Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams

Research output: Contribution to journalArticleAcademicpeer-review

16 Citations (Scopus)

Abstract

Highly complex operations such as paediatric cardiac surgery operations are characterised by many non-routine events. This study looked in detail at 40 paediatric cardiac cases in order to study how a highly competent team deals with the unforeseen complexity arising during these cases. A multi-method approach was used, employing questionnaires and direct team observations. Our results show that this particular team relied to a large extent on explicit coordination processes in order to deal with non-routine events. Non-routine events were strong predictors of explicit coordination processes, even when we controlled for the duration of the operation. Most non-routine events were noticed and dealt with through routine procedures. For dealing with the remaining difficult problems, processes such as heedful interrelating are required.
Original languageEnglish
Pages (from-to)256-272
Number of pages17
JournalTheoretical issues in ergonomics science
Volume12
Issue number3
DOIs
Publication statusPublished - 2011

Keywords

  • Teamwork
  • Medical teams
  • Team communication
  • Heedful interrelating
  • Explicit coordination

Fingerprint Dive into the research topics of 'Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams'. Together they form a unique fingerprint.

Cite this