Characterizing the Structure of Operating Room Staffing Using Social Network Analysis
Characterizing the Structure of Operating Room Staffing Using Social Network Analysis
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DOI：
10.1097/nnr.0b013e3182337d97
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发表时间：
2011-11-01
期刊：
影响因子：
2.5
通讯作者：
Talsma, AkkeNeel
中科院分区：
文献类型：
--
作者：
Anderson, Christine;Talsma, AkkeNeel
背景资料：很少有研究集中在手术室团队的跨学科人员配置特征上，这是在高风险环境中提供安全患者护理的重要组成部分。Objectives：本研究的目的是确定两个外科专业的手术室人员配置在社会网络变量方面的比较。使用社会网络分析方法分析了在中西部一家大型医院进行的所有普通和神经外科手术的人员数据。网络变量包括中心性、团队核心性和核心/外围网络结构。多维标度，相关性和描述性统计被用于analysis.Results：核心/外围网络结构的特点，这两个外科服务。团队核心性是衡量团队合作频率的一个指标，与案件的长度相关（p <0.001）。程序开始时间预测了团队核心度，在当天晚些时候开始的病例不太可能配备高核心团队（p < .001）。注册护士构成的大多数核心跨学科团队成员在这两个groups.Discussion：专业团队的人员配置网络的核心/外围结构的分析表明，许多程序都配备了个人谁是外围与专业。注册护士作为核心小组成员的地位，采取规范和流程的变化，以非核心成员的沟通领导作用。应该进一步研究由较低核心团队工作的延迟开始病例的影响，因为它与患者结局有关。未来的工作应该努力考虑团队发展的复杂性和动态性。
Background: Very little research has been focused on the interdisciplinary staffing characteristics of the operating room team, an essential component of providing safe patient care in a high-risk setting.Objectives: The aim of this study was to determine how the operating room staffing of two surgical specialties compares in terms of social network variables.Methods: Staffing data from all general and neurosurgical procedures performed at a large Midwestern hospital were analyzed using Social Network Analysis methods. Network variables include centrality, team coreness, and the core/periphery network structure. Multidimensional scaling, correlation, and descriptive statistics were used for the analysis.Results: The core/periphery network structure was characteristic of both surgical services. Team coreness, a measure of how often the team worked together, was associated with the length of the case (p < .001). Procedure start time predicts the team coreness measure, with cases starting later in the day less likely to be staffed with a high core team (p < .001). Registered nurses constitute the majority of core interdisciplinary team members in both groups.Discussion: Analysis of the core/periphery structure of specialty team staffing networks indicates that many procedures are staffed with individuals who are associated peripherally with the specialty. Registered nurses as core group members are in a position to take a leadership role in the communication of norms and process variations to noncore members. The effect of having late starting cases staffed with a lower core team should be studied further because it pertains to patient outcomes. Future work should strive to account for the complex and dynamic nature of team development.