학술논문
Team dynamics in emergency surgery teams: results from a first international survey
Document Type
Survey
Author
Cobianchi, Lorenzo; Dal Mas, Francesca; Massaro, Maurizio; Fugazzola, Paola; Coccolini, Federico; Kluger, Yoram; Leppäniemi, Ari; Moore, Ernest E.; Sartelli, Massimo; Angelos, Peter; Ansaloni, Luca; Abdelmalik, Abubaker; Abebe, Nebyou Seyoum; Abu-Zidan, Fikri M.; Adam, Yousif Abdallah Yousif; Adamou, Harissou; Agrusa, Antonino; Akin, Emrah; Alexandrino, Henrique; Ali, Syed Muhammad; Almeida, Pedro Miguel; Amico, Francesco; Ammendola, Michele; Andreuccetti, Jacopo; Aparicio-Sánchez, Daniel; Ardito, Antonella; Argenio, Giulio; Askevold, Ingolf Harald; Atanasov, Boyko Tchavdarov; Augustin, Goran; Awad, Selmy Sabry; Bagnoli, Carlo; Bains, Lovenish; Balalis, Dimitrios; Baldini, Edoardo; Baraket, Oussama; Barone, Mirko; Barreras, Jorge Arturo; Bellanova, Giovanni; Biancuzzi, Helena; Bignell, Mark Brian; Bini, Roberto; Bissacco, Daniele; Boati, Paoll; Bottari, Andrea; Bouliaris, Konstantinos; Brillantino, Antonio; Buonomo, Luis Antonio; Buscemi, Salvatore; Calu, Valentin; Campo Dall'Orto, Riccardo; Carvas, Joao Miguel; Casoni Pattacini, Gianmaria; Catena, Fausto; Celentano, Valerio; Ceresoli, Marco; Chirica, Mircea; Cianci, Pasquale; Cillara, Nicola; Cimbanassi, Stefania; Cioffi, Stefano Piero Bernardo; Colak, Elif; Conti, Luigi; Dantas Costa, Silvia; D'acapito, Fabrizio; Damaskos, Dimitrios; Das, Koray; Davies, Richard Justin; De Beaux, Andrew Charles; De Simone, Belinda; Demetrashvili, Zaza; Demetriades, Andreas Kyriacou; Denicolai, Stefano; Di Buono, Giuseppe; Di Carlo, Isidoro; Di Saverio, Salomone; Diaconescu, Bogdan; Dibra, Rigers; Dios-Barbeito, Sandra; Dogjani, Agron; Domanin, Maurizio; D'Oria, Mario; Duran Munoz-Cruzado, Virginia; East, Barbora; Ekwen, Gerald Takem; Elbaih, Adel Hamed; Escalera-Antezana, Juan Pablo; Esposito, Giuseppe; Farre, Roser; Ferrario di Tor Vajana, Antonjacopo; Cordeiro Fonseca, Vinicius; Forfori, Francesco; Fortuna, Laura; Fradelos, Evangelos; Fraga, Gustavo P.; Fransvea, Pietro; Gachabayov, Mahir; Garcia Vazquez, Alain; Ghannam, Wagih Mommtaz; Gioco, Rossella; Giraudo, Giorgio; Giuffrida, Mario; Giulii Capponi, Michela; Gomes, Carlos Augusto; Teixeira Gonsaga, Ricardo Alessandro; Gonullu, Emre; Goosen, Jacques; Goranovic, Tatjana; Griffiths, Ewen Alexander; Haidar, Muad Gamil; Hamid, Hytham K. S.; Harddastle, Timothy Craig; Hecker, Matthias; Hernandez Garcia, Edgar Fernando; Cancio Huaman, Eduardo; Hutan, Martin; Ioannidis, Orestis; Isik, Arda; Ismail, Azzain Mahadi Hamid; Ismail, Nizar; Jang, Ji Young; Kalipershad, Sujala Niatarika Rajsain; Kaplan, Lewis J.; Kara, Yasin; Karamagioli, Evika; Karamarkovia, Aleksandar; Kavalakat, Alfie J.; Kechagias, Aristotelis; Kenig, Jakub; Khan, Jim S.; Khokha, Vladimir; Klappenbach, Roberto Felix; Klappenbach, Roberto; Kobe, Yoshiro; Kong, Victor; Korkolis, Dimitrios; Kurihara, Hayato; Kuriyama, Akira; Landaluce-Olavarria, Aitor; Licari, Leo; Litvin, Andrey; Lohsiriwat, Varut; Lopes Moreira, Claudia Cristina; Lostoridis, Eftychios; Tovar Luna, Agustín; Luppi, Davide; Machain, Gustavo Miguel; Maegele, Marc; Maggiore, Daniele; Maier, Ronald V.; Manangi, Mallikarjuna; Manetti, Andrea; Mantoglu, Baris; Mariani, Federico; Marinis, Athanasios; Sbalcheiro Mariot, Evandro Antonio; Martines, Gennaro; Martinez Perez, Aleix; Mascagni, Pietro; Massalou, Damien; Bessa