Coordination Challenges in Operating-Room Management: An In-Depth Field Study

Dynamic settings possess complex information needs all requiring attention in order to be managed effectively. The following study describes the multi-faceted information exchanges essential for an operating room suite to be managed within the context of efficient, cost effective, safe practice. Through the combined use of observation, the Critical Incident Technique, and interviews, this study analyzed information issues that impact coordination. Results demonstrate how distributed team planning is inherent to the efficacy of the system, and discuss implications for information tools to support coordination within in a complex setting.

[1]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[2]  Yvonne Waern,et al.  Team coordination and communication in a rescue command staff : The role of public representations , 1999 .

[3]  G. Kenny,et al.  Interprofessional working: opportunities and challenges. , 2002, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[4]  Emily S. Patterson,et al.  Voice loops as cooperative aids in space shuttle mission control , 1996, CSCW '96.

[5]  Siti Zubaidah,et al.  The Operating Room Charge Nurse: Coordinator and Communicator , 2002, J. Am. Medical Informatics Assoc..

[6]  Maria Normark,et al.  The coordinative functions of flight strips: air traffic control work revisited , 1999, GROUP.

[7]  Jakob E. Bardram,et al.  Designing for the dynamics of cooperative work activities , 1998, CSCW '98.

[8]  Yan Xiao,et al.  Large public display boards: a case study of an OR board and design implications , 2001, AMIA.

[9]  J. C. Flanagan.  Psychological Bulletin THE CRITICAL INCIDENT TECHNIQUE , 2022 .

[10]  Richard Bentley,et al.  Ethnographically-informed systems design for air traffic control , 1992, CSCW '92.

[11]  Carla Simone,et al.  Coordination mechanisms: Towards a conceptual foundation of CSCW systems design , 1996, Computer Supported Cooperative Work (CSCW).

[12]  Yvonne Rogers,et al.  From Web press to Web pressure: multimedia representations and multimedia publishing , 1997, CHI.

[13]  Colin F. Mackenzie,et al.  Cognitive properties of a whiteboard: A case study in a trauma centre , 2001, ECSCW.

[14]  F. Dexter,et al.  How to Schedule Elective Surgical Cases into Specific Operating Rooms to Maximize the Efficiency of Use of Operating Room Time , 2002, Anesthesia and analgesia.

[15]  C. Marano,et al.  To err is human. Building a safer health system , 2005 .