Team Communication Patterns in Critical Situations

Author(s):  
Floris van den Oever ◽  
Jan Maarten Schraagen

Teams operating in time-pressured, dynamic environments frequently need to cope with critical situations varying in complexity and hazard. To cope with critical situations, teams may have to adapt their communication processes. Adaptation of team communication processes has been studied mostly at short time frames (minutes). Literature on adapting communication at longer time frames is limited (hours, relative to minutes). We used the relational event model to compare team communication in critical and noncritical situations of pediatric cardiac surgeries and Apollo 13 flight director’s voice loops. Teams showed some flattening of communication structures in critical situations. Both teams maintained institutional roles and displayed closed-loop and information-seeking communication. Communication patterns may change further with increasing criticality. The exact way teams adapt to critical situations may differ depending on team, team size and situation. Findings may inform team training procedures or team structure development.

Author(s):  
Tanja Manser ◽  
Simon Foster ◽  
Rhona Flin ◽  
Rona Patey

Objective: This study was aimed at examining team communication during postoperative handover and its relationship to clinicians’ self-ratings of handover quality. Background: Adverse events can often be traced back to inadequate communication during patient handover. Research and improvement efforts have mostly focused on the information transfer function of patient handover. However, the specific mechanisms between handover communication processes among teams of transferring and receiving clinicians and handover quality are poorly understood. Method: We conducted a prospective, cross-sectional observation study using a taxonomy for handover behaviors developed on the basis of established approaches for analyzing teamwork in health care. Immediately after the observation, transferring and receiving clinicians rated the quality of the handover using a structured tool for handover quality assessment. Handover communication during 117 handovers in three postoperative settings and its relationship to clinicians’ self-ratings of handover quality were analyzed with the use of correlation analyses and analyses of variance. Results: We identified significantly different patterns of handover communication between clinical settings and across handover roles. Assessments provided during handover were related to higher ratings of handover quality overall and to all four dimensions of handover quality identified in this study. If assessment was lacking, we observed compensatory information seeking by the receiving team. Conclusion: Handover quality is more than the correct, complete transmission of patient information. Assessments, including predictions or anticipated problems, are critical to the quality of postoperative handover. Application: The identification of communication behaviors related to high-quality handovers is necessary to effectively support the design and evaluation of handover improvement efforts.


2016 ◽  
Vol 8 (3) ◽  
pp. 45 ◽  
Author(s):  
Shueh-Chin Ting

<p>Though researchers have examined the changes in the effects of product and service performance on customer satisfaction, the short time frames of most studies prevents deeper understanding of this relationship. This study collects information from pre-purchase to 15 years post-purchase from 11,056 potential and existing automobile customers in the Taiwan market. The data is analyzed by a regression model. Results reveal that the importance of both product and service performance change over long time and the long-term trends of product and service performance weights are non-linear. In addition, from pre-purchase to the second year post-purchase, service weight is higher than product weight, but after the third year, product weight exceeds service weight. Product and service weight on customer satisfaction over time exhibit curvilinear relationships. Therefore, which one of product or service a company should stress depends on the stage in the customer relationship.</p>


2014 ◽  
Vol 70 (2) ◽  
pp. 261-281 ◽  
Author(s):  
Hans Dam Christensen

Purpose – By using the UNISIST models this paper argues for the necessity of domain analysis in order to qualify scientific information seeking. The models allow better understanding of communication processes in a scientific domain and they embrace the point that domains are always both unstable over time, and changeable, according to the specific perspective. This understanding is even more important today as numerous digitally generated information tools as well as collaborative and interdisciplinary research are blurring the domain borders. Nevertheless, researchers navigate “intuitively” in “their” specific domains, and UNISIST helps understanding this navigation. The paper aims to discuss these issues. Design/methodology/approach – The UNISIST models are tentatively applied to the domain of art history at three stages, respectively two modern, partially overlapping domains, as well as an outline of an art historical domain anno c1820. The juxtapositions are discussed against the backdrop of, among others, poststructuralist concepts such as “power” and “anti-essentialism” Findings – The juxtapositions affirm the point already surfacing in the different versions of the UNISIST model, that is, structures of communication change over time as well as according to the agents that are charting them. As such, power in a Foucauldian sense is unavoidable in outlining a domain. Originality/value – The UNISIST models are applied to the domain of art history and the article discusses the instability of a scientific domain as well as, at the same time, the significance of framing a domain; an implication which is often neglected in scientific information seeking.


