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The operating room (OR) offers a unique opportunity to explore concepts of teams and teamwork. Communication and teamwork contribute to adverse events.1,2 Attempts at intervention, such as crew resource management, have had mixed results.3 While survey-based studies have shown discipline-specific differences in perceived teamwork in the operative setting,4 we have a poor understanding of how unique aspects of operative environments, teams, and culture contribute to these problems. Quantitative and observational studies are insufficient to explore the complex function and behaviors of operative teams. Although qualitative evaluations of surgical care exist,5,6 to our knowledge, there has been minimal investigation of clinicians’ perceptions on topics of operative team identity, management of operative team member unfamiliarity, and intraoperative hand-offs. Engaging stakeholders and evaluating their perspectives is critical to setting an agenda for further investigation and the design and implementation of best practice guidelines or team training interventions.
Frasier LL, Pavuluri Quamme SR, Becker A, Booth S, Gutt A, Wiegmann D, Greenberg CC. Investigating Teamwork in the Operating RoomEngaging Stakeholders and Setting the Agenda. JAMA Surg. Published online September 28, 2016. doi:10.1001/jamasurg.2016.3110