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BMC Health Services Research Jul 2019In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork is well-functioning in order... (Observational Study)
Observational Study
BACKGROUND
In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork is well-functioning in order to achieve quality treatment and patient safety. Relational coordination, defined as "communicating and relating for the purpose of task integration," has been found to contribute to quality treatment and patient safety. Relational coordination has also been found to contribute to psychological safety and the ability to learn from mistakes. Although extensive research has been carried out regarding relational coordination in many contexts including surgery, no study has explored how relational coordination works at the micro level. The purpose of this study was to explore communication and relationship dynamics in interdisciplinary surgical teams at the micro level in contexts of variable complexity using the theory of relational coordination.
METHODS
An ethnographic study was conducted involving participant observations of 39 surgical teams and 15 semi-structured interviews during a 10-month period in 2014 in 2 orthopedic operating units in a university hospital in Denmark. A deductively directed content analysis was carried out based on the theory of relational coordination.
RESULTS
Four different types of collaboration in interdisciplinary surgical teams in contexts of variable complexity were identified representing different communication and relationship patterns: 1) proactive and intuitive communication, 2) silent and ordinary communication, 3) inattentive and ambiguous communication, 4) contradictory and highly dynamic communication. The findings suggest a connection between communication and relationship dynamics in surgical teams and the level of complexity of the surgical procedures performed.
CONCLUSION
The findings complement previous research on interdisciplinary teamwork in surgical teams and contribute to the theory of relational coordination. The findings offer a new typology of teams that goes beyond weak or strong relational coordination to capture four distinct patterns of relational coordination. In particular, the study highlights the central role of mutual respect and presents proposals for improving relational coordination in surgical teams.
Topics: Anthropology, Cultural; Cooperative Behavior; Denmark; Hospitals, University; Humans; Interdisciplinary Communication; Operating Rooms; Patient Care Team; Surgical Procedures, Operative
PubMed: 31358000
DOI: 10.1186/s12913-019-4362-0 -
Anesthesiology Dec 2023
Topics: Operating Rooms; Acid-Base Equilibrium; Humans
PubMed: 37934110
DOI: 10.1097/ALN.0000000000004712 -
Ugeskrift For Laeger Oct 2023With a synchronised data capture and analysis platform, comprehensive data can be collected from the operating room (OR), like in most high-risk industries. This review... (Review)
Review
With a synchronised data capture and analysis platform, comprehensive data can be collected from the operating room (OR), like in most high-risk industries. This review summarises the various benefits from capturing data from every procedure in the OR. From every surgery there are millions of data which, when synchronised and analysed, can help us to identify, understand and mitigate safety threats. Data can be used to increase efficiency, to identify and predict adverse events, and to increase the quality of teaching in the OR. The rapid advances in modern technology and the introduction of high-reliability culture in healthcare will result in more data-driven, precise, and safer surgical care.
Topics: Humans; Operating Rooms; Reproducibility of Results
PubMed: 37874000
DOI: No ID Found -
Brazilian Journal of Anesthesiology... 2024
Topics: Humans; Operating Rooms; Sustainable Growth
PubMed: 37717924
DOI: 10.1016/j.bjane.2023.09.003 -
Journal of Postgraduate Medicine 2015
Topics: Efficiency; Efficiency, Organizational; Humans; Operating Rooms; Personnel Staffing and Scheduling; Process Assessment, Health Care
PubMed: 25511209
DOI: 10.4103/0022-3859.147000 -
JPMA. the Journal of the Pakistan... Feb 2022Ethics lie in the heart of professionalism. In surgery, it represents an essential element, with surgeons facing ethical challenges in their routine practice. The rapid... (Review)
Review
Ethics lie in the heart of professionalism. In surgery, it represents an essential element, with surgeons facing ethical challenges in their routine practice. The rapid expansion of surgical technology and innovation along with the use of resources and consideration of conflict of interest have brought up the need for the development of current surgical code of ethics. Operating room represents a stressful environment where patients' lives depend upon careful preparation, planning and execution. The progression of surgery within the operating room must be done in harmony and in line with the ethical principles of autonomy, beneficence, non-maleficence and justice. Discussion of ethical problems arising in the operating room is not a common subject in surgical literature. The current narrative review was planned to cover ethical concerns related to patients' safety and privacy in the operating room and some of the evolving topics, like ethics of overlapping surgery, live surgical broadcast and 'do not resuscitate' policy in the operating room.
