teamwork; team performance; group process analysis; adaptive coordination; clinician well-being; safety; human factors; clinical performance; team climate; acute patient care teams; patient safety; coordination; well-being; human performance
2. Bogdanovic J. Perry J. Guggenheim M. & Manser T. (2015), Adaptive coordination in surgical teams: an interview study, in BMC Health Services Research
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Schmutz J. Hoffmann F. Heimberg E. & Manser T. (2015), Effective coordination in medical emergency teams: The moderating role of task type, in European Journal of Work and Organizational Psychology,
, 24(5), 1-16.
Schmutz J. Manser T. Keil J. Heimberg E. & Hoffmann F. (2015), Structured performance assessment in three pediatric emergency scenarios: a validation study, in The Journal of Pediatrics
, 166, 1329-1332.
Schmutz J. Welp A. & Kolbe M. (2015), Teamwork in healthcare organizations, in Örtenblad A. & Abrahamson Löfström C. & Sheaff R. (ed.), Routledge, London, 359-377.
Wisborg Torben, Manser Tanja (2014), Assessment of non-technical skills in the operating room – one assessment tool per specialty?, in Acta Anaesthesiologica Scandinavica
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Schutz Jan, Eppich W. J., Hoffmann F., Heimberg E., Manser T. (2014), Five Steps to Develop Clinical Performance Checklists: A Systematic Approach, in Academic Medicine
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Tschuor C., Raptis D. A., Morf M., Staffelbach B., Manser T., Clavien P.-A. (2014), Satisfaction among Chairs of Surgery from Europe and North America, in Surgery
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Manser. T. (2014), Zwischen Standardisierung und ärztlicher Kunst: Führt ein dritter Weg zu mehr Sicherheit?, in Vollmer A., Manser T., Dick M., Clases C. (ed.), Papst, Lengerich, 309-318.
Schmutz Jan, Manser Tanja (2013), Do team processes really have an effect on clinical performance? A systematic literature review, in British Journal of Anaesthesia
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Xiao Y., Henrickson Parker S., Manser T. (2013), Teamwork and collaboration, in Reviews of Human Factors and Ergonomics
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Manser Tanja, Mitchell Lucy (2012), Strengths and Weaknesses of Specific Interview Methods and Qualitative Data Analysis Strategies in Identifying Team Performance Requirements, in Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2012
Manser Tanja, Perry Juliana, Schmutz Jan (2012), Verhalten ist messbar: Behavioural Marker Systeme und Kompetenzentwicklung, in M. St. Pierre & G. Breuer (ed.), Springer, Heidelberg, 169-182.
Welp Annalena, Meier Laurenz, Manser Tanja, Emotional exhaustion and workload predict clinician-rated and objective patient safety, in Frontiers in Psychology
Wiig Siri, Manser Tanja, Studying patient safety and quality from different methodological angles and perspectives, in Aase Karina (ed.), Ashgate, Aldershot.
Manser Tanja, Teambuilding, in Flaatten Hans, Valentin A., Guidet B. (ed.), Cambridge University Press, Cambridge.
There is an increasing recognition that the challenges to patient safety are mostly organisational not just clinical. Based on systematic incident analyses, teamwork has been identified as a key area of patient safety interventions with human factors research being integral to achieving this goal. Research in high-risk industries such as aviation shows that a performance critical feature of effective teamwork is coordination and that high performing teams adapt several aspects of their coordination process to the changing requirements of different task situations (e.g. increased coordination requirements in case of non-routine / critical events). Studies in medicine provide first empirical evidence on coordination behaviours that help to maintain good clinical performance in the management of a non-routine or critical event. For surgery, however, no empirical investigation of characteristics of coordination processes has been conducted. In order to improve the teamwork of the overall operating room team, measures to assess adaptive coordination in the anaesthesia and surgical sub-crew need to be developed and then used in concert for future research and training development. In addition to team process characteristics, recent research highlights the importance of perceptions of teamwork quality related to clinician well-being and patient safety. From a theoretical perspective, aspects of organizational climate such as clinicians’ perceptions of teamwork form the foundation on which team processes are enacted. In the past, clinicians’ perceptions of teamwork have been shown to be associated with clinician well-being and with patient safety. However, the potentially complex interrelations of these concepts including temporal characteristics and changes over time have not yet been investigated systematically.The proposed research programme is structured into three closely related projects. Together these projects will contribute to scientific knowledge concerning the relationships between teamwork and patient safety by identifying coordination processes that support high clinical performance (project A and B) and by investigating the influence of clinicians’ perceptions of teamwork that form the background on which these team processes are enacted on clinician well-being and patient safety (project C). Project A is closely related to our previous research by analysing the robustness of our findings on adaptive coordination in anaesthesia crews. We will systematically investigate team characteristics (i.e. level of experience) and task characteristics (i.e. type of incident) that might influence the effects of these coordination mechanisms on team performance in anaesthesia crews. A series of three simulation-based studies will be carried out in collaboration with the PaedSim Network for interdisciplinary and multiprofessional paediatric simulation. Types of incidents will be distinguished a) using a task-analytic approach based on Rasmussen’s taxonomy of skill-based, rule-based, and knowledge-based tasks (Rasmussen, 1983) and b) by including not only medical crisis situations but also non-routine events. In a fourth study, a simulation-based team training intervention focusing on adaptive coordination will be developed based on the results of our research. The effects of this intervention on clinical performance will be tested experimentally. Project B will investigate adaptive coordination in surgical crews. This is an important next step to understand the effective and safe functioning of the various sub-crews and the overall operating room team. Project B aims at developing measures to assess adaptive coordination in surgical crews based on interviews and a review of taxonomies for team behaviours within and outside surgery. An observational field study in the same two surgical settings will be conducted in collaboration with the Division of Plastic and Reconstructive Surgery, University Hospital Zurich, to test the taxonomy for adaptive coordination in surgical crews and to uncover team and task characteristics that require adaptive coordination in surgical crews. Using video-recordings of surgical simulations and clinical performance data (both provided by the Clinical Safety Research Unit, Imperial College London), we will test for the relationships between patterns of adaptive coordination and clinical performance in surgical crews. This project goes beyond our previous research by expanding it to a new group of clinicians. Thus, it will contribute to methodological developments and to the identification of performance critical aspects of coordination specific to surgical practice that should be integrated in surgical education and training. Project C will investigate the relationship between teamwork and patient safety at a different level by focusing on clinicians’ subjective perceptions of teamwork. This level of analysis has been included in the research programme because past research shows that clinicians’ perceptions of teamwork are associated with clinician well-being and with patient safety. We will conduct surveys of clinicians from different professional groups working in relatively stable teams. Our analyses will focus on the relationships of clinicians’ perceptions of teamwork, clinician well-being, and measures of patient safety. We will investigate differences between different professional groups (i.e. nurses and physicians) and the influence of team and organizational characteristics. A longitudinal approach will be chosen to analyse changes over time for selected teams. From a theoretical perspective, the results of this research will advance our understanding of how psychological concepts such as team climate influence clinician well-being and patient safety. The results of this project will feed into practical recommendations for the management of healthcare teams that consider staff well-being and patient safety as synergistic outcomes.