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Training the Code Team Leader as a Forcing Function to Improve Overall Team Performance During Simulated Code Blue Events

Description
The American Heart Association (AHA) estimates that there are approximately 200,000 in-hospital cardiac arrests (IHCA) annually with low rates of survival to discharge at about 22%. Training programs for cardiac arrest teams, also termed code teams, have been recommended by the Institute of Medicine (IOM) and in the AHA's consensus…

The American Heart Association (AHA) estimates that there are approximately 200,000 in-hospital cardiac arrests (IHCA) annually with low rates of survival to discharge at about 22%. Training programs for cardiac arrest teams, also termed code teams, have been recommended by the Institute of Medicine (IOM) and in the AHA's consensus statement to help improve these dismal survival rates. Historically, training programs in the medical field are procedural in nature and done at the individual level, despite the fact that healthcare providers frequently work in teams. The rigidity of procedural training can cause habituation and lead to poor team performance if the situation does not match the original training circumstances. Despite the need for team training, factors such as logistics, time, personnel coordination, and financial constraints often hinder resuscitation team training. This research was a three-step process of: 1) development of a metric specific for the evaluation of code team performance, 2) development of a communication model that targeted communication and leadership during a code blue resuscitation, and 3) training and evaluation of the code team leader using the communication model. This research forms a basis to accomplish a broad vision of improving outcomes of IHCA events by applying conceptual and methodological strategies learned from collaborative and inter-disciplinary science of teams.
ContributorsHinski, Sandra T. (Author) / Cooke, Nancy J. (Thesis advisor) / Roscoe, Rod (Committee member) / Bekki, Jennifer (Committee member) / Arizona State University (Publisher)
Created2017
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The impact of coordination quality on coordination dynamics and team performance: when humans team with autonomy

Description
This increasing role of highly automated and intelligent systems as team members has started a paradigm shift from human-human teaming to Human-Autonomy Teaming (HAT). However, moving from human-human teaming to HAT is challenging. Teamwork requires skills that are often missing in robots and synthetic agents. It is possible that…

This increasing role of highly automated and intelligent systems as team members has started a paradigm shift from human-human teaming to Human-Autonomy Teaming (HAT). However, moving from human-human teaming to HAT is challenging. Teamwork requires skills that are often missing in robots and synthetic agents. It is possible that adding a synthetic agent as a team member may lead teams to demonstrate different coordination patterns resulting in differences in team cognition and ultimately team effectiveness. The theory of Interactive Team Cognition (ITC) emphasizes the importance of team interaction behaviors over the collection of individual knowledge. In this dissertation, Nonlinear Dynamical Methods (NDMs) were applied to capture characteristics of overall team coordination and communication behaviors. The findings supported the hypothesis that coordination stability is related to team performance in a nonlinear manner with optimal performance associated with moderate stability coupled with flexibility. Thus, we need to build mechanisms in HATs to demonstrate moderately stable and flexible coordination behavior to achieve team-level goals under routine and novel task conditions.
ContributorsDemir, Mustafa, Ph.D (Author) / Cooke, Nancy J. (Thesis advisor) / Bekki, Jennifer (Committee member) / Amazeen, Polemnia G (Committee member) / Gray, Robert (Committee member) / Arizona State University (Publisher)
Created2017