Team Relations and Role Perceptions During Anesthesia Crisis Management in Magnetic-Resonance Imaging Settings: A...

Area of Science:

• Anesthesiology
• Medical Imaging
• Healthcare Management

Background:

• Growing trend of procedures in non-operating room anesthesia (NORA) settings, specifically magnetic resonance imaging (MRI) suites.
• Patient care in NORA relies on interprofessional ad hoc teams unfamiliar with each other.
• Focus on team relations and role perceptions during crises in MRI settings.

Purpose of the Study:

• To explore team relations and role perceptions among ad hoc interprofessional teams in MRI settings during crisis situations.
• To identify and describe overlapping and mismatched perceptions between anesthesia and non-anesthesia personnel.
• To assess the impact of these perceptions on crisis management effectiveness.

Main Methods:

• Convergent parallel mixed methods study design.
• Administration of the Relational Coordination Index (RCI) and role perception surveys to anesthesia and non-anesthesia personnel.
• Conducting semistructured interviews with a purposive sample for qualitative insights.

Main Results:

• Moderate relational coordination observed between anesthesia and non-anesthesia groups.
• Agreement on anesthesia clinician leadership during crises, with non-anesthesia personnel assisting.
• Nuanced differences in role expectations regarding calling for help, equipment needs, and patient care actions, alongside concerns about crisis-relevant skills.

Conclusions:

• Mismatched role expectations among interprofessional teams in MRI settings can impede effective crisis management.
• Addressing these nuanced differences is vital for optimizing patient safety and care in NORA environments.
• Further research into interprofessional communication and training in NORA settings is warranted.