Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Exploring Shared Mental Models of surgical teams in Video-Assisted Thoracoscopic Surgery lobectomy

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Delayed Iatrogenic Intracranial Hypotension After Thoracotomy

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Ten-Year Trends of Clinicopathologic Features and Surgical Treatment of Lung Cancer in China

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Intrathoracic Splenosis Without Clinical Evidence of Diaphragmatic Rupture

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Postmarket Experience With HeartMate 3 Left Ventricular Assist Device: 30-Day Outcomes From the ELEVATE Registry

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Maintaining Competence in Airway Management

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Okay, let's talk - short debriefings in the operating room

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Ten years of the Helsinki Declaration on patient safety in anaesthesiology: An expert opinion on peri-operative safety aspects

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Using computerized assessment in simulated colonoscopy: a validation study

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Ensuring Competency in Open Aortic Aneurysm Repair - Development and Validation of a New Assessment Tool

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Non-technical skills are important for safe and efficient surgery. Teams performing Video-Assisted Thoracoscopic Surgery (VATS) lobectomy express that it is of utmost importance to have a Shared Mental Model (SMM) of the patient, current situation, and team resources. However, these SMMs have never been explored in a clinical setting. The aim of this observational study was to measure the similarity of SMMs within teams performing VATS lobectomy.

METHODS: In this national, multi-center study, SMMs of teams performing VATS lobectomy (n=64) were measured by pre- and postoperative questionnaires that were completed by all team members (n=172). Participants' responses were compared within each team to explore SMMs of risk assessment, familiarity, technical skills, non-technical skills, and problems.

RESULTS: Analysis showed poor agreement between team members with respect to risk assessment, but higher levels of agreement were found for assessments of familiarity, technical and non-technical skills within the team (Cronbach's alpha=0.90), most notably for surgical subteams (=surgeon+assistant surgeon+surgical nurses). During the surgical procedure, the most frequent problems were related to anesthesia, and these were most often recognized by the surgeons. The operating room nurses were the least aware of each other's and the surgeons' problems.

CONCLUSIONS: Significant variation exists in the SMMs among VATS team members, with poor agreement regarding the patient and current situation, but better agreement with respect to team resources. Focus on pre-operative and peri-operative team reflexivity, in addition to explicit communication within unfamiliar teams, may provide opportunities to enhance SMMs, with possible downstream effects on team performance.

Original languageEnglish
JournalThe Annals of thoracic surgery
Volume107
Issue number3
Pages (from-to)954-961
Number of pages8
ISSN0003-4975
DOIs
Publication statusPublished - Mar 2019

Bibliographical note

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

    Research areas

  • Aged, Clinical Competence, Communication, Female, Humans, Lung Neoplasms/surgery, Male, Models, Psychological, Patient Care Team/standards, Pneumonectomy/standards, Surgeons/psychology, Thoracic Surgery, Video-Assisted/standards

ID: 55422366