Teamwork and error in the operating room: analysis of skills and roles.

K. Catchpole; A. Mishra; A. Handa; P. McCulloch

Study

Teamwork and error in the operating room: analysis of skills and roles.

April 23, 2008

Catchpole K, Mishra A, Handa A, et al. Ann Surg. 2008;247(4):699-706.

View more articles from the same authors.

Direct observation of surgical procedures revealed that lower situational awareness among surgical teams was correlated with increased error rates.

PubMed citation

Available at

Related Resources From the Same Author(s)

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.

April 15, 2009

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.

April 22, 2009

Factors influencing incident reporting in surgical care.

April 22, 2009

Interventions to improve teamwork and communications among healthcare staff.

March 2, 2011

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

November 18, 2009

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

December 1, 2010

Patient handovers within the hospital: translating knowledge from motor racing to healthcare.

July 28, 2010

Interventions employed to improve intrahospital handover: a systematic review.

June 11, 2014

Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.

April 2, 2008

Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study.

November 14, 2018

The role of human factors in neonatal patient safety

October 9, 2019

Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program.

January 20, 2016

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.

November 19, 2014

A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.

February 4, 2015

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

Spreading human factors expertise in healthcare: untangling the knots in people and systems.

October 9, 2013

Toward the modelling of safety violations in healthcare systems.

May 15, 2013

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.

February 21, 2024

Patient harm in general surgery--a prospective study.

April 4, 2007

Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?

May 25, 2016

Human factors in healthcare: welcome progress, but still scratching the surface.

June 29, 2016

The problem with checklists.

July 15, 2015

Patient risk factors for medical injury: a case–control study.

January 26, 2011

Will human factors restore faith in the GMC?

April 17, 2019

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system.

November 9, 2005

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

February 27, 2008

A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.

September 4, 2013

Evaluating patient identification practices during intrahospital transfers: a human factors approach.

March 29, 2023

Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.

March 27, 2019

Use of technology to improve the adherence to surgical safety checklists in the operating room.

May 31, 2023

Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.

April 26, 2023

State of science: human factors and ergonomics in healthcare.

September 4, 2013

A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.

February 21, 2024

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.

June 17, 2020

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.

February 28, 2024

First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.

October 31, 2012

Fatal errors in nitrous oxide delivery.

January 2, 2008

Correlation between hospital rating agencies' data: an analysis and recommendation.

June 10, 2020

Integrating human factors research and surgery: a review.

January 16, 2013

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

Prevention of failure to rescue in obstetric patients: a realist review.

November 10, 2021

Time for prefilled syringes - everywhere.

March 13, 2024

Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.

March 6, 2005

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.

September 6, 2006

Potential medical adverse events associated with death: a forensic pathology perspective.

January 6, 2010

Fatal flaws in clinical decision making.

January 30, 2019

House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service.

January 17, 2007

Flow disruptions in trauma care handoffs.

May 22, 2013

SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.

October 23, 2013

Management of adverse surgical events: a structured education module for residents.

November 2, 2005

Reducing adverse drug events: lessons from a breakthrough series collaborative.

March 27, 2005

A multicenter trial of aviation-style training for surgical teams.

September 15, 2010

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

January 27, 2010

Multidisciplinary crisis simulations: the way forward for training surgical teams.

July 18, 2007

A systematic review of interventions to follow-up test results pending at discharge.

February 7, 2018

Adherence to recommended electronic health record safety practices across eight health care organizations.

May 16, 2018

The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.

January 16, 2008

Building a framework for trust: critical event analysis of deaths in surgical care.

May 25, 2005

Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.

September 19, 2007

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

Potential drug interactions and duplicate prescriptions among cancer patients.

May 2, 2007

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

October 7, 2020

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

October 19, 2011

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.

January 18, 2023

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Iatrogenic illness on a general medical service at a university hospital.

March 27, 2005

When policy meets physiology: the challenge of reducing resident work hours.

June 28, 2006

Application of AHRQ patient safety indicators to English hospital data.

August 12, 2009

Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force.

January 25, 2012

Bullying of junior doctors prevails in Irish health system: a bitter reality.

December 7, 2005

Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions.

November 2, 2016

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

April 21, 2005

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.

April 17, 2024

Framework for direct observation of performance and safety in healthcare.

November 29, 2017

Improving patient safety by identifying latent failures in successful operations.

August 1, 2007

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

December 1, 2010

A case of the birth and death of a high reliability healthcare organisation.

June 22, 2005

Audit of handover in an ENT unit.

December 14, 2011

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review.

April 14, 2021

Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.

December 22, 2021

Barriers to incident notification in a regional prehospital setting.

July 28, 2010

Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.

October 16, 2013

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

January 25, 2012

Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation.

September 20, 2017

How do community pharmacies recover from e-prescription errors?

January 7, 2015

E-prescribing errors in community pharmacies: exploring consequences and contributing factors.

April 16, 2014

Postoperative opioid prescribing: Getting it RIGHTT.

March 21, 2018

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.

January 27, 2016

E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.

October 31, 2012

e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach.

July 31, 2013

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

August 1, 2012

Cutting-edge efforts in surgical patient safety.

June 14, 2017

Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.

April 11, 2007

Weekend mortality for emergency admissions. A large, multicentre study.

February 10, 2010

Resilience in healthcare and clinical handover.

August 12, 2009

Related Resources

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.

January 31, 2024

The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives.

July 5, 2023

Journal Article

Study

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

March 29, 2023

Semantically ambiguous language in the teaching operating room.

December 15, 2021

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.

November 17, 2021

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals.

April 8, 2020

Analysis of human performance deficiencies associated with surgical adverse events.

August 14, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Learning From Invited Reviews.

April 10, 2019

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Critical role of the surgeon–anesthesiologist relationship for patient safety.

August 22, 2018

Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles.

November 15, 2017

Introductions during time-outs: do surgical team members know one another's names?

May 24, 2017

Operative team communication during simulated emergencies: too busy to respond?

December 21, 2016

Investigating teamwork in the operating room: engaging stakeholders and setting the agenda.

October 19, 2016

Use of a surgical safety checklist to improve team communication.

September 21, 2016

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

Exclusion of residents from surgery-intensive care team communication: a qualitative study.

April 27, 2016

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program.

January 20, 2016

Importance of teamwork, communication and culture on failure-to-rescue in the elderly.

January 13, 2016

How surgical trainees handle catastrophic errors: a qualitative study.

July 1, 2015

Inadequate preoperative team briefings lead to more intraoperative adverse events.

May 27, 2015

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.

July 30, 2014

See More About The Topic

Operating Room

Surgery

Surgical Complications

Communication between Providers

Teamwork

Teamwork and error in the operating room: analysis of skills and roles.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Teamwork and error in the operating room: analysis of skills and roles.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site