Communication and coordination breakdowns represent the leading cause of adverse events in healthcare. This is especially true in the operating room environment - the wrong patient may be operated on, the wrong procedure may be performed, or consideration of specific patient information may be missed in surgery planning, preparation and execution. This book presents an in-depth study of the impact of breakdowns on surgical work in two large urban hospitals. The focus of analysis is set beyond teamwork dynamics to include system level communication and coordination processes. The book presents a breakdown detection method as a first step in the management of breakdowns. The knowledge acquired through a series of hospital studies is also translated into system design guidelines tailored to the requirements of the surgical setting.Finally, coordination requirements with respect to themes, repair structures and tangibility of coordination should be ... The sources of these breakdowns were colliding pressures and goals of different teams, maintaining awareness of ... increase in communication cost associated with breakdown repair a the longer the distance from breakdown origin to breakdown detection and repair, the higher the cost.
|Title||:||Coordination Breakdown Management in Surgical Units|
|Publisher||:||Svetlena Taneva - 2011-05-01|