BIOMAT Database Logo BIOMAT Database Logo

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. 2006

J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
The Johns Hopkins University, Department of Anesthesiology and Critical Care Medicine, and Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, USA.

BACKGROUND The Joint Commission on Accreditation of Healthcare Organizations is proposing that hospitals measure culture beginning in 2007. However, a reliable and widely used measurement tool for the operating room (OR) setting does not currently exist. METHODS OR personnel in 60 US hospitals were surveyed using the Safety Attitudes Questionnaire. The teamwork climate domain of the survey uses six items about difficulty speaking up, conflict resolution, physician-nurse collaboration, feeling supported by others, asking questions, and heeding nurse input. To justify grouping individual-level responses to a single score at each hospital OR level, the authors used a multilevel confirmatory factor analysis, intraclass correlations, within-group interrater reliability, and Cronbach's alpha. To detect differences at the hospital OR level and by caregiver type, the authors used multivariate analysis of variance (items) and analysis of variance (scale). RESULTS The response rate was 77.1%. There was robust evidence for grouping individual-level respondents to the hospital OR level using the diverse set of statistical tests, e.g., Comparative Fit Index = 0.99, root mean squared error of approximation = 0.05, and acceptable intraclasss correlations, within-group interrater reliability values, and Cronbach's alpha = 0.79. Teamwork climate differed significantly by hospital (F59, 1,911 = 4.06, P < 0.001) and OR caregiver type (F4, 1,911 = 9.96, P < 0.001). CONCLUSIONS Rigorous assessment of teamwork climate is possible using this psychometrically sound teamwork climate scale. This tool and initial benchmarks allow others to compare their teamwork climate to national means, in an effort to focus more on what excellent surgical teams do well.

UI MeSH Term Description Entries
D009873 Operating Rooms Facilities equipped for performing surgery. Operating Room,Room, Operating,Rooms, Operating
D010348 Patient Care Team Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient. Health Care Team,Interdisciplinary Health Team,Medical Care Team,Multidisciplinary Care Team,Multidisciplinary Health Team,Healthcare Team,Care Team, Health,Care Team, Medical,Care Team, Multidisciplinary,Care Team, Patient,Care Teams, Health,Care Teams, Patient,Health Care Teams,Health Team, Interdisciplinary,Health Team, Multidisciplinary,Healthcare Teams,Interdisciplinary Health Teams,Medical Care Teams,Multidisciplinary Care Teams,Multidisciplinary Health Teams,Patient Care Teams,Team, Health Care,Team, Healthcare,Team, Interdisciplinary Health,Team, Medical Care,Team, Multidisciplinary Care,Team, Multidisciplinary Health,Team, Patient Care,Teams, Interdisciplinary Health
D010564 Personnel, Hospital The individuals employed by the hospital. Hospital Personnel
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003299 Cooperative Behavior The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed) Compliant Behavior,Behavior, Compliant,Behavior, Cooperative,Compliant Behaviors,Cooperative Behaviors
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000776 Anesthesiology A specialty concerned with the study of anesthetics and anesthesia.
D001290 Attitude An enduring, learned predisposition to behave in a consistent way toward a given class of objects, or a persistent mental and/or neural state of readiness to react to a certain class of objects, not as they are but as they are conceived to be. Sentiment,Attitudes,Opinions,Opinion,Sentiments
D012449 Safety Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property. Safeties
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.

Related Publications

J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Teamwork in the operating room.
August 1951, Hospital management,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Critique: occupational disease among operating room personnel.
May 1975, Anesthesiology,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Smoking tobacco use among operating room personnel.
January 2014, Boletin de la Asociacion Medica de Puerto Rico,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
[Stab wounds and lacerations among operating room personnel].
September 1991, Ugeskrift for laeger,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
COVID-19 among medical personnel in the operating room.
July 2020, Infection control and hospital epidemiology,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Latex allergy among operating room personnel in Turkey.
January 2000, Journal of investigational allergology & clinical immunology,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
The surgical supervisor views operating room teamwork.
March 1951, Hospital management,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Standardizing for smooth teamwork in the operating room.
September 1947, Modern hospital,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
[Role-specific targets and teamwork in the operating room].
December 2017, Der Anaesthesist,
J Bryan Sexton, and Martin A Makary, and Anthony R Tersigni, and David Pryor, and Ann Hendrich, and Eric J Thomas, and Christine G Holzmueller, and Andrew P Knight, and Yun Wu, and Peter J Pronovost
Attitudes to teamwork and safety among Italian surgeons and operating room nurses.
January 2014, Work (Reading, Mass.),
Copied contents to your clipboard!