Towards a model of surgeons' leadership in the operating room

BMJ Quality and Safety

Volumn 20, Issue 7, 2011, Pages 570-579

  Parker, Sarah Henrickson ^a   Yule, Steven ^a   Flin, Rhona ^a   McKinley, Aileen ^b  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

^b ABERDEEN ROYAL INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE PRACTICE; HUMAN; INTERVIEW; LEADERSHIP; MEDICAL RESEARCH; OPERATING ROOM; QUESTIONNAIRE; REFERENCE DATABASE; REVIEW; SCREENING; SURGEON; THEORETICAL STUDY;

ADAPTATION, PSYCHOLOGICAL; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; COMMUNICATION; DECISION MAKING; HUMANS; LEADERSHIP; OPERATING ROOMS; PATIENT CARE TEAM; QUALITY OF HEALTH CARE; SAFETY MANAGEMENT;

EID: 79959327121     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs.2010.040295     Document Type: Review

References (72)

1. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: Preliminary retrospective record review. Br Med J 2001;322:517-19. (Pubitemid 32230913)
2. Helmreich RL, Schaefer HG, Bogner M. Team performance inthe operating room. In: Bogner M, ed. Human error in medicine. New Jersey: Lawrence Earlbaum Associates, 1994:225-53.
3. Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: a literature review. Safe Sci 2010;48:1-17.
4. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38:261-71.
5. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I*. New Engl J Med 1991;320:370-6.
6. Leape LL, Brennan TA, Laird NM, et al. The nature of adverse events in hospitalized patients: results from the Harvard Medical Practice Study. II. New Engl J Med 1991;324:377-84.
7. Gawande AA, Thomas EJ, Zinner MJ, et al. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999;126:66-75.
8. Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg 2007;204:533-40. (Pubitemid 46428564)
9. Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Safe Health Care 2004;13:330-4. (Pubitemid 39389393)
10. Association of Surgeons of Great Britain and Ireland. Patient safety: a consensus statement 2010. http://www.asgbi.org.uk/patient-safety-conference (accessed 20 Apr 2010).
11. Bosk C. Forgive and Remember: Managing Medical Failure. Chicago, IL: University of Chicago Press, 2003.
12. Hindmarsh J, Pilnick A. The tacit order of teamwork: collaboration and embodied conduct in anaesthesia. Sociol Q 2002;14:1-41.
13. Ruhlman M. Walk on Water: Inside an Elite Pediatric Surgical Unit. New York, NY: Viking Books, 2003.
14. Conley FK. Walking out on the Boys. New York, NY: Farrar, Straus and Giroux, 1998.
15. Yukl G. Leadership in Organizations. Upper Saddle River, NJ: Prentice-Hall, 2002.
16. Zaccaro SJ, Rittman AL, Marks MA. Team leadership. The Leadership Quarterly 2001;12:451-83.
17. Lim B, Ployart RE. Transformational leadership: relations to the fivefactor model and team performance in typical and maximum contexts. J Appl Psychol 2004;89:610-21. (Pubitemid 39080434)
18. Kozlowski SWJ, Gully SM, Salas E, et al. Team leadership and development: theory, principles, and guidelines for training leaders and teams. In: Beyerlein M, Jounson D, Beyerlein S, eds. Advances in interdisciplinary studies of work teams: team leadership, Vol 3. Greenwich, CT: Elsevier Science/JAI Press, 1996:253-91.
19. Salas E, Sims DE, Shawn Burke C. Is there A "big five" in teamwork?. Small Group Research 2005;36:555-99.
20. Simard M, Marchand A. Workgroups' propensity to comply with safety rules: the influence of micro-macro organisational factors. Ergonomics 1997;40:172-88. (Pubitemid 27052902)
21. Zohar D, Luria G. Climate as a Social-Cognitive Construction of Supervisory Safety Practices: Scripts as Proxy of Behavior Patterns. J Appl Psychol 2004;89:322-33. (Pubitemid 38472514)
