Determinants of Knowledge-Based Improving Workflow and Communication within Surgical Team
Authors: J. Bartnicka
Surgical team consists of variety types of medical specialists possessing different kind of knowledge, motivations, personalities or abilities. This together with poor knowledge transfer, lack of information and communication technologies (ICT) implementations in hospitals can cause protraction of patient care processes and even jeopardize patient safety. There is presented in the article the outcomes of studies on communication and workflow in surgical team in the background of different collaboration levels in healthcare system. As a result the five determinants of improving workflow and communication within surgical team were indicated as well as knowledge-based tools and supporting information technology were proposed.
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 E. Salas, D. Diaz Granados, S.J. Weaver, H. King, “Does team training work? Principles for health care”, Acad. Emerg. Med., vol. 15, pp. 1002-1009, 2008.
 J. Hammond, “Simulation in critical care and trauma education and training”, Curr. Opin. Crit. Care, vol. 10, pp. 325–329, 2004.
 M. Marr, K. Hemmert, A. H. Nguyen et al., “Team Play in Surgical Education: A Simulation-Based Study”, J. Surg. Edu., vol. 69, no. 1, pp. 63-69, 2012.
 M.J. Shapiro, J.C. Morey, S.D. Small, et al., “Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?” Qual. Saf. Health Care, vol. 13, pp. 417-421, 2004.
 D.T. Risser, M.M. Rice, M.L. Salisbury, et al., “The potential for improved teamwork to reduce medical errors in the emergency department”, Ann. Emerg. Med., vol. 34, pp. 373-383, 1999.
 J. Carthey, M.R. de Leval, J.T. Reason, “The human factor in cardiac surgery: errors and near misses in a high technology medical domain”, Ann. Thorac. Surg., vol. 72, pp. 300-305, 2001.
 M.R. de Leval, J. Carthey, D.J. Wright, et al., “Human factors and cardiac surgery: a multicenter study”, J. ThoracCardiovascSurg, vol. 119, pp. 661-672, 2000.
 T.A. Kenyon, D.R. Urbach, J.B. Speer, et al., “Dedicated minimally invasive surgery suites increase operating room efficiency”, Surg, Endosc., vol. 15, pp. 1140-1143, 2001.
 L. Lingard, S. Espin, S. Whyte, et al., “Communication failures in the operating room: an observational classification of recurrent types and effects”. Qual. Saf. Health Care, vol 13, pp. 330-334, 2004.
 K. Moorthy, Y. Munz, D. Forrest, et al., “Surgical crisis management skills training and assessment: a simulation (corrected)-based approach to enhancing operating room performance”, Ann. Surg., vol. 224, pp. 139-147, 2006.
 A.A. Gawande, M.J. Zinner, D.M. Studdert, et al., “Analysis of errors reported by surgeons at three teaching hospitals”, Surgery, vol. 133, pp. 614-421, 2003.
 G. Alvarez, E. Coiera, “Interdisciplinary communication: an uncharted source of medical error?”, J. Crit. Care, vol. 21, pp. 236-242, 2006.
 E. Coiera, V.Tombs, “Communication behaviours in a hospital setting: an observational study”, BMJ, vol. 7132, pp. 673-676, 1998.
 E. Coiera, “When conversation is better than computation”, J. Am. Inform. Assoc., vol. 7, pp. 277-726, 2000.
 R.M. Wilson, W.B. Runciman, R.W. Gibberd, et al.: “The quality in Australian health care study”, Med. J. Aust., vol. 163, pp. 458-471, 1995.
 A. Parush, Ch. Kramer, T. Foster-Hunt, K. st al., ‘Communication and team situation awareness in the OR: Implications for augmentative information display”; J. Biomed. Inf., vol. 44, pp. 477-485, 2011.
 M.M. Knudson, L. Khaw, M.K. Bullard et al., “Trauma training in simulation: translating skills from SIM time to real time”, J. Trauma, vol. 64, pp. 255-263, 2008.
