Learn More
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)
A method supporting complementary function allocation in automated work systems called KOMPASS will be presented. KOMPASS supports interdisciplinary design teams in deciding about function allocation in automated systems, taking into account the need for an integral consideration of people-related, technological and organizational factors in the design of(More)
INTRODUCTION We recently reported that 5-minute work breaks every 25 minutes during long lasting laparoscopy in children (intermittent pneumoperitoneum [IPP] scheme) decrease the surgeon's stress markers such as saliva cortisol and heart rate and improve time-concentration scores significantly. Data on the impact of breaks on the patient and on the(More)
OBJECTIVE We assessed the impact of a noise-reduction program in a pediatric operating theatre. BACKGROUND Adverse effects from noise pollution in theatres have been demonstrated. METHODS In 156 operations spatially resolved, sound levels were measured before and after a noise-reduction program on the basis of education, rules, and technical devices(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)
BACKGROUND Recent studies in anaesthesia and intensive care indicate that a team's ability to adapt its coordination activities to changing situational demands is crucial for effective teamwork and thus, safe patient care. This study addresses the relationship between adaptation of team coordination and markers of clinical performance in response to a(More)
OBJECTIVE This field study aimed at examining the role of anesthesia teams' adaptive coordination in managing changing situational demands, such as in nonroutine events (NREs). BACKGROUND Medical teams' ability to adapt their teamwork (e.g., their coordination activities) to changing situational demands is crucial to team performance and, thus, to patient(More)
In most high risk systems, standardization in the form of standard operating procedures has been developed with ever increasing detail in order to streamline human action and to reduce its influence as a risk factor. While generally there is an understanding that rules are useful guides for safe behaviour, there is also an increasing concern that too many(More)
BACKGROUND Our goal in this study was to test the relationship between speaking up--i.e., questioning, correcting, or clarifying a current procedure--and technical team performance in anesthesia. Hypothesis 1: team members' higher levels of speaking up are related to higher levels of technical team performance. Hypothesis 2: team members will react to(More)