Assessing Surgical Teamwork During Moments of Uncertainty, and their Relationship to Adverse Events, Using OR Black Box®

Assessing Surgical Teamwork During Moments of Uncertainty, and their Relationship to Adverse Events, Using OR Black Box®

  • Joanne Goldman 28 June 2021

    This is a really interesting study and I enjoyed viewing your poster. I can imagine the difficulties with share the extensive details of such a study in a poster format. I'm wondering whether your findings are suggesting that based on your analysis, healthcare professionals should be trained to support the teamwork behaviours observed for the different professional groups? Or, is it possible that the variability in the types of teamwork behaviours observed across the different professional groups is due to the opportunities (or limitations) available to them, and there needs to be more attention to questioning or exploring these patterns observed? I also wonder what is meant by 'trainees showing more psychological safety when an IAE is present'?

  • Taylor Incze 01 July 2021

    Hi Joanne, Thank you very much for your interest in our poster and your comments! Based on our current findings, it seems as if different roles contribute to the team’s overall teamwork dynamic in unique ways. Other research to date has suggested that often OR team members may have a limited understanding of the roles and capabilities of those from different disciplines. Operating room team members may also have limited insight into their own impact on team dynamics. Given this, I believe training that brings more awareness to the different roles and how they contribute, as well as training that brings role awareness to other team members could be beneficial. This hopefully answers your second question a bit too- it is hard to gauge whether these members act this way because it is inherent to how they have been trained or if they have been conditioned to act this way after interacting with other team members-I think more work could be done on this as there is research pointing to how healthcare “hierarchies and tribalism” can impact team skills such as communication, psychological safety, and conflict management. As for psychological safety during an IAE- psychological safety was coded for if a team member either 1) admitted a mistake or shortcoming or 2) spoke up to address a safety concern. During IAEs we saw a particular increase in the “speak up” code with an increase in frequency from 34% to 60% for trainees. Hopefully, this answers your questions- if not please feel free to leave another comment or reach out to me at taylor.incze@mail.utoronto.ca

  • Joanne Goldman 02 July 2021

    Hi Taylor, thanks very much for your detailed response, very helpful! Also an interesting finding about psychological safety for trainees - can one draw a conclusion that the 60% results means that they felt safe to speak up? Look forward to reading more about your research in the future.

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