Identifying characteristics of effective teamwork in complex medical work environments: Adaptive crew coordination in anaesthesia

Safer Surgery: Analysing Behaviour in the Operating Theatre

Volumn , Issue , 2009, Pages 223-239

  Manser, Tanja ^a   Howard, Steven K ^b   Gaba, David M ^b  

^a ETH Zurich   (Switzerland)

^b STANFORD UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 77956807428     PISSN: None     EISSN: None     Source Type: Book    
DOI: None     Document Type: Chapter

References (68)

1. Bakeman, R. and Gottman, J.M. (1997) Observing Interaction: An Introduction to Sequential Analysis. Cambridge: Cambridge University Press.
2. Bowers, C.A., Morgan Jr, B.B., Salas, E. and Prince, C. (1993) Assessment of coordination demand for aircrew coordination training. Military Psychology 5(2), 95-112.
3. Bowers, C.A., Jentsch, F. Salas, E. and Braun, C. (1998) Analyzing communication sequences for team training needs assessment. Human Factors 40(4), 672-9.
4. Brannick, M.T. and Prince, C. (1997) An overview of team performance measurement. In M.T. Brannick, E. Salas and C. Prince (eds), Team Performance Assessment and Measurement (pp. 3-16). Mahwah: Lawrence Erlbaum Associates.
5. Brannick, M.T., Prince, A., Prince, C. and Salas, E. (1995) The measurement of team process. Human Factors 37(3), 641-51.
6. Brehmer, B. (1996) Dynamic and distributed decision making. Journal of the Fire Service College 1(2), 17-36.
7. Bungard, W. and Herrmann, T. (eds) (1993) Arbeits- und Organisationspsychologie im Spannungsfeld zwischen Grundlagenorientierung und Anwendung [Work and Organizational Psychology in an Area of Tension between Basic and Applied Research]. Bern: Huber.
8. Burke, C.S., Stagl, K.C., Salas, E., Pierce, L. and Kendall, L. (2006) Understanding team adaptation: A conceptual analysis and model. Journal of Applied Psychology 91(6), 1189-207.
9. Cannon-Bowers, J.A., Tannenbaum, S., Salas, E. and Volpe, C.E. (1995) Defining competencies and establishing team training requirements. In R.A. Guzzo and E. Salas (eds), Team Effectiveness and Decision Making in Organizations (pp. 333-80). San Francisco: Jossey-Bass Publishers.
10. Carthey, J., de Leval, M.R. and Reason, J.T. (2001) The human factor in cardiac surgery: Errors and near misses in a high technology medical domain. Annals of Thoracic Surgery 72(1), 300-305.
11. Chassin, M.R. and Becher, E.C. (2002) The wrong patient. Annals of Internal Medicine 136(11), 826-33.
12. Cott, C. (1997) We decide, you carry it out: A social network analysis of multidisciplinary long-term care teams. Social Science and Medicine 45(9), 1411-21.
13. Davies, J.M. (2001) Medical applications of crew resource management. In E. Salas, C.A. Bowers and E. Edens (eds), Improving Teamwork in Organizations. Applications of Resource Management Training (pp. 265-81). Mahwah: Lawrence Erlbaum Associates.
14. Dickinson, T.L. and McIntyre, R.M. (1997) A conceptual framework for teamwork measurement. In M.T. Brannick, E. Salas and C. Prince (eds), Team Performance Assessment and Measurement. Mahwah: Lawrence Earlbaum Associates.
15. Donchin, Y., Gohper, D., Olin, M., Badihi, Y., Biesky, M., Sprung, C., et al. (1995) A look into the nature and causes of human errors in the intensive care unit. Critical Care Medicine 23, 294-300.
16. Edmondson, A.C. (1996) Learning from mistakes is easier said than done: Group and organizational influences on the detection and correction of human error. Journal of Applied and Behavioural Science 32, 5-28.