22. Flin R, Yule S. Leadership for safety: industrial experience. Qual Safe Health Care 2004;13(Suppl 2).
23. Tomás JM, Meliá JL, Oliver A. A cross-validation of a structural equation model of accidents: organizational and psychological variables as predictors of work safety. Work Stress 1999;13:49-58. (Pubitemid 29308793)
24. Hofmann DA, Morgeson FP, Gerras SJ. Climate as a moderator of the relationship between leader-member exchange and content specific citizenship: safety climate as an exemplar. J Appl Psychol 2003;88:170-8. (Pubitemid 36385702)
25. Zohar D. Modifying supervisory practices to improve subunit safety: a leadership-based intervention model. J Appl Psychol 2002;87:156-63.
26. Bass BM, Avolio BJ, Jung DI, et al. Predicting unit performance by assessing transformational and transactional leadership. J Appl Psychol 2003;88:207-18. (Pubitemid 36507865)
27. Barling J, Loughlin C, Kelloway EK. Development and test of a model linking safety-specific transformational leadership and occupational safety. J Appl Psychol 2002;87:488-96. (Pubitemid 36288924)
28. Morgeson FP, DeRue DS, Karam EP. Leadership in teams: a functional approach to understanding leadership structures and processes. J Management 2010;36:5-39.
29. Undre S, Healey AN, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg 2006;30:1774-83. (Pubitemid 44454983)
30. Giddings A. Human factors in surgery: discussion document. Association of Surgeons of Great Britain and Ireland 2001;5.
31. Kamal MF, Itani MD, Liscum K, et al. Physician leadership is a new mandate in surgical training. Am J Surg 2004;187:328.
32. Dickinson I, Watters D, Graham I, et al. Guide to the assessment of competence and performance in practising surgeons. ANZ J Surg 2009;79:198-204.
33. General Medical C. Good Medical Practice. London: GMC, 2001.
34. University of T. CanMEDS. 2006.
35. American College of S, May. Frequently Asked Questions About surgical Residency. 2001.1.
36. Pitts D, Rowley D, Flin R, et al. Competence Evaluation in OrthopaedicseA "Bottom Up" Approach. Safer Surgery: Analysing Behaviour in the Operating Theatre. Hampshire, England: Ashgate Publishing Limited, 2009.
37. Intercollegiate Surgical Curriculum P. Workplace Based Assessments, London: Royal College of Surgeons of England, 2009.
38. Reader T, Flin R, Lauche K, et al. Non-technical skills in the intensive care unit. Br J Anaesth 2006;96:551-9.
39. Yule S, Flin R, Maran N, et al. Surgeons' non-technical skills in the operating room: Reliability testing of the NOTSS behavior rating system. World J Surg 2008;32:548-56.
40. Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg 2008;196:184-90. (Pubitemid 351970519)
41. Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: The way forward for training surgical teams. World J Surg 2007;31:1843-53. (Pubitemid 47283191)
42. Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: Analysis of skills and roles. Ann Surg 2008;247:699-706. (Pubitemid 351440623)
43. Healey AN, Undre S, Vincent CA. Developing observational measures of performance in surgical teams. Qual Safe Health Care 2004;13(Suppl 1).
44. Horowitz IB, Horowitz SK, Daram P, et al. Transformational, transactional, and passive-avoidant leadership characteristics of a surgical resident cohort: Analysis using the multifactor leadership questionnaire and implications for improving surgical education curriculums. J Surg Res 2008;148:49-59.
45. Flin R, Yule S, McKenzie L, et al. Attitudes to teamwork and safety in the operating theatre. Surgeon 2006;4:145-51. (Pubitemid 43810894)
