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Can Surgical Teams Ever Learn? The Role of Coordination, Complexity, and Transitivity in Action Team Learning

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TLDR
In this article, the authors conceptualized how action teams may learn and test hypotheses regarding the performance-related effects of such learning, the mechanisms mediating such effects, and the conditions governing their magnitude.
Abstract
Recognizing that current theories of team learning do not apply to short-term action teams, we conceptualize how action teams may learn and test hypotheses regarding the performance-related effects of such learning, the mechanisms mediating such effects, and the conditions governing their magnitude. We operationalized the level of action team learning (ATL) in terms of the regularity and number of role-based, guided team reflexivity experiences of an action team's members. Testing our hypotheses on 250 surgical teams, we find that higher levels of ATL are associated with shorter surgical duration, with this effect mediated by team helping and workload sharing, particularly under conditions of greater team task complexity. Additionally, we find higher levels of ATL to be directly associated with a reduced number of adverse events in low-complexity surgeries. [ABSTRACT FROM AUTHOR]

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Journal ArticleDOI

A Matter of Life or Death: How Extreme Context Research Matters for Management and Organization Studies

TL;DR: A growing body of research on organizational research has been published in the last few decades as discussed by the authors, which has seen an escalation of interest in research into extremes, and this growing body is decidedly fragmented.
Journal ArticleDOI

The Impact of Rudeness on Medical Team Performance: A Randomized Trial.

TL;DR: R rudeness had adverse consequences on the diagnostic and procedural performance of the NICU team members and information-sharing mediated the adverse effect of rudeness on diagnostic performance, and help-seeking mediated the effect of Rudeness on procedural performance.
Journal ArticleDOI

Team Reflexivity as an Antidote to Team Information-Processing Failures

TL;DR: The authors propose that team reflexivity reduces the occurrence of information-processing failures by ensuring that teams discuss and assess the implications of team information for team goals, processes, and outcomes, and discuss the conditions under which team Reflexivity is and is not likely to facilitate performance.
Journal ArticleDOI

Briefing and debriefing during simulation-based training and beyond: Content, structure, attitude and setting

TL;DR: The potential of integrating systemic methods such as circular questions into debriefings are pointed to, the empirical evidence for debriefing effectiveness is discussed and the importance of faculty development is highlighted.
Journal ArticleDOI

Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

TL;DR: It is shown how mesolevel structures support effective coordination in temporary groups and changes to the coordination patterns in the ED captured through a two-mode network after the team scaffolds were implemented and showed a 40% improvement in patient throughput time.
References
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Book

Hierarchical Linear Models: Applications and Data Analysis Methods

TL;DR: The Logic of Hierarchical Linear Models (LMLM) as discussed by the authors is a general framework for estimating and hypothesis testing for hierarchical linear models, and it has been used in many applications.
Journal ArticleDOI

Hierarchical Linear Models: Applications and Data Analysis Methods.

TL;DR: This chapter discusses Hierarchical Linear Models in Applications, Applications in Organizational Research, and Applications in the Study of Individual Change Applications in Meta-Analysis and Other Cases Where Level-1 Variances are Known.
Book

Practical statistics for medical research

TL;DR: Practical Statistics for Medical Research is a problem-based text for medical researchers, medical students, and others in the medical arena who need to use statistics but have no specialized mathematics background.
Journal ArticleDOI

Practical Statistics for Medical Research.

S. D. Walter, +1 more
- 01 Jun 1992 - 
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