Melo, Renato; Miceli, Luca; Mingoli, Andrea; Mishra, Tushar S.; Mohamedahmed, Ali Yasen Y.; Mohan, Rajashekar; Morales-Garcia, Dieter; Mustafa, Sami Mohamed Siddig; Naimzada, Mukhammad David; Negoi, Ionut; Nidaw, Melkamu Kibret; Nigri, Giuseppe; Ogundipe, Habeeb Damilola; Oliveri, Cristina; Olmi, Stefano; Pagani, Leonardo; Palomba, Giuseppe; Pantalone, Desire; Panyko, Arpad; Paolillo, Ciro; Papis, Davide; Pararas, Nikolaos; Pata, Francesco; Pavone, Giovanna; Pecchini, Francesca; Pellino, Gianluca; Pelloni, Maria; Peloso, Andrea; Perea Del Pozo, Eduardo; Goncalves Pereira, Rita; Monteiro Pereira, Bruno; Lizarazu Perez, Aintzane; Perrone, Gennaro; Pesce, Antonio; Petracca, Giovanni; Piccoli, Micaela; Picetti, Edoardo; Pikoulis, Emmanouil; Pintar, Tadeja; Pirozzolo, Giovanni; Podda, Mauro; Previtali, Pietro; Privitera, Francesca; Punzo, Clelia; Quiodettis, Martha Alexa; Qvist, Niels; Rahim, Razrim; Reinisch-Liese, Alexander; Rodriguez-Luna, Maria Rita; Roizblatt, Daniel; Roscio, Francesco Pietro Maria; Rossi, Stefano; Sakakushev, Boris Evgeniev; Salamea, Juan Carlos; Sall, Ibrahima; Sammartano, Fabrizio; Sanchez Arteaga, Alejandro; Sanchez-Cordero, Sergio; Sasia, Diego; Sawyer, Robert G.; Seretis, Charalampos; Serradilla-Martin, Mario; Shelat, Vishal G.; Shlyapnikov, Sergei; Lages Simoes, Romeo; Siribumrungwong, Boonying; Slavchev, Mihail; Solaini, Leonardo; Soldini, Gabriele; Soreide, Kjetil; Sydorchuk, Larysa; Sydorchuk, Ruslan; Syed, Ali Muhammad; Tallon-Aguilar, Luis; Tan, Jih Huei; Tarasconi, Antonio; Tartaglia, Dario; Tartaglia, Nicola; Taylor, John; Tebala, Giovanni Domenico; Teuben, Michel; Tolonen, Matti; Tomasicchio, Giovanni; Triantafyllou, Tania; Trigiante, Giuseppe; Turrado-Rodriguez, Victor; Tutino, Roberta; Uccelli, Matteo; Ugarte-Sierra, Bakarne; Ukkonen, Mika; Vassiliu, Panteleimon G.; Verde, Juan Manuel; Veroux, Massimiliano; Vilallonga, Ramon; Visconti, Diego; Waledziak, Maciej; Wannatoop, Tongporn; Widmer, Lukas Werner; Wilson, Michael Samuel James; Wong, Ting Hway; Xenaki, Sofia; Yu, Byungchul; Zakaria, Andee Dzulkarnaen; Zambrano, Diego A.; Zese, Monica
Source
World Journal of Emergency Surgery. September 16, 2021, Vol. 16 Issue 1
Subject
Language
English
ISSN
1749-7922
Abstract
Author(s): Lorenzo Cobianchi[sup.1,2], Francesca Dal Mas[sup.3], Maurizio Massaro[sup.4], Paola Fugazzola[sup.2], Federico Coccolini[sup.5,6], Yoram Kluger[sup.7], Ari Leppäniemi[sup.8], Ernest E. Moore[sup.9], Massimo Sartelli[sup.10], Peter Angelos[sup.11], Luca Ansaloni[sup.1,2], Abubaker Abdelmalik, Nebyou Seyoum Abebe, [...]
Background Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma's causes or the patient's personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients' and stakeholders' engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey's participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions. Keywords: Trauma teams, Knowledge translation, Team dynamics, Non-technical skills, Trauma leaders
Background Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma's causes or the patient's personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients' and stakeholders' engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey's participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions. Keywords: Trauma teams, Knowledge translation, Team dynamics, Non-technical skills, Trauma leaders