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Chapter 1 - Human Factors and Teamwork in Cardiac Surgery

Published online by Cambridge University Press:  24 October 2022

Florian Falter
Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr
Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker
Affiliation:
Flinders Medical Centre, Adelaide
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Summary

There is an increasing recognition that non-technical skills, such as teamwork, communication and interpersonal competencies, provide the foundation of any cardiac surgery program.Understanding the human and psychological factors at play can help teams make the transition from good patient care to excellent patient care. This chapter will focus on those human, environmental and cultural factors that can be leveraged to optimize team performance with a focus on perfusion practice.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2022

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References

Suggested Further Reading

Wiegmann, DA, Eggman, AA, Elbardissi, AW, Parker, SH, Sundt, TM 3rd. Improving cardiac surgical care: A work systems approach. Appl Ergon. 2010;41(5):701712.CrossRefGoogle Scholar
Wahr, JA, Abernathy, JH. Improving patient safety in the cardiac operating room: Doing the right thing the right way, every time. Curr Anesthesiol Rep. 2014;4:113123.Google Scholar
Wahr, JA, Prager, RL, Abernathy, JH 3rd et al. On behalf of the American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular and Stroke Nursing, and Council on Quality of Care and Outcomes Research. Patient safety in the cardiac operating room: Human factors and teamwork: A scientific statement from the American Heart Association. Circulation. 2013;128:1139–1169.Google Scholar
El Bardissi, AW, Wiegmann, DA, Dearani, JA, Daly, RC, Sundt, TM 3rd. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg. 2007;83(4):14121419.Google Scholar
Wadhera, RK, Parker, SH, Burkhart, HM et al. Is the “sterile cockpit” concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2010;139(2):312319.Google Scholar
Mazzocco, K, Petitti, DB, Fong, KT et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678685.CrossRefGoogle ScholarPubMed
Neily, J, Mills, PD, Young-Xu, Y et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):16931700.Google Scholar
Jung, JJ, Yule, S, Boet, S, Szasz, P, Schulthess, P, Grantcharov, T. Nontechnical skills assessment of the collective surgical team using the Non-Technical Skills for Surgeons (NOTSS) system. Ann Surg. February 21, 2019.Google Scholar
Gillespie, BM, Harbeck, E, Kang, E, Steel, C, Fairweather, N, Chaboyer, W. Correlates of non-technical skills in surgery: A prospective study. BMJ Open. 2017;7(1):e014480.Google Scholar
Flin, R, Patey, R, Glavin, R, Maran, N. Anaesthetists’ non-technical skills. Br J Anaesth. 2010;105(1):3844.Google Scholar

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