Continuous interprofessional coordination in perioperative work: an exploratory study.

Coordination of perioperative work is challenging. Advancements in diagnostic and therapeutic possibilities have not been followed by similar advancements in the ability to coordinate care. In this paper, we report on a study that explored the nature of continuous coordination as practiced by periop...

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Published in:Journal of Interprofessional Care Vol. 29; no. 2; pp. 125 - 131
Main Authors: Lillebo, Borge, Faxvaag, Arild
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Mar2015
Online Access:View this record in EBSCOhost
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      dt: Mar2015
      vid: 29
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/13561820.2014.950724
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        atl: Continuous interprofessional coordination in perioperative work: an exploratory study.
      aug:
        au:
          Lillebo, Borge
          Faxvaag, Arild
      sug:
        subj:
          Interprofessional Relations Evaluation
          Perioperative Care Evaluation
          Quality of Health Care
          Decision Making, Clinical Evaluation
          Human
          Funding Source
          Exploratory Research
          Interviews
          Academic Medical Centers
          Norway
          Work Environment
          Appointment and Scheduling Information Systems
          Quality of Care Research
          Urban Areas
          Open-Ended Questionnaires
          Fieldwork
          Interview Guides
          Communication
          Operating Room Personnel
          Professional Role
      ab: Coordination of perioperative work is challenging. Advancements in diagnostic and therapeutic possibilities have not been followed by similar advancements in the ability to coordinate care. In this paper, we report on a study that explored the nature of continuous coordination as practiced by perioperative staff in order to coordinate their own activities with respect to those of their colleagues. We conducted in-depth interviews ( n = 14), and combined observations and focused interviews ( n = 31) with perioperative staff (physicians, nurses, technicians, and cleaners) at a major university hospital in Norway. Data were analysed qualitatively with systematic text condensation. The results indicated that a surgical schedule was important for informing staff members about the cases and tasks they had been assigned. Staff also depended on ad hoc, explicit communication to ensure timeliness of particular perioperative activities. This, however, left little room for adjustments of other activities. Hence, to be able to proactively coordinate their own work some staff tried to predict future perioperative activities by observing the workplace, monitoring the surgical scheduling software for changes, and sharing their colleagues' progress updates and predictions. These findings could be important for those developing support for perioperative coordination.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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