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Motivation - Understanding surgeons' intraoperative sensemaking and whether linguistic and descriptive choices reflect unconscious thought. Research approach - Analysis of surgeons' sensemaking, using laparoscopic cholecystectomy operative reports of cases with and without bile duct injuries, examining for linguistic modifiers of uncertainty and description of irregular cues. Findings/Design - qualifiers of uncertainty and an increased number of irregular cues were more common in bile duct injury cases. Research Implications - These data suggest the unconscious mind detects aberrations whose significance cannot break through to conscious recognition. Originality/Value - Both complicated and uncomplicated cases were studied. The importance of linguistic qualifiers has not been previously studied in this domain. Take away message - descriptive and linguistic choices reflect unconscious thought.

Intra–operative Sensemaking by Surgeons: Analysis of Operative Reports for Uncertainty and Irregular Cues