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- All Subjects: Human Factors
- Genre: Doctoral Dissertation
- Creators: Cooke, Nancy J.
- Member of: ASU Electronic Theses and Dissertations
Description
Preoperative team briefings have been suggested to be important for improving team performance in the operating room. Many high risk environments have accepted team briefings; however healthcare has been slower to follow. While applying briefings in the operating room has shown positive benefits including improved communication and perceptions of teamwork, most research has only focused on feasibility of implementation and not on understanding how the quality of briefings can impact subsequent surgical procedures. Thus, there are no formal protocols or methodologies that have been developed.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
ContributorsHildebrand, Emily A (Author) / Branaghan, Russell J (Thesis advisor) / Cooke, Nancy J. (Committee member) / Hallbeck, M. Susan (Committee member) / Bekki, Jennifer M (Committee member) / Blocker, Renaldo C (Committee member) / Arizona State University (Publisher)
Created2014
Description
The 21st-century professional or knowledge worker spends much of the working day engaging others through electronic communication. The modes of communication available to knowledge workers have rapidly increased due to computerized technology advances: conference and video calls, instant messaging, e-mail, social media, podcasts, audio books, webinars, and much more. Professionals who think for a living express feelings of stress about their ability to respond and fear missing critical tasks or information as they attempt to wade through all the electronic communication that floods their inboxes. Although many electronic communication tools compete for the attention of the contemporary knowledge worker, most professionals use an electronic personal information management (PIM) system, more commonly known as an e-mail application and often the ubiquitous Microsoft Outlook program. The aim of this research was to provide knowledge workers with solutions to manage the influx of electronic communication that arrives daily by studying the workers in their working environment. This dissertation represents a quest to understand the current strategies knowledge workers use to manage their e-mail, and if modification of e-mail management strategies can have an impact on productivity and stress levels for these professionals. Today’s knowledge workers rarely work entirely alone, justifying the importance of also exploring methods to improve electronic communications within teams.
ContributorsCounts, Virginia (Author) / Parrish, Kristen (Thesis advisor) / Allenby, Braden (Thesis advisor) / Landis, Amy (Committee member) / Cooke, Nancy J. (Committee member) / Arizona State University (Publisher)
Created2018
Description
Interpersonal communications during civil infrastructure systems operation and maintenance (CIS O&M) are processes for CIS O&M participants to exchange critical information. Poor communications that provide misleading information can jeopardize CIS O&M safety and efficiency. Previous studies suggest that communication contexts and features could be indicators of communication errors and relevant CIS O&M risks. However, challenges remain for reliable prediction of communication errors to ensure CIS O&M safety and efficiency. For example, existing studies lack a systematic summarization of risky contexts and features of communication processes for predicting communication errors. Limited studies examined quantitative methods for incorporating expert opinions as constraints for reliable communication error prediction. How to examine mitigation strategies (e.g., adjustments of communication protocols) for reducing communication-related CIS O&M risks is also challenging. The main reason is the lack of causal analysis about how various factors influence the occurrences and impacts of communication errors so that engineers lack the basis for intervention.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
ContributorsSun, Zhe (Author) / Tang, Pingbo (Thesis advisor) / Ayer, Steven K (Committee member) / Cooke, Nancy J. (Committee member) / Liu, Yongming (Committee member) / Arizona State University (Publisher)
Created2020