Author(s):  
Morgan W. Tingley

Documenting long-term changes in biological systems requires empirical studies that span time frames from decades to centuries. Such time spans generally preclude planned experiments, but revisiting historical research programs or sites and repeating past methods or resurveying sites are being used to infer long-term changes. However, the unplanned nature of such resurveys, along with the uncontrolled environment, in which time becomes one of the treatments, results in imperfectly repeated samples. This chapter reviews inherent problems of resurveys and summarizes methods that help account for imprecision and biases in methods for the design of resurveys and analysis of the resulting data. These methods can also be used to compare repeated measurements taken over short time spans (e.g., days, months, years), although such replicates often minimize bias by having been designed when the first sample was collected. Without such careful planning, however, methodological bias increases with the time elapsed between samples.


2012 ◽  
Vol 3 (1) ◽  
pp. 55-78 ◽  
Author(s):  
Fredrik Johnsson ◽  
Bengt Vretblad ◽  
Åke Sivertun

Abstract The clearance of unexploded ordnance (UXO) and other explosive remnants of war (ERW) containing shaped charge warheads poses a particular technical hazard to consider for explosive ordnance disposal (EOD) personnel. The wide use of light anti-tank weapons, such as rocket propelled grenades and the scattering of sub-munitions in different conflict areas have made the clearance of shaped charge ammunition a frequent task. However, unlike other hazards, for shaped charges, EOD personnel lack adequate means for the establishment of the maximum hazardous area and for the design of measures for hazard confinement against the shaped charge effect. In this article two different models are suggested, which together give guidance for protective measures during clearance of shaped charge ammunition. The development of these models is based on their military utility, by consideration of the limited information availability, the short time frames, the working methods and the technology level that are characteristic for EOD operations. The two suggested models are developed further into a complete set of design rules for protective measures, giving a versatile tool to replace today´s rough estimates and guesswork, in these safety-related decisions.


OR Nurse ◽  
2009 ◽  
Vol 3 (3) ◽  
pp. 38-41 ◽  
Author(s):  
Lydia L. Forsythe
Keyword(s):  

Author(s):  
Martin Schultze ◽  
Darryl G. Thelen

Muscle actuated forward dynamic simulations have provided tremendous insights into the mechanics of locomotion. However, the controllers used for large scale simulations have often been open-loop, with the muscle excitations prescribed as a function of time [1]. Due to the inherently unstable nature of bipedal movement, this means that perturbation-type analyses are often limited to short time frames after the perturbation is introduced [2]. However for many clinical problems, it would be desirable to predict how periodic locomotion reestablishes following a change to the system or perturbation from the environment.


Urban Studies ◽  
2010 ◽  
Vol 47 (6) ◽  
pp. 1343-1366 ◽  
Author(s):  
Ruth Panelli ◽  
Wendy Larner

Analyses of activism have inspired geographers for many years, but most of this work has focused on relatively short time-frames, events and struggles. This paper suggests that there is much to be gained from a greater engagement with issues of time and time—spaces. It outlines and applies the contrasting conceptions of chrono/ chora and kairo/ topos notions of time—space as potentially useful ways to interrogate geographies of activism. The paper focuses on two specific forms of activism—an Australian women’s ‘Heritage Project’ and a New Zealand ‘Fishbowl’ evaluation of a community development programme— to show how politics is contingent on diverse temporal as well as spatial conditions. It reveals the complex navigations that are made as these politics are negotiated via both mutual learning processes and the forging of new activist—state relations. It is concluded that these ‘timely partnerships’ have involved moving beyond adversarial conceptions of ‘state’ and ‘activist’, but at the risk of reconstituting activism as ‘social capital’.


Sign in / Sign up

Export Citation Format

Share Document