Related Experiment Video
Updated: Jul 1, 2025
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
3.2K
Understanding Team Dynamics and Culture of Safety Using Video Reflexive Ethnography during Real-Time Emergent
Samuel I Garcia1, Alexander S Finch2, Jennifer L Ridgeway3
1Division of Pulmonary, Critical Care, and Sleep Medicine.
Annals of the American Thoracic Society
|March 12, 2024
Summary
Understanding team dynamics during endotracheal intubation is crucial for patient safety. Video-reflexive ethnography identified key areas for improving teamwork and reducing complications in critical care settings.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Quality Improvement
Background:
- Endotracheal intubation is a common hospital procedure with significant risks.
- Human factors contribute to over 40% of preventable intubation complications.
- Improving team dynamics is essential for enhancing patient safety during intubation.
Purpose of the Study:
- To explore team dynamics and safety actions during emergent endotracheal intubations.
- To utilize video-based debriefing for process improvement in critical care.
- To engage multidisciplinary teams in reflecting on intubation procedures.
Main Methods:
- Video-reflexive ethnography was employed for in situ video recording.
- Reflexive discussions were held with healthcare practitioners to analyze behaviors.
- Themes were identified inductively from transcribed sessions.
Main Results:
- Eight sessions involved 78 participants from diverse healthcare roles.
- Major safety gaps were identified through video-reflexive discussions.
- Proposed solutions included checklists, standardized communication, and debriefing.
Conclusions:
- Findings may inform a team supervision model for emergent intubations.
- Integration of checklists, communication, safety culture, and debriefing is recommended.
- This approach can enhance safety during critical procedures.
Related Concept Videos
01:17Endotracheal Intubation II: Nursing Management
628
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
628
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:15Endotracheal Intubation I: Procedure
1.3K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.3K
02:30Naturalistic Observations
15.4K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
15.4K
01:24Endotracheal Tube Extubation
661
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
661
01:26Endoscopic Studies II: Thoracocentesis
258
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
258