Managing nonroutine events in anesthesia: The role of adaptive coordination

Human Factors

Volumn 52, Issue 2, 2010, Pages 282-294

  Burtscher, Michael J ^a   Wacker, Johannes ^b   Grote, Gudela ^a   Manser, Tanja ^c  

^a ETH ZURICH   (Switzerland)

^b UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^c UNIVERSITY OF ABERDEEN   (United Kingdom)

Author keywords

adaptive coordination; medical teams; nonroutine events; patient safety; situational demands; teamwork

Indexed keywords

ADAPTIVE COORDINATION; MEDICAL TEAMS; NONROUTINE EVENTS; PATIENT SAFETY; SITUATIONAL DEMANDS; TEAMWORK;

HEALTH CARE; VIDEO RECORDING;

ANESTHESIOLOGY;

ADAPTIVE BEHAVIOR; ANESTHESIOLOGY; ARTICLE; GROUP PROCESS; HUMAN; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PATIENT CARE; SAFETY; TASK PERFORMANCE; VIDEORECORDING;

ADAPTATION, PSYCHOLOGICAL; ANESTHESIOLOGY; GROUP PROCESSES; HUMANS; PATIENT CARE TEAM; SAFETY MANAGEMENT; TASK PERFORMANCE AND ANALYSIS; VIDEOTAPE RECORDING;

EID: 77956461626     PISSN: 00187208     EISSN: 15478181     Source Type: Journal    
DOI: 10.1177/0018720809359178     Document Type: Article

References (45)

