Safety, quality & education

Contribution of Coordination Theories to the Determination of Human Factors Associated With Operating Room Perceived Performance

Anesth AnalgPublished Qualitative comparative case study

Authors' conclusion

Based on existing literature on multi-team systems (as represented in the OS organization), this study identifies success factors influencing OS coordination. These include the OS manager's leadership skills; the identification of formal system objectives; and professional differentiation between stakeholders (absence/decrease of a sense of belonging to a multi-team system).

Study context

Population
Health care providers and hospital managers in operating suites of 4 facilities (2 teaching, 1 general, 1 private) in an urban setting in France48 interviews, 200 h observation
Outcome
Coordination mechanisms associated with perceived performance of the operating suite
Methodological detailsethnographic methodology, multicentre (4 facilities), triangulation, Data from semistructured interviews, participant and nonparticipant observations, informal interviews; analysis guided by Okhuysen and Bachky's coordination framework and multi-team systems theory
  • Ethnographic methodology
  • Multicentre (4 facilities)
  • Triangulation
  • Data from semistructured interviews, participant and nonparticipant observations, informal interviews; analysis guided by Okhuysen and Bachky's coordination framework and multi-team systems theory

Main finding

As reported in the abstract

Coordination mechanisms and perceived performance
  • OR exhibited a high degree of coordination
  • Improved perception of performance in the operating suite (OS) depended on managerial competency, trust, and authority
  • Perceived performance in the regulation council and OS council depended on identification of formal objectives by all stakeholders and development of common understanding

Original publication

Contribution of Coordination Theories to the Determination of Human Factors Associated With Operating Room Perceived Performance. Anesth Analg. Published 2 August 2024. doi:10.1213/ane.0000000000007075

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