46. Makary MA, Sexton JB, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006;202:746-52.
47. Edmonson A. Speaking up in the operating room: How team leaders promote learning in interdisciplinary teams. J Management Studies 2003;40:1419-52.
48. Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ 2006;40:1098-104. (Pubitemid 44600570)
49. Charmaz K. Grounded theory. In: Smith JA, Harre R, Langenhove LV, eds. Rethinking Methods in Psychology. London: Sage, 1995:26-49.
50. Flin R, O'Conner P, Crichton M. Safety at the sharp end. Hampshire, England: Ashgate Publishing Limited, 2008.
51. Flin R, Martin L, Goeters K, et al. Development of the NOTECHS (non-technical skills) system for rating pilots' CRM skills. Human Factors and Aerospace Safety 2003;3:95-117.
52. Avilio BJ, Bass BM. Multifactor Leadership Questionnaire. Menlo Park, CA: Mind Garden, Inc., 2004.
53. Judge TA, Piccolo RF. Transformational and transactional leadership: a meta-analytic test of their relative validity. J Appl Psychol 2004;89:755-68. (Pubitemid 39443365)
54. Helmreich RL. Cockpit management attitudes. Hum Factors 1984;26:583-9. (Pubitemid 15167958)
55. Helmreich RL, Merrit AC, Sherman PJ, et al. The flight management attitudes questionnaire (FMAQ). NASA/UP/FAA Technical Report 1993:93-4.
56. Kvale S. Inter views: an introduction to qualitative research interviewing. Thousand Oaks, CA: Sage, 1996.
57. Flin R, Youngson G, Yule S. How do surgeons make intraoperative decisions? Qual Safe Health Care 2007;16:235-9.
58. Stogdill RM, Goode OS, Day DR. New leader behavior description subscales. J Psychol 1962;54:259-69.
59. Katz D, Kahn RL. Some recent findings in human relations research. In: Swanson E, Newcombe T, Hartley E, eds. Readings in social psychology. New York, NY: Holt, Reinhart & Winston, 1952.
60. Hughes R, Ginnett R, Curphey G. Leadership: enhancing the lessons of experience. Homewood, IL: Irwin, 1993.
61. Kinlaw D. Superior teams: What they are and how to develop them. Hampshire, UK: Grove, 1998.
62. Fleishman EA. The description of supervisory behavior. J Appl Psychol 1953;37:1-6.
63. Fleishman EA, Mumford MD, Zaccaro SJ, et al. Taxonomic efforts in the description of leader behavior: A synthesis and functional interpretation. Leadership Quarterly 1991;2:245-87.
64. Hackman J, Walton R. Leading groups in organizations. In: Goodman PS, ed. Designing effective work groups. San Francisco, CA: Jossey-Bass, 1986.
65. McGrath JE. Leadership behavior: Some requirements for leadership training. Report. Washington, DC: U.S. Civil Service Commission, 1962.
66. Hersey P, Blanchard KH. Management of Organizational Behavior. 3 edn. Upper Saddle River, NJ: Prentice Hall, 1977.
67. Bass BM. Leadership and Performance Beyond Expectations. New York: Free Press, 1985.
68. Zaccaro SJ, Gilbert JA, Thor KK, et al. Leadership and social intelligence: Linking social perspectiveness and behavioral flexibility to leader effectiveness. The Leadership Quarterly 1991;2:317-42.
69. Pearce CL, Conger J. Shared Leadership. London, UK: Sage, 2003.
70. Kozlowski SWJ, Watola DJ, Jensen J, et al. Developing adaptive teams: A theory of dynamic team leadership. In: Salas E, Goodwin GF, Burke CS, eds. Team effectiveness in complex organizations: Cross-disciplinary perspectives and approaches. Mahwa, NJ: LEA, 2009.
71. Uhl-Bien M, Marion R, McKelvey B. Complexity leadership theory: Shifting leadership from the industrial age to the knowledge era. The Leadership Quarterly 2007;18:298-318.
72. Flin R, Patey R. Improving patient safety through training in nontechnical skills. Br Med J 2009;339:3595.