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[Conflict matrix : Risk management tool in the operating room].

D Andel1, K Markstaller1, H Andel2

  • 1Universitätsklinik für Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

Der Anaesthesist
|March 30, 2017
PubMed
Summary
This summary is machine-generated.

A new conflict matrix offers a simple, cost-effective method to assess and manage workplace conflicts in operating rooms. Early conflict recognition can save costs and improve team cooperation.

Keywords:
Conflict managementMediationOR managementPatient safetyRisk management

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Medical Team Dynamics

Background:

  • Conflicts negatively impact costs and performance in business, a factor often overlooked in healthcare, particularly operating room (OR) management.
  • Multidisciplinary OR settings can foster competition over collaboration due to communication gaps and unclear decision-making rules, leading to conflict escalation.

Purpose of the Study:

  • To develop an inexpensive and objective conflict matrix for evaluating conflict escalation levels in multidisciplinary environments like the OR.
  • To provide a tool for assessing the conflict landscape within ORs to facilitate early intervention and prevention.

Main Methods:

  • Senior members from various OR disciplines were surveyed to estimate conflict escalation levels between professional groups on a 0-9 scale.
  • Response data was aggregated to create a conflict matrix, visualizing escalation levels through color-coded median, minimum, and maximum values.

Main Results:

  • Data from 10 of 11 contacted occupational groups was analyzed, with feedback ranging from 0 to 6 on the conflict escalation scale.
  • A wide range of conflict escalation estimations (up to 6 levels) was observed within single categories, highlighting significant inter-group variability.

Conclusions:

  • The conflict matrix is a simple, cost-effective tool for assessing conflict in multidisciplinary settings like ORs.
  • Early conflict detection and prevention offer substantial cost and risk savings, fostering a culture of conflict resolution and enhancing interdisciplinary cooperation.