J Biomed Inform - Communication and team situation awareness in the OR: Implications for augmentative information display.

Tópicos

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Resumo

Team Situation Awareness (TSA) is one of the critical factors in effective Operating Room (OR) teamwork and can impact patient safety and quality of care. While previous research showed a relationship between situation awareness, as measured by communication events, and team performance, the implications for developing technology to augment and facilitate TSA were not examined. This research aims to further study situation-related communications in the cardiac OR in order to uncover potential degradation in TSA which may lead to adverse events. The communication loop construct-the full cycle of information flow between the participants in the sequence-was used to assess susceptibility to breakdown. Previous research and the findings here suggest that communication loops that are open, non-directed, or with delayed closure, can be susceptible to information loss. These were quantitatively related to communication indicators of TSA such as questions, replies, and announcements. Taken together, both qualitative and quantitative analyses suggest that a high proportion of TSA-related communication (63%) can be characterized as susceptible to information loss. The findings were then used to derive requirements and design a TSA augmentative display. The design principles and potential benefits of such a display are outlined and discussed.

Resumo Limpo

team situat awar tsa one critic factor effect oper room teamwork can impact patient safeti qualiti care previous research show relationship situat awar measur communic event team perform implic develop technolog augment facilit tsa examin research aim studi situationrel communic cardiac order uncov potenti degrad tsa may lead advers event communic loop constructth full cycl inform flow particip sequencewa use assess suscept breakdown previous research find suggest communic loop open nondirect delay closur can suscept inform loss quantit relat communic indic tsa question repli announc taken togeth qualit quantit analys suggest high proport tsarel communic can character suscept inform loss find use deriv requir design tsa augment display design principl potenti benefit display outlin discuss

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