Teams and cardiac surgery

Jan Maarten Schraagen, Josine van de Ven, Paul Barach, Meike Smit

Research output: Contribution to conferencePaper

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Motivation: Our study is designed to identify human factors that are a threat to the safety of children with heart disease.
Research approach: After an initial observation period, we will apply a major safety intervention. We will then re-measure the occurrence and types of human factors in the operating room, and the incidence of adverse events, near misses and hospital death, to evaluate if there was a significant post-intervention reduction.
Findings/design: We focus on challenges encountered during the training of the observers.
Research Limitations: Because of the complexity of the OR, observations are necessarily subjective.
Originality/Value: This work is original because of the systematic evaluation of a safety intevention and the training protocol for the observers.
Take Away Message: Systematic and periodic assessment of observers is required when teamwork is observed in complex, dynamic settings.
Original languageEnglish
Number of pages8
Publication statusPublished - 2009
Event9th Bi-Annual International Conference on Naturalistic Decision Making, NDM 2009: NDM and Computers - Covent Garden, London, United Kingdom
Duration: 23 Jun 200926 Jun 2009
Conference number: 9


Conference9th Bi-Annual International Conference on Naturalistic Decision Making, NDM 2009
Abbreviated titleNDM
Country/TerritoryUnited Kingdom


  • IR-73371
  • Medical errors
  • Patient safety
  • Medical teams


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