Topics: Beneficence; Humans; Operating Rooms; Personal Autonomy; Professionalism; Social Justice; Surgeons
PubMed: 35202372
DOI: 10.47391/JPMA.AKU-13 -
The Journal of Surgical Research Mar 2020Recent literature showed that analysis of interruptions can contribute to evaluating the care process in the operating room, and thus, understanding potential errors... (Review)
Review
BACKGROUND
Recent literature showed that analysis of interruptions can contribute to evaluating the care process in the operating room, and thus, understanding potential errors that may occur during surgical procedures. The aim of this comprehensive review was to summarize current knowledge on the description and impact of interruptions in surgery.
MATERIAL AND METHODS
A literature search was conducted according to a set of criteria in the databases MEDLINE, BASE, Cochrane's Library, and PsycINFO.
RESULTS
41 articles were included. Two main methodological approaches were found, observational in the OR, or controlled in an experimental simulated environment. Interruptions in the OR were manifold, and several classifications were used. The severity of interruptions differed according to the category of the interruptions. Interruptions were influenced by team familiarity and the expertise of the surgical team; high team familiarity and a high level of expertise decreased the frequency of interruptions. However, our literature search lacked controlled studies carried out in the OR. Interruptions seemed to increase the workload and stress of the surgical team and impair nontechnical skills, but no clear evidence of this was advanced.
CONCLUSIONS
Interruptions are probably risk factors for errors in the operating room. However, there is as yet no clear evidence of the association of interruption frequency with errors in the operating room. There is a need to define and target interruptions, which should be reduced by putting safeguards in place, thereby allowing those which could be beneficial and neglecting those with no potential consequences.
Topics: Humans; Medical Errors; Operating Rooms; Patient Care Team; Patient Safety; Quality Improvement; Risk Factors; Workload
PubMed: 31706542
DOI: 10.1016/j.jss.2019.10.024 -
The British Journal of Surgery Apr 2021How to regular epidemic prevent and control of operating room during COVID-19 pandemics, active and effective measures of regular epidemic prevention and control of the...
How to regular epidemic prevent and control of operating room during COVID-19 pandemics, active and effective measures of regular epidemic prevention and control of the operating room should be attached great importance to prevent spreading the virus.
Topics: COVID-19; Comorbidity; Disease Transmission, Infectious; Humans; Infection Control; Operating Rooms; Pandemics; SARS-CoV-2
PubMed: 33824961
DOI: 10.1093/bjs/znaa148 -
Ear, Nose, & Throat Journal Nov 2022To characterize the role of deliberate practice in the changing landscape of surgical training. (Review)
Review
OBJECTIVE
To characterize the role of deliberate practice in the changing landscape of surgical training.
METHODS
A review examining various applications of deliberate practice was conducted, with a focus on the surgical training space and utility of this methodology in otolaryngology residency.
RESULTS
With many programs turning to simulation-based practice and other learning modalities based outside the operating room, deliberate practice is emerging as a promising method for more efficient and efficacious learning.
CONCLUSION
Identifying and addressing weak areas, maintaining motivation to continue to grow and reach new milestones, and continually responding to external feedback from instructors can lead to improvement in a variety of skills essential for success in surgical fields. Further implementation of deliberate practice methodology could improve surgical training at all levels.
Topics: Humans; Internship and Residency; Learning; Motivation; Operating Rooms
PubMed: 36932037
DOI: 10.1177/01455613231165745 -
Journal of Graduate Medical Education Aug 2022
Topics: Humans; Internship and Residency; Operating Rooms
PubMed: 35991100
DOI: 10.4300/JGME-D-22-00003.1