17. Entin, E.E. and Serfaty, D. (1999) Adaptive team coordination. Human Factors 41(2), 312-25.
18. Fleiss, J.L. (1981). Statistical Methods for Rates and Proportions. New York: Wiley.
19. Fletcher, G.C., McGeorge, P., Flin, R.H., Glavin, R.J. and Maran, N.J. (2002) The role of non-technical skills in anaesthesia: A review of current literature. British Journal of Anaesthesia 88(3), 418-29.
20. Fletcher, G., Flin, R., McGeorge, P., Glavin, R.J., Maran, N. and Patey, R. (2004) Rating non-technical skills: Developing a behavioural marker system for use in anaesthesia. Cognition, Technology & Work 6, 165-71.
21. Foushee, H., Lauber, J., Baetge, M. and Acomb, D. (1986) Crew Factors in Flight Operations: III. The Operational Significance of Exposure to Short-haul Air Transport Operations. NASA Technical Memorandum 88322. Washington, DC: National Aeronautics and Space Administration.
22. Gaba, D.M., Howard, S.K., Flanagan, B., Smith, B.E., Fish, K.J. and Botney, R. (1998) Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology 89, 8-18.
23. Gerteis, M., Edgman-Levitan, S., Daley, J. and Delbanco, T. (1993) Through the Patient's Eyes: Understanding and Promoting Patient-Centered Care. San Francisco, CA: Jossey-Bass.
24. Gittell, J.H., Fairfield, K.M., Bierbaum, B., Head, W., Jackson, R., Kelly, M., et al. (2000) Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: A nine-hospital study of surgical patients. Medical Care 38(8), 807-19.
25. Grote, G., Zala-Mezö, E. and Grommes, P. (2003) Effects of standardization on coordination and communication in high workload situations. Linguistische Berichte 12, 127-54.
26. Grote, G., Zala-Mezö, E. and Grommes, P. (2004) The effects of different forms of co-ordination on coping with workload. In R. Dietrich and T.M. Childress (eds), Group Interaction in High Risk Environments (pp. 39-55). Aldershot: Ashgate Publishing.
27. Hackman, J.R. and Morris, C.G. (1975) Group tasks, group interaction process and group performance effectiveness: A review and proposed integration. In L. Berkowitz (ed.), Advances in Experimental Social Psychology (Vol. 8) (pp. 45-99). New York: Academic Press.
28. Harrison, T.K., Manser, T., Howard, S.K. and Gaba, D.M. (2006) Use of cognitive aids in a simulated anesthetic crisis. Anesthesia and Analgesia 103(3), 551-6.
29. Healey, A.N., Undre, S. and Vincent, C.A. (2004) Developing observational measures of performance in surgical teams. Quality and Safety in Health Care 13 (suppl 1), i33-40.
30. Held, J. and Manser, T. (2005) A PDA-based system for online recording and analysis of concurrent events in complex behavioral processes. Behavior Research Methods, Instruments, & Computers 37(1), 155-64.
31. Hindmarsch, J. and Pilnick, A. (2002) The tacit order of teamwork: Collaboration and embodied conduct in anaesthesia. The Sociological Quarterly 43(2), 139-64.
32. Kanki, B.G. and Foushee, H.C. (1989) Communication as group process mediator of aircrew performance. Aviation, Space, and Environmental Medicine 60(5), 402-10.
33. Kontogiannis, T. and Kossiavelou, Z. (1999) Stress and team performance: Principles and challenges for intelligent decision aids. Safety Science 33, 103-28.
34. Leedom, D. and Simon, R. (1995) Improving team coordination: A case for behavior-based training. Military Psychology 7(2), 109-22.
35. Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G.R., Reznick, R., et al. (2004) Communication failures in the operating room: An observational classification of recurrent types and effects. Quality & Safety in Health Care 13(5), 330-4.