1. Brehmer, B. (1996). Dynamic and distributed decision making. Journal of the Fire Service College, 1, 17-36.
2. Burke, C.S., Stagl, K.C., Salas, E., Linda, P., & Kendall, D. (2006). Understanding team adaption: A conceptual analysis and model. Journal of Applied Psychology, 91, 1189-1207.
3. Cannon-Bowers, J.A., & Salas, E. (1997). A framework for developing team performance measures in training. In M. T. Brannick, E. Salas, & C. Prince (Eds.), Team performance assessment and measurement: Theory, methods, and applications (pp. 45-62). London: Lawrence Erlbaum.
4. Cannon-Bowers, J.A., Tannenbaum, S., Salas, E., & Volpe, C.E. (1995). Defining competencies and establishing team training requirements. In R. A. Guzzo & E. Salas (Eds.), Team effectiveness and decision making in organizations (pp. 333-380). San Francisco: Jossey-Bass.
5. Catchpole, K.R., Giddings, A.E., Wilkinson, M., Hirst, G., Dale, T., & de Leval, M.R. (2007). Improving patient safety by identifying latent failures in successful operations. Surgery, 142, 102-110.
6. Clayton, M. (1997). Delphi: A technique to harness expert opinion for critical decision-making tasks in education. Educational Psychology, 17, 373-391.
7. Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37-46.
8. Entin, E.-E., & Serfaty, D. (1999). Adaptive team coordination. Human Factors, 41, 312-325.
9. Forrest, F.C., Taylor, M.A., Postlethwaite, K., & Aspinall, R. (2002). Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists. British Journal of Anaesthesia, 88, 338-344.
10. Gaba, D.M., Howard, S.K., Flanagan, B., Smith, B.E., Fish, K.J., & Botney, R. (1998). Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology, 89, 8-18.
11. Grote, G., Kolbe, M., Zala-Mezoe, E., Bienefeld-Seall, N., & Kuenzle, B. (in press). Adaptive coordination and heedfulness make better cockpit crews. Ergonomics.
12. Grote, G., Zala-Mezoe, E., & Grommes, P. (2003). Effects of standardization on coordination and communication in high workload situations. Linguistische Berichte, 12, 127-154.
13. Guastello, S.J., & Guastello, D.D. (1998). Origins of coordination and team effectiveness: A perspective from game theory and nonlinear dynamics. Journal of Applied Psychology, 83, 423-437.
14. Klein, G. (2001). Features of team composition. In M. McNeese, E. Salas, & M. Endsley (Eds.), New trends in cooperative activities: Understanding system dynamics in complex environments (pp. 68-95). Santa Monica, CA: Human Factors and Ergonomics Society.
15. Klein, G., & Pierce, L. (2001, June). Adaptive teams. Paper presented at the 6th International Command and Control Research and Technology Symposium, U.S. Naval Academy, Annapolis, MD.
16. Klein, K.J., Ziegert, J.C., Knight, A.P., & Xiao, Y. (2006). Dynamic delegation: Shared, hierarchical, and deindividualized leadership in extreme action teams. Administrative Science Quarterly, 51, 590-621.
17. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.
18. Kolbe, M., Kuenzle, B., Manser, T., Zala-Mezoe, E., Wacker, J., & Grote, G. (2009). Measuring coordination behaviour in anaesthesia teams during induction of general anaesthetics. In R. Flin & L. Mitchell (Eds.), Safer surgery: Analysing behaviour in the operating theatre (pp. 203-221). Aldershot, UK: Ashgate.
19. Kozlowski, S.W.J., Watola, D.J., Jensen, J.M., Kim, B.M., & Botero, I.C. (2008). Developing adaptive teams: A theory of dynamic team leadership. In E. Salas, G. F. Goodwin & C. B. Shawn (Eds.), Team effectiveness in complex organisations: Cross-disciplinary perspectives and approaches (pp. 113-155). New York: Psychology.
20. Kuenzle, B., Zala-Mezoe, E., Kolbe, M., Wacker, J., & Grote, G. (in press). Substitutes for leadership in anaesthesia teams and their impact on leadership effectiveness. European Journal of Work and Organizational Psychology.
21. Landis, J.R., & Koch, G.G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159-174.
22. Mangold, P. (2007). Interact. Unpublished manual. Arnstorf, Germany: Mangold Software and Consulting.
23. Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of literature. Acta Anaesthesiologica Scandinavica, 53, 143-151.
24. Manser, T., Harrison, T.K., Gaba, D. M., & Howard, S. K. (2009). Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesthesia & Analgesia, 108, 1606-1615.
25. Manser, T., Howard, S.K., & Gaba, D.M. (2008). Adaptive coordination in cardiac anaesthesia: A study of situational changes in coordination patterns using a new observation system. Ergonomics, 51, 1153-1178.
26. Manser, T., Howard, S.K., & Gaba, D.M. (2009). Identifying characteristics of effective teamwork in complex medical work environments: Adaptive crew coordination in anaesthesia. In R. Flin & L. Mitchell (Eds.), Safer surgery: Analysing behaviour in the operating theatre (pp. 223-239). Aldershot, UK: Ashgate.
27. Marks, M.-A., Sabella, M.-J., Burke, C.S., & Zaccaro, S.-J. (2002). The impact of cross-training on team effectiveness. Journal of Applied Psychology, 87, 3-13.
28. Oken, A., Rasmussen, M.D., Slagle, J.M., Jain, S., Kuykendall, T., Ordonez, N., et al. (2007). A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesthesiology, 107, 909-922.
29. Pulakos, E.D., Arad, S., Donovan, M.A., & Plamondon, K.E. (2000). Adaptability in the workplace: Development of a taxonomy of adaptive performance. Journal of Applied Psychology, 85, 612-624.
30. Rall, M., & Gaba, D.M. (2005). Human performance and patient safety. In R. D. Miller (Ed.), Millers anesthesia (6 th ed., pp. 3021-3072). Philadelphia: Churchill Livingstone.
31. Rasmussen, J. (1983). Skills, rules, and knowledge; signals, signs, and symbols, and other distinctions in human performance models. IEEE Transactions on Systems, Man, and Cybernetics, 13, 257-266.
32. Rico, R., Sanchez-Manzanares, M., & Gibson, C.B. (2008). Team implicit coordination processes: A team knowledge-based approach. Academy of Management Journal, 33, 163-184.
33. Risser, D.T., Rice, M.M., Salisbury, M.L., Simon, R., Jay, G.D., & Berns, S.D. (1999). The potential for improved teamwork to reduce medical errors in the emergency department: The MedTeams Research Consortium. Annals of Emergency Medicine, 34, 373-383.
34. Rosen, M.A., Salas, E., Wilson, K.A., King, H.B., Sailsbury, M., Augenstein, J.S., et al. (2008). Measuring team performance in simulation-based training: Adopting best practices for healthcare. Simulation in Healthcare, 3, 33-41.
35. Rosenberg, H., Davis, M., James, D., Pollock, N., & Stowell, K. (2007). Malignant hyperthermia. Orphanet Journal of Rare Diseases, 2 (21). Retrieved December 4, 2009, from http://www.ojrd.com/content/pdf/1750-1172-2-21. pdf
36. Scavone, B.M., Sproviero, M.T., McCarthy, R.J., Wong, C.A., Sullivan, J.T., Siddall, V.J., & Wade, L.D. (2006). Development of an objective scoring system for measurement of resident performance on the Human Patient Simulator. Anesthesiology, 105, 260-266.
37. Serfaty, D., Entin, E., & Deckert, J. C. (1994). Implicit coordination in command teams. In A. H. Lewis & I. S. Lewis (Eds.), Science of command and control: Part III. Coping with change (pp. 87-94). Fairfax, VA: Armed Forces Communications and Electronics Association.
38. Serfaty, D., Entin, E., & Volpe, C. (1993). Adaptation to stress in team decision making and coordination. In Proceedings of the Human Factors and Ergonomics Society 38th Annual Meeting (pp. 1228-1232). Santa Monica, CA: Human Factors and Ergonomics Society.
39. Tschan, F., Semmer, N., Gautschi, D., Hunziker, P.R., Spychiger, M., & Marsch, S. (2006). Leading to recovery: Group performance and coordinative activities in medical emergency driven teams. Human Performance, 19, 277-304.
40. Weinger, M.B., Herndon, O.W., Zornow, M.H., Paulus, M.P., Gaba, D.M., & Dallen, L.T. (1994). An objective methodology for task analysis and workload assessment in anesthesia providers. Anesthesiology, 80, 77-92.
41. Weinger, M.B., & Slagle, J. (2002). Human factors research in anesthesia patient safety: Techniques to elucidate factors affecting clinical task performance and decision making. Journal of the American Medical Informatics Association, 9 (Suppl.), 58-63.
42. Weinger, M.B., Slagle, J., Jain, S., & Ordonez, N. (2003). Retrospective data collection and analytical techniques for patient safety studies. Journal of Biomedical Informatics, 36, 106-119.
43. Wiegmann, D.A., ElBardissi, A.W., Dearani, J.A., Daly, R.C., & Sundt, T.M. (2007). Disruptions in surgical flow and their relationship to surgical errors: An exploratory investigation. Surgery, 142, 658-665.
44. Wittenbaum, G.M., Vaughan, S.I., & Stasser, G. (1998). Coordination in task-performing groups. In R. S. Tindale, J. Edwards, & E. J. Posavac (Eds.), Social psychological applications to social issues: Applications of theory and research on groups (pp. 177-204). New York: Plenum.
45. Zala-Mezoe, E., Wacker, J., Kuenzle, B., Bruesch, M., & Grote, G. (2009). The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Quality and Safety in Health Care, 18, 127-130.