Teamwork and Error in the Operating Room

Catchpole, Ken; Mishra, Amit; Handa, Ashok; McCulloch, Peter

doi:10.1097/sla.0b013e3181642ec8

Cited by 338 publications

(244 citation statements)

References 27 publications

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“…The two most commonly used tools were the Observational Teamwork Assessment for Surgery (OTAS)34, 35, 36, 37, 38, 39 52 and the Non‐Technical Skills (NOTECHS) system27, 28, 29, 30, 31, 32, 33.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of methods for quantifying teamwork in the operating theatre

Marshall

Sykes

et al. 2018

BJS Open

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BackgroundTeamwork in the operating theatre is becoming increasingly recognized as a major factor in clinical outcomes. Many tools have been developed to measure teamwork. Most fall into two categories: self‐assessment by theatre staff and assessment by observers. A critical and comparative analysis of the validity and reliability of these tools is lacking.MethodsMEDLINE and Embase databases were searched following PRISMA guidelines. Content validity was assessed using measurements of inter‐rater agreement, predictive validity and multisite reliability, and interobserver reliability using statistical measures of inter‐rater agreement and reliability. Quantitative meta‐analysis was deemed unsuitable.ResultsForty‐eight articles were selected for final inclusion; self‐assessment tools were used in 18 and observational tools in 28, and there were two qualitative studies. Self‐assessment of teamwork by profession varied with the profession of the assessor. The most robust self‐assessment tool was the Safety Attitudes Questionnaire (SAQ), although this failed to demonstrate multisite reliability. The most robust observational tool was the Non‐Technical Skills (NOTECHS) system, which demonstrated both test–retest reliability (P > 0·09) and interobserver reliability (Rwg = 0·96).ConclusionSelf‐assessment of teamwork by the theatre team was influenced by professional differences. Observational tools, when used by trained observers, circumvented this.

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Section: Resultsmentioning

confidence: 99%

“…There was no evidence that requirements for teamwork varied by surgical specialty. As OTAS and NOTECHS have been validated in multiple specialties, there is evidence to the contrary27 29, 30 35.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of methods for quantifying teamwork in the operating theatre

Marshall

Sykes

et al. 2018

BJS Open

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“…This linear definition of situation awareness and the possibility of translating it into a measurement tool have contributed to the popularity of Endsley's model. [23][24][25][26][27] In relation to our decision-making model (Fig. 1), the premises of Endsley's situation awareness process are captured in the gaining information stage of the Reconciliation Cycle.…”

Section: Commentsmentioning

confidence: 99%

Thinking like an expert: surgical decision making as a cyclical process of being aware

Cristancho

Apramian

Vanstone

et al. 2016

The American Journal of Surgery

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“…Assessments are performed for different reasons such as to measure effects of training (Helmreich, Merritt and Wilhelm 1999;Salas et al 2008;Salas, Wilson, Burke and Wightman 2006) new technological interfaces, or for reasons of safety and quality control (Leva, Cahill and Kay 2010;Catchpole, Mischra, Handa and McCulloch 2008;Catchpole et al 2008). …”

Section: Introductionmentioning

confidence: 99%

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

2011

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This article presents a protocol for assessing team performance in terms of control based on cognitive systems engineering theory. The protocol changes the focus of team performance assessment from good and bad behaviours towards team activity. By using Hollnagel's Contextual Control Model (COCOM), a protocol is developed so that team activity can be described as four control modes. Data is collected through observation and questionnaires and is analysed in time intervals. Each time interval is then given a control mode. Based on how the control mode changes over time the performance of the team can be assessed. The protocol was tested in a pilot study where commanding staff exercises were analysed. The results show that the protocol can be used to identify differences in team performance. The study also gives empirical validity to COCOM in that the loss of control in emergencies corresponds to an opportunistic or a scrambled control mode.

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Teamwork and Error in the Operating Room

Cited by 338 publications

References 27 publications

Systematic review of methods for quantifying teamwork in the operating theatre

Systematic review of methods for quantifying teamwork in the operating theatre

Thinking like an expert: surgical decision making as a cyclical process of being aware

How to assess team performance in terms of control: a protocol based on cognitive systems engineering

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