36. Mackenzie, C.F., Horst, R.L., Mahaffey, M.A. and LOTAS (1993) Group decision making during trauma patient resuscitation and anesthesia. Proceedings of the Human Factors and Ergonomics Society 37th Annual Meeting (pp. 372-6). Santa Monica, CA: Human Factors and Ergonomics Society.
37. MacMillan, J., Entin, E. and Serfaty, D. (2004) Communication overhead: The hidden cost of team cognition. In E. Salas and S.M. Fiore (eds), Team Cognition: Understanding the Factors that Drive Process and Performance (pp. 61-82). Washington: American Psychological Association.
38. Manser, T. (2006) Selbstregulation als zentrales Element des kooperativen Umgangs mit unerwarteten Ereignissen in komplexen Arbeitssystemen [Selfregulation as a central mechanism to collaboratively manage unexpected events in complex work systems]. In A. Vollmer (ed.), Kooperatives Handeln zwischen Kontinuität und Brüchen in neuen Tätigkeitssytemen (pp. 46-80), Lengrich: Pabst.
39. Manser, T. (2008) Team performance assessment in healthcare: Facing the challenge. Simulation in Healthcare 3(1), 1-3.
40. Manser, T. (2009) Teamwork and patient safety in dynamic domains of healthcare: A review of literature. Acta Anaesthesiologica Scandinavica 53(2), 143-151.
41. Manser, T. and Wehner, T. (2002) Analysing action sequences: Variations in action density in the administration of anaesthesia. Cognition, Technology and Work 4, 71-81.
42. Manser, T., Howard, S.K. and Gaba, D.M. (2006) Self regulation as a central mechanism to collaboratively manage unexpected events in complex work environments. Paper presented at the 13th European Conference on Cognitive Ergonomics (ECCE) Trust and Control in Complex Socio-technical Systems, Zurich.
43. Manser, T., Dieckmann, P., Wehner, T. and Rall, M. (2007a) Comparison of anaesthetists' activity patterns in the operating room and during simulation. Ergonomics 50(2), 246-60.
44. Manser, T., Harrison, T.K., Howard, S.K. and Gaba, D.M. (2007b) Coordination patterns and clinical performance levels in the management of a simulated anesthetic crisis. In Proceedings of the 51st Human Factors and Ergonomics Society, 1-5 October, 2007 (pp. 658-62). Baltimore: Human Factors and Ergonomics Society.
45. Manser, T., Howard, S.K. and Gaba, D.M. (2008) Adaptive coordination in cardiac anaesthesia: A study of situational changes in coordination patterns using a new observation system. Ergonomics 51(8), 1153-78.
46. Manser, T., Harrison, T.K., Gaba, D.M. and Howard, S.K. (2009) Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesthesia and Analgesia 108, 1606-1615.
47. Marks, M., Mathieu, E. and Zaccaro, S.J. (2001) A temporally based framework and taxonomy of team processes. Academy of Management Review 26(3), 356-76.
48. Nagi, S.Z. (1975) Teamwork in health care in the U.S.: A sociological perspective. The Milbank Memorial Fund Quarterly. Health and Society 53(1), 75-91.
49. Orasanu, J. (1990) Shared Mental Models and Crew Decision Making (No. 46). Princeton, NJ: Princeton University Cognitive Science Laboratory.
50. Orasanu, J.M. (1993) Decision making in the cockpit. In E. Wiener, B. Kanki and R. Helmreich (eds), Cockpit Resource Management (pp. 137-72). San Diego: Academic Press.
51. Orasanu, J. and Fischer, U. (1992) Distributed cognition in the cockpit: Linguistic control of shared problem solving. In Proceedings of the Fourteenth Annual Conference of the Cognitive Science Society, July 29 to August 1, 1992, Indiana University, Bloomington (pp. 189-794). Hillsdale, NJ: Lawrence Erlbaum Associates
