Abstract: A. Baty, T. Matis, J. Griswold (2022)

Background The hallmarks of high-reliability organizations (HROs) have been broadly embraced by health-care organizations as a path to achieve greater reliability in patient care. A simulation study was conducted to investigate the hypothesis that surgical teams whose intraoperative communication displayed the HRO hallmarks had a greater capacity to detect and resolve surgical complications in less time.

Methods The study consisted of presenting four simulations to five surgical teams using a within-subject experimental design. In each simulation, the patient would manifest a complication in which the detection and/or resolution was either obscure or obvious. Communication patterns related to the frequency and sustained duration of HRO content were extracted from coded transcripts using recurrence quantification analysis (RQA), which were paired with the teams' elapsed time to detect or resolve a surgical complication. Spearman's rank-order statistics was then used to test for a monotonically decreasing association between these variables.

Results Data consisting of the RQA metrics and elapsed times are reported for each surgical team in each simulation in addition to statistical tests for association between these variables and inter-rater reliability statistics of the coded communication.

Conclusions The study suggests that surgical teams whose communication espouses the HRO hallmarks of commitment to resilience and deference to expertise in both frequency and duration are able to resolve surgical complications with an obscure corrective action in less time. The study did not provide confirming evidence that these are associated with their ability to resolve a complication with an obvious corrective action in less time or that patterns of sensitivity to operations are associated with their ability to detect an obscure surgical complication in less time.

Please note: The abstracts of the bibliography database may underly other copyrights.

Ihr Browser versucht gerade eine Seite aus dem sogenannten Internet auszudrucken. Das Internet ist ein weltweites Netzwerk von Computern, das den Menschen ganz neue Möglichkeiten der Kommunikation bietet.

Da Politiker im Regelfall von neuen Dingen nichts verstehen, halten wir es für notwendig, sie davor zu schützen. Dies ist im beidseitigen Interesse, da unnötige Angstzustände bei Ihnen verhindert werden, ebenso wie es uns vor profilierungs- und machtsüchtigen Politikern schützt.

Sollten Sie der Meinung sein, dass Sie diese Internetseite dennoch sehen sollten, so können Sie jederzeit durch normalen Gebrauch eines Internetbrowsers darauf zugreifen. Dazu sind aber minimale Computerkenntnisse erforderlich. Sollten Sie diese nicht haben, vergessen Sie einfach dieses Internet und lassen uns in Ruhe.

Die Umgehung dieser Ausdrucksperre ist nach §95a UrhG verboten.

Mehr Informationen unter www.politiker-stopp.de.

A simulation study on the association of HRO communication patterns and surgical team performance