Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.

Aims/background: This review examines current research on teamwork in highly dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams with a focus on aspects relevant to the quality and safety of patient care.

Results: Evidence from three main areas of research supports the relationship between teamwork and patient safety: (1) Studies investigating the factors contributing to critical incidents and adverse events have shown that teamwork plays an important role in the causation and prevention of adverse events. (2) Research focusing on healthcare providers' perceptions of teamwork demonstrated that (a) staff's perceptions of teamwork and attitudes toward safety-relevant team behavior were related to the quality and safety of patient care and (b) perceptions of teamwork and leadership style are associated with staff well-being, which may impact clinician' ability to provide safe patient care.

Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system.

Patient care in hospital settings requires coordinated team performance. Studies in other industries show that successful teams adapt their coordination processes to the situational task requirements. This prospective field study aimed to test a new observation system and investigate patterns of adaptive coordination within operating room teams.

Employee resistance to organizational change: managerial influence tactics and leader-member exchange.

The authors explored the relationship between managerial influence tactics and employee resistance to organizational change. Using attribution theory, the authors developed a series of hypotheses concerning the effects of influence tactics on employee resistance to change and the ways in which these relationships are moderated by leader-member exchange. Results, which are based on multisource data, suggest that employee resistance reflects both the type of influence a manager uses and the strength of leader-member exchange.

Comparison of anaesthetists' activity patterns in the operating room and during simulation.

This study investigated the behavioural aspects of ecological validity of anaesthesia simulation environments using a task analysis approach. Six anaesthesists were observed during two cases performed in the operating room (OR), one routine and two critical incident simulation scenarios. A two-way MANOVA for repeated measures was performed with the independent variables Case (OR/SIM-R/SIM-CI) and Phase Induction/ Maintenance (Emergence), the latter being a repeated measure.

Walter Miles, Pop Warner, B. C. Graves, and the psychology of football.

In 1926-1927, a graduate student, B. C. Graves, working with Stanford University psychologist Walter Miles and legendary football coach Pop Warner, conducted an investigation of variations in signal calling as they affected the charging times of football players.

Integrated management of natural resources: dealing with ambiguous issues, multiple actors and diverging frames.

Uncertainty is an increasingly important concern when trying to manage complex systems of interrelated natural resources. Scientific knowledge or necessary information may be lacking or incomplete. Additionally, the multiple and interdependent users of those resources may diverge in defining what really is at stake.

Developmental dynamics of workplace adaptive skill.

This study examined the dynamic development of workplace adaptive skills using the functional-perspectivist paradigm. Extensions to a model of behavioral functionality are tested whereby workers in four age groups are assessed through an interview-based methodology on the improvement and coalescence of their adaptive skills. Analysis of responses show the dynamic structure of workplace adaptive skills changes over the age groups.

How to have an honest conversation about your business strategy.

Too many organizations descend into underperformance because they can't confront the painful gap between their strategy and the reality of their capabilities, their behaviors, and their markets. That's because senior managers don't know how to engage in truthful conversations about the problems that threaten the business--and because lower-level managers are afraid to speak up. These factors lie behind many failures to implement strategy.

Multipurpose senior centers: opportunities for community health nursing.

Nationally, almost 10 million older Americans are served by approximately 12,000 multipurpose senior centers (MSCs). Among those over age 65, 15% attended an MSC in the previous year. We can expect that the number of older Americans attending MSCs will increase as our population ages.

Health beliefs as predictors of HIV-preventive behavior and ethnic differences in prediction.

The incidence of a variety of safer-sex behaviors was predicted, using five measures from the Health Belief Model (Janz & Becker, 1984): perceived susceptibility, perceived severity, self-efficacy, social support, and perceived barriers. The participants, 424 U.S.