Surgical team mapping: implications for staff allocation and coordination.

Abstract:

:Perioperative team membership consistency is not well researched despite being essential in reducing patient harm. We describe perioperative team membership and staffing across four surgical specialties in an Australian hospital. We analyzed staffing and case data using social network analysis, descriptive statistics, and bivariate correlations and mapped 100 surgical procedures with 171 staff members who were shared across four surgical teams, including 103 (60.2%) nurses. Eighteen of 171 (10.5%) staff members were regularly shared across teams, including 12 nurses, five anesthetists, and one registrar. We found weak but significant correlations between the number of staff (P < .001), procedure start time (P < .001), length of procedure (P < .05), and patient acuity (P < .001). Using mapping, personnel can be identified who may informally influence multiple team cultures, and nurses (ie, the majority of team members in surgery) can lead the development of highly functioning surgical teams.

journal_name

AORN J

journal_title

AORN journal

authors

Sykes M,Gillespie BM,Chaboyer W,Kang E

doi

10.1016/j.aorn.2014.03.018

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

238-48

issue

2

eissn

0001-2092

issn

1878-0369

pii

S0001-2092(14)01236-8

journal_volume

101

pub_type

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