Operative team communication during simulated emergencies: Too busy to respond?

Davis, William A.; Jones, Seth; Crowell-Kuhnberg, Adrianna M.; O’Keeffe, David; Boyle, Kelly M.; Klainer, Suzanne; Smink, Douglas S.; Yule, Steven

doi:10.1016/j.surg.2016.09.027

Cited by 28 publications

(33 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Differences in team leader behavior in less effective teams were only found in the behaviors Inquiry and Questioning. In addition, the less effective teams showed differences in follower behavior, namely less check back behavior, which is a crucial step in closed-loop-communication to confirm an initial message from the team leader and to avoid mistakes and misunderstandings (Davis et al, 2017;Härgestam et al, 2013;Jacobsson et al, 2012;Schmutz et al, 2015). It could thus be the case that the finding that the team leader is more dominant during stressful moments in less effective teams, is related to less check back behavior from their followers: the team leader has to repeat or rephrase often because the followers do not confirm (check back) his or her commands which leads to a relatively greater contribution of the team leader.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…During resuscitation, the use of closed-loop-communication is advocated to avoid errors (Fernandez Castelao et al, 2013). This clear, structured, and standardized form of communication (Brindley & Reynolds, 2011;Härgestam, Lindkvist, Brulin, Jacobsson, & Hultin, 2013) consists of an initial message (call-out) by the team leader, which should be confirmed or acknowledged by the receiver (check back) and confirmed once again by the team leader (closing the loop) (Davis et al, 2017;Härgestam et al, 2013;Jacobsson, Hargestam, Hultin, & Brulin, 2012;Schmutz, Hoffmann, Heimberg, & Manser, 2015). Hence, in general, various studies from different fields suggest that effective and less effective action teams differ in both the content and structure of their team interaction.…”

Section: Team Interactionmentioning

confidence: 99%

See 1 more Smart Citation

Using sensor technology to capture the structure and content of team interactions in medical emergency teams during stressful moments

Endedijk

Hoogeboom

Groenier

et al. 2018

FLR

View full text Add to dashboard Cite

In healthcare, action teams are carrying out complex medical procedures in intense and unpredictable situations to save lives. Previous research has shown that efficient communication, high-quality coordination, and coping with stress are particularly essential for high performance. However, precisely and objectively capturing these team interactions during stressful moments remains a challenge. In this study, we used a multimodal design to capture the structure and content of team interactions of medical teams at moments of high arousal during a simulated crisis situation. Sociometric badges were used to measure the structure of team interactions, including speaking time, overlapping speech and conversational imbalance. Video coding was used to reveal the content of the team interactions. Furthermore, the Empatica E4 was used to unobtrusively measure the team leader's skin conductance to identify moments of high arousal. In total, 21 four-person teams of technical medicine students in the Netherlands were monitored in a simulation environment while they diagnosed and managed a patient with cardiac arrest. Outcomes of this exploratory study revealed that more effective teams showed greater conversational imbalance than less effective teams, but during moments of high arousal the opposite was found. Also, a number of differences were found for the content of team interaction. Combining sensor technology with traditional measures can enhance our understanding of the complex interaction processes underlying effective team performance, but technological advances together with more knowledge about the simultaneous application of these methods are needed to tap into the full potential of wearable sensor technology in team research.

show abstract

Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Team Interactionmentioning

confidence: 99%

Using sensor technology to capture the structure and content of team interactions in medical emergency teams during stressful moments

Endedijk

Hoogeboom

Groenier

et al. 2018

FLR

View full text Add to dashboard Cite

show abstract

“…The objective of this part of the simulation was to determine if the RNFA student would request blood from the RN circulator and provide updates on that request to the OR team. Meeting this objective would illustrate the RNFA student’s ability to recognize and execute closed-loop communication 14,15 …”

Section: Interprofessional Simulation Exercise For Rn First Assistantmentioning

confidence: 99%

An Interprofessional Branching Simulation to Introduce RN First Assistant Students to Their Role in the Perioperative Setting

Dabney¹,

Appling²,

Herr³

2020

AORN Journal

View full text Add to dashboard Cite

Simulation can be an effective tool for educating health profession students and can enhance interprofessional education by involving roles across multiple disciplines. Perioperative nurse educators at one institution used a five‐part branching simulation of preoperative, intraoperative, and postoperative events for a single patient undergoing a procedure to introduce RN first assistant (RNFA) students to their role in the perioperative environment. The simulation participants included student RN anesthetists, a surgeon, an RN circulator (played by an actor), and a standardized patient. The objectives for this simulation were to assess the implementation of the didactic RNFA curriculum and to enhance the RNFA students’ transition into their role in the perioperative setting. The simulation and multiple debriefings reinforced the concepts of role acquisition, surgical conscience, closed‐loop communication, and interprofessional collaboration. Perioperative nurse educators can use this type of educational activity to teach these concepts to their students.

show abstract

“…1 mg Adrenalin ist injiziert." Mit dieser Kommunikationsstrategie sollen Missverständnisse verhindert und Fehler frühzeitig erkannt werden [8] [9]. Hätte Person B nicht 1 mg Adrenalin verstanden, sondern 3 mg, wäre es in der Wiederholung der Nachricht aufgefallen und hätte durch den Sender korrigiert werden können.…”

Section: "Closed Loop"-kommunikationunclassified

Effektive Reanimation durch richtige Kommunikation

Henn¹

2020

intensiv

View full text Add to dashboard Cite

Bei einer innerklinischen Reanimation treffen normalerweise Teammitglieder aus unterschiedlichen Abteilungen aufeinander, die in dieser Zusammensetzung noch nie miteinander gearbeitet haben. Diese Tatsache und die Stresssituation, in der sich alle Beteiligten befinden, können die Kommunikation erheblich erschweren, was fatale Folgen für den Patienten haben kann. Eine bestimmte Kommunikationsstrategie und der Einsatz eines Teamleiters können zur Verbesserung der Reanimationsqualität beitragen.

show abstract

Operative team communication during simulated emergencies: Too busy to respond?

Cited by 28 publications

References 21 publications

Using sensor technology to capture the structure and content of team interactions in medical emergency teams during stressful moments

Using sensor technology to capture the structure and content of team interactions in medical emergency teams during stressful moments

An Interprofessional Branching Simulation to Introduce RN First Assistant Students to Their Role in the Perioperative Setting

Effektive Reanimation durch richtige Kommunikation

Contact Info

Product

Resources

About