Crisis management teams face situations characterized by high risk, time pressure, and uncertainty and must adapt to a wide range of circumstances. Self-organizing teams have been proposed as an alternative to more traditional functional teams as they are described as adaptive and promptly reconfigurable. This study investigated whether self-organizing teams display more role flexibility than functional teams and the impact on performance and coordination. Teams were assigned to either a functional or a selforganizing structure and completed scenarios in a functional simulation. Results revealed that self-organizing teams performed and coordinated better than functional teams. As expected, self-organizing teams showed more role variability across and within teams. However, greater variability in role allocation within teams was associated with poorer performance and coordination. We conclude that flexibility in roles can be beneficial but that too much variability can be associated with role ambiguity and negatively affect a team's ability to achieve its goals.

Electronic Medical Records (EMR) are being implemented globally in the hope of improving patient care, provider coordination, documentation accuracy, and information availability. Numerous factors impact successful EMR implementation including usability, accessibility and unique characteristics of the sociotechnical system within which it will be used. This paper describes the application of human factors methods to support effective EMR implementation at one pediatric hospital. The focus is on the problem of hardware selection and placement – a topic that has not received much attention in the literature to date. The requirements gathering process for two outpatient clinics included a task and gap analysis of current clinic workflows that led to the identification of specific hardware and design recommendations supporting future EMR workflows. Lessons learned post-implementation and requirements associated with hospital wide practices were extrapolated to generate guiding principles that apply to EMR implementation in other outpatient clinics.

Collectively, findings indicate that standardized ESS ratings are useful for estimating injury risk potential associated with real-world CRS and booster seat installation errors.

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