Teams and Cardiac Surgery


Schraagen, Jan Maarten and Ven, Josine van de and Barach, Paul and Smit, Meike (2009) Teams and Cardiac Surgery. In: NDM9 “NDM and Computers” The 9th bi-annual International Conference on Naturalistic Decision Making Jointly organized with the British Computer Society INTERACTION Specialist Group , 23-26 June, 2009, Covent Garden, London.

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Abstract:Motivation - Our study is designed to identify human factors that are a threat to the safety of children
with heart disease. Research approach - After an initial observation period, we will apply a major safety
intervention. We will then re-measure the occurrence and types of human factors in the operating room,
and the incidence of adverse events, near misses and hospital death, to evaluate if there was a significant
post-intervention reduction. Findings/design – We focus on challenges encountered during the training
of the observers. Research Limitations – Because of the complexity of the OR, observations are
necessarily subjective. Originality/Value – This work is original because of the systematic evaluation of
a safety intevention and the training protocol for the observers. Take Away Message – Systematic and
periodic assessment of observers is required when teamwork is observed in complex, dynamic settings
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Copyright:© 2009 The Authors
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