automation, including automation bias, skill loss, and system failures. In order to maximize the benefits of automated technology, clinicians should receive training in human-system interaction including topics such as vigilance, management of system failures, and maintaining manual skills. Medical device manufacturers now evaluate usability of equipment using the principles of human performance and should be encouraged to develop comprehensive training materials that describe possible system failures. Additional research in human-system interaction can improve the ways in which automated medical devices communicate with clinicians. These steps will ensure that medical practitioners can effectively use these new devices while being ready to assume manual control when necessary and prepare us for a future that includes automated health care.

Attachment-related individual differences in the consistency of relationship behavior interpretation.

The consistency with which people interpret relationship-based information has important implications for attachment theory and research. Our objective is to determine whether there are attachment-related individual differences in the manner and the consistency with which individuals interpret hypothetical relationship behaviors. In two studies (N = 629, 79% female, 63% American, M(age) = 29; N = 820, 78% female, 65% American, M(age) = 29), we assessed participants' ability and consistency in relationship behavior interpretation across two blocks and estimated how they would have performed had they interpreted information perfectly consistently. Secure participants were generally more consistent in their interpretations relative to insecure participants. Estimates of perfectly consistent interpretation revealed that improvements to both systematic factors related to behavior interpretation (e.g., working models) and consistency would have led to a more secure interpretation style for participants of all attachment styles. Results imply that both secure and insecure individuals process relationship-based information according to secure scripts, but insecure individuals do so inconsistently. Our results imply that, due to the inconsistent behavioral responses that may occur as a result of inconsistent information processing, the consistency with which people process relationship-related information will be related to relationship satisfaction. Further directions for future research are discussed.