52. Rall, M. and Gaba, D.M. (2004) Human performance and patient safety. In R.D. Miller (ed.), Anesthesia, 6th edition (pp. 3021-72). New York: Elsevier.
53. Risser, D.T., Rice, M.M., Salisbury, M.L., Simon, R., Jay, G.D. and 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(3), 373-83.
54. Salvendy, G. (ed.) (2006) Handbook of Human Factors and Ergonomics, 3rd edition. New York: Wiley-Interscience.
55. Serfaty, D., Entin, E. and Volpe, C. (1993) Adaptation to stress in team decision making and coordination. Proceedings of the Human Factors and Ergonomics Society 38th Annual Meeting (pp. 1228-32). Santa Monica, CA: Human Factors and Ergonomics Society.
56. Serfaty, D., Entin, E. and Deckert, J.C. (1994) Implicit coordination in command teams. In A.H. Lewis and I.S. Lewis (eds), Science of Command and Control: Part III: Coping with Change (pp. 87-94). Fairfax, VA: AFCEA Press.
57. Serfaty, D., Entin, E. and Johnston, J.H. (1998) Team coordination training. In J.A. Cannon-Bowers and E. Salas (eds), Making Decision under Stress (pp. 221-45). Washington: APA Press.
58. Sutcliffe, K.M., Lewton, E. and Rosenthal, M.E. (2004) Communication failures: An insidious contributor to medical mishaps. Academic Medicine 79, 186-94.
59. Urban, J.M., Bowers, C.A., Monday, S.D. and Morgan Jr, B.B. (1995) Workload, team structure, and communication in team performance. Military Psychology 7(2), 123-39.
60. Wehner, T., Clases, C. and Bachmann, R. (2000) Co-operation at work: A process-oriented perspective on joint activity in inter-organizational relations. Ergonomics 43(7), 983-97.
61. Weinger, M.B., Herndon, O.W., Zornow, M.H., Paulus, M.P., Gaba, D.M. and Dallen, L.T. (1994) An objective methodology for task analysis and workload assessment in anesthesia providers. Anesthesiology 80(1), 77-92.
62. Wilson, K.A., Burke, C.S., Priest, H.A. and Salas, E. (2005) Promoting health care safety through training high reliability teams. Quality and Safety in Health Care 14(4), 303-309.
63. Wilson, R.M., Runciman, W.B., Gibberd, R.W., Harrison, B.T., Newby, L. and Hamilton, J.D. (1995) The Quality in Australian Health Care Study. Medical Journal of Australia 163(9), 458-71.
64. Wittenbaum, G.M., Vaughan, S.I. and Stasser, G. (1998) Coordination in taskperforming groups. In R.S. Tindale, J. Edwards and E.J. Posavac (eds), Social Psychological Applications to Social Issues: Applications of Theory and Research on Groups (pp. 177-204). New York: Plenum Press.
65. Xiao, Y. and LOTAS (2001) Understanding coordination in a dynamic medical environment: Methods and results. In M. McNeese, E. Salas and M.R. Endsley (eds), New Trends in Collaborative Activities: Understanding System Dynamics in Complex Environments (pp. 242-58). Santa Monica: Human Factors and Ergonomics Society.
66. Xiao, Y., Mackenzie, C.F., Patey, R. and LOTAS (1998) Team coordination and breakdown in a real-life stressful environment. Proceedings of the Human Factors and Ergonomics Society 42nd annual meeting (pp. 186-90). Santa Monica: Human Factors and Ergonomics Society.
67. Young, G.J., Charns, M.P., Desai, K., Khuri, S.F., Forbes, M.G., Henderson, W., et al. (1998) Patterns of coordination and clinical outcomes: A study of surgical services. Health Services Research 33(5 Pt 1), 1211-36.
68. Yule, S., Flin, R., Paterson-Brown, S., Maran, N. and Rowley, D. (2006) Development of a rating system for surgeons' non-technical skills. Medical Education 40(11), 1098-104.