Title
Communication and team situation awareness in the OR: Implications for augmentative information display.
Abstract
Team Situation Awareness (TSA) is one of the critical factors in effective Operating Room (OR) teamwork and can impact patient safety and quality of care. While previous research showed a relationship between situation awareness, as measured by communication events, and team performance, the implications for developing technology to augment and facilitate TSA were not examined. This research aims to further study situation-related communications in the cardiac OR in order to uncover potential degradation in TSA which may lead to adverse events. The communication loop construct-the full cycle of information flow between the participants in the sequence-was used to assess susceptibility to breakdown. Previous research and the findings here suggest that communication loops that are open, non-directed, or with delayed closure, can be susceptible to information loss. These were quantitatively related to communication indicators of TSA such as questions, replies, and announcements. Taken together, both qualitative and quantitative analyses suggest that a high proportion of TSA-related communication (63%) can be characterized as susceptible to information loss. The findings were then used to derive requirements and design a TSA augmentative display. The design principles and potential benefits of such a display are outlined and discussed.
Year
DOI
Venue
2011
10.1016/j.jbi.2010.04.002
Journal of Biomedical Informatics
Keywords
Field
DocType
communication loop,team situation awareness,information flow,tsa augmentative display,communication loop construct-the,tsa-related communication,communication indicator,communication event,augmentative information display,team display,study situation-related communication,communication analysis,previous research,teamwork,information loss,adverse event,situation awareness
Design elements and principles,Data mining,Teamwork,Information flow (information theory),Patient safety,Situation awareness,Computer science,Information display,Communication Analysis,Augmentative
Journal
Volume
Issue
ISSN
44
3
1532-0480
Citations 
PageRank 
References 
15
1.22
10
Authors
6
Name
Order
Citations
PageRank
Avi Parush119822.17
Chelsea Kramer2232.27
Tara Foster-Hunt3191.74
Kathryn Momtahan4202.82
Aren Hunter5151.56
Benjamin Sohmer6172.07