Barbara Künzle

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In this article, we link the literatures on organizational routines and the management of uncertainties in order to establish the concept of flexible routines. Supported by flexible rules, this type of routine is argued to help achieve the right balance between standardization and flexibility, thus enabling resilience through loose coupling in high-risk(More)
Introduction Depending on situational demands, teams should use different coordination mechanisms, such as explicit vs. implicit, impersonal vs. personal and hierarchical vs.lateral coordination. Based on results from studying team coordination in different work phases in cockpit crews (Grote et al., 2004), we analyzed team coordination during anaethesia(More)
BACKGROUND The use of different forms of coordination according to situational demands plays a crucial role in teams working in complex environments. This study aimed to describe patterns of coordinative actions (CAs) as they occur during anaesthesia induction and to analyse the influence of two crucial situational factors on these patterns, namely the(More)
BACKGROUND The analysis of adverse events is a central step in critical incident reporting, but has not been described in a surgical setting. The aim of this study was to develop an evaluation protocol and assess its feasibility. METHODS All incidents were analysed by a multidisciplinary team. A coding system based on three published theories was used to(More)
BACKGROUND Leadership plays a crucial role in teams working in complex environments, and research has shown that shared leadership where all team members perform leadership functions is an effective strategy. The authors aimed to describe shared leadership patterns during anaesthesia induction and show how they are linked to team performance. METHODS 12(More)
Team coordination during a simulated clean approach performed by 42 civil aviation cockpit crews was analysed. Several hypotheses regarding the adaptive use of implicit and explicit coordination, leadership and heedful interrelating were tested. The results indicate the adaptiveness of coordination to different levels of standardisation and task load and(More)
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