Editorial: Understanding the Successful Coordination of Team Behavior

Steiner, Silvan; Cooke, Nancy J.

doi:10.3389/fpsyg.2017.01869

Cited by 1 publication

(2 citation statements)

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“…This was akin to many sports discipline whereby partnership in team sports such as baseball or hand ball were highly dependent on communication and synchronization of the partnership rather than an individual skill. [36][37][38][39][40][41] Gray et al 38 investigated that team coordination among baseball players where teammates were found to have significantly better performance than nonteammates as they achieved faster and more coordinated decisions. A significant amount of time was spent during daily practice among sports professionals in perfecting the coordination within the team.…”

Section: Discussionmentioning

confidence: 99%

“…We believe that one key factor that could lead to the improvement in perioperative outcome was the improved synchronization between the surgeons. This was akin to many sports discipline whereby partnership in team sports such as baseball or hand ball were highly dependent on communication and synchronization of the partnership rather than an individual skill 36–41 . Gray et al 38 investigated that team coordination among baseball players where teammates were found to have significantly better performance than nonteammates as they achieved faster and more coordinated decisions.…”

Section: Discussionmentioning

confidence: 99%

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Learning Curve for a Dual Attending Surgeon Strategy in Posterior Spinal Fusion (PSF)

Chan

Lee

Ch’ng

et al. 2020

Spine

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Study Design. Retrospective study. Objective. To assess the learning curve of a dual attending surgeon strategy in severe adolescent idiopathic scoliosis patients. Summary of Background Data. The advantages of a dual attending surgeon strategy in improving the perioperative outcome in scoliosis surgery had been reported. However, the learning curve of this strategy in severe scoliosis had not been widely studied. Methods. A total of 105 patients with adolescent idiopathic scoliosis with Cobb angle of 90° or greater, who underwent posterior spinal fusion using a dual attending surgeon strategy were recruited. Primary outcomes were operative time, total blood loss, allogeneic blood transfusion requirement, length of hospital stay from time of operation and perioperative complications. Cases were sorted chronologically into group 1: cases 1 to 35, group 2: cases 36 to 70, and group 3: case 71 to 105. Mean operative time (≤193.3 min), total blood loss (≤1612.2 mL), combination of both and allogeneic blood transfusion were the selected criteria for receiver operating characteristic analysis of the learning curve. Results. The mean Cobb angle was 104.5° ± 12.3°. The operative time, total blood loss, and allogeneic blood transfusion requirement reduced significantly for group 1 (220.6 ± 54.8 min; 2011.3 ± 881.8 mL; 12 cases) versus group 2 (183.6 ± 36.7 min; 1481.6 ± 1035.5 mL; 3 cases) and group 1 versus group 3 (175.6 ± 38.4 min; 1343.7 ± 477.8 mL; 3 cases) (P < 0.05). There were six perioperative complications. Fifty-seven cases were required to achieve the preset criteria (mean operative time and mean total blood loss) (area under the curve 0.740; P < 0.001; sensitivity 0.675; specificity 0.662). Conclusion. There was significant improvement in operative time and total blood loss when comparing group 1 versus group 2 and group 1 versus group 3. The cut-off point for the learning curve was 57 cases when the preset criteria were fulfilled (≤193.3 min operative time and ≤1612.2 mL of total blood loss). Level of Evidence: 4

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