 M. Koutantji, P. McCulloch, S. Undre et al., “Is teamtraining in briefings for surgical teams feasible in simulation?”, Cogn. Techn. Work, vol. 10, pp. 275-285, 2008.
 S. Yule, R. Flin, N. Maran et al., “Debriefing surgeons on non-technical skills (NOTSS)”, Cogn. Techn. Work, vol. 10, 265-274, 2008.
 L. Lingard, G. Regehr, C. Cartmil et al., “Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice”, BMJ Qual. Saf., vol. 20, pp. 475-782, 2011.
 M. Marr, K. Hemmert, A.H. Nguyen et al. „Team Play in Surgical Education: A Simulation-Based Study”, J. Surg. Edu., vol. 69, pp. 63-69, 2012.
 S. Nundy, A. Mukherjee, J.B. Sexton, P.J. Pronovost et al., “Impact of preoperative briefings on operating room delays: a preliminary report”, Arch. Surg., vol. 143, pp. 1068-1072, 2008.
 R. Flin, S. Yule, S. Paterson-Brown et al., “Teaching surgeons about non-technical skills”, Surgeon, vol. 5, pp. 86-89, 2007.
 J.N. Dedy, E.M. Bonrath, B. Zevin, T.P. Grantcharov, “Teaching nontechnical skills in surgical residency: A systematic review of current approaches and outcomes”, Surgery, Available online 15 June 2013, http://dx.doi.org/10.1016/j.surg.2013.04.034.
 M.J. Shapiro, J.C. Morey, S.D. Small et al., “Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?”, Qual. Saf. Health Care, vol. 13, pp.417-421, 2004.
 C.A. Bowers, F. Jentsch, E. Salas, C.C. Braun, “Analyzing communication sequences for team training needs assessment”, Hum. Factors, vol. 40, 672-679, 1998.
 J. DeFontes, S. Surbida, “Preoperative safety briefing project”, Permanente J., vol. 8, pp. 21-27, 2004.
 L. Kerschberg, H. Jeong, “Just-in-Time Knowledge Management”, Proceedings of Wissensmanagement'2005, pp. 1–18, 2005.
 I. Nonaka, T. Nishiguchi, “Knowledge Emergence”. Oxford: Oxford University Press, 2001.
 T. ten Berge, R. van Hezewijk, “Procedural and Declarative Knowledge. An Evolutionary Perspective, Theory & Psychology, vol. 9, pp. 605-624, 1999.
 S.K. Chandrasegaran, K. Ramani, R.D. Sriram et al., “The evolution, challenges, and future of knowledge representation in product design systems”, Computer-Aided Design, vol. 25, pp. 204-228, 2013.
 R.P. Valderrama, L.B. BalladaresOcan, L. B. Sheremetov, “Development of intelligent reusable learning objects for web-based education systems”, Ex. Sys. Appl., vol. 28, pp. 273–283, 2005.
 J.A. Muzio, T. Heins, R. Mundell, “Experiences with reusable E-learning objects. From theory to practice”, Internet and High. Edu., vol. 5, pp. 21-34, 2002.
 G. Kurubacak, “Building knowledge networks through project-based online learning: A study of developing critical thinking skills via reusable learning objects”, Comp. Hum. Behav., vol. 23, pp. 2668-2669, 2007.
 L. Lee-Kelley, D. Blackman, “Project training evaluation: Reshaping boundary objects and assumptions”, Intern. J. Proj. Manag.,vol 30, pp. 73–82, 2012.
 P.R. Carlile, “A pragmatic view of knowledge and boundaries: boundary objects in new product development”, Organ. Sc., vol. 13, pp. 442-455, 2002.
 L. Revere, K. Black, F. Zalila, “RFIDs Can Improve the Patient Care Supply Chain”, Hosp. Topics, vol. 88, pp. 26–31, 2010.
 A. Smith, “Evolution and Acceptability of Medical Applications of RFID Implants Among Early Users of Technology”, Health Marketing Quarterly, vol. 24, pp. 121–155, 2008.