Lowering communication barriers in operating room technology
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Jessica L Webster1, Caroline G L Cao
1Tufts University, Medford, MA 02155, USA.
Objectives:
This paper examines the effects of new technology on team communication and information flow in a complex work environment, and offers design suggestions for improved team performance.
Background:
Case study of a robot-assisted cholecystectomy procedure revealed teamwork disruption and an increase in the complexity of information flow and communication in the operating room as a result of the novel technology. A controlled experiment using a between-subjects design was conducted to test the hypothesis that providing critical information in a timely and accessible manner would increase communication efficiency and reduce errors in task performance.
Methods:
Eighteen pairs of participants took part in a simulated tool-changing task in surgery under one of three communication conditions: (a) no rules, (b) scripted, or (c) automated.
Results:
Teams in the scripted and automated conditions performed significantly faster than the no-rules teams (p < .05). Teams in the automated condition made significantly more errors than those in the scripted condition (p < .05).
Conclusion:
Scripted speech can facilitate team communication and adaptation to new technology; automatic information display interfaces are not useful if the modality is incompatible with operator expectations.
Application:
Information displays and communication protocols can be designed to ease adaptation to complex operating room technology.
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