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Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective
The initial models of team and team member dynamics using biometric data in healthcare will likely come from simulations. But how confident are we that the simulation-derived high-resolution dynamics will reflect those of teams working with live patients? We have developed neurodynamic models of a n...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699601/ https://www.ncbi.nlm.nih.gov/pubmed/31456706 http://dx.doi.org/10.3389/fpsyg.2019.01660 |
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author | Stevens, Ronald Galloway, Trysha Willemsen-Dunlap, Ann |
author_facet | Stevens, Ronald Galloway, Trysha Willemsen-Dunlap, Ann |
author_sort | Stevens, Ronald |
collection | PubMed |
description | The initial models of team and team member dynamics using biometric data in healthcare will likely come from simulations. But how confident are we that the simulation-derived high-resolution dynamics will reflect those of teams working with live patients? We have developed neurodynamic models of a neurosurgery team while they performed a peroneal nerve decompression surgery on a patient to approach this question. The models were constructed from EEG-derived measures that provided second-by-second estimates of the neurodynamic responses of the team and team members to task uncertainty. The anesthesiologist and two neurosurgeons developed peaks, often coordinated, of elevated neurodynamic organization during the patient preparation and surgery which were similar to those seen during simulation training, and which occurred near important episodes of the patient preparation and surgery. As the analyses moved down the neurodynamic hierarchy, and the simulation and live patient neurodynamics occurring during the intubation procedure were compared at progressively smaller time scales, differences emerged across scalp locations and EEG frequencies. The most significant was the pronounced suppression of gamma rhythms detected by the frontal scalp sensors during the live patient intubation which was absent in simulation trials of the intubation procedure. These results indicate that while profiles of the second-by-second neurodynamics of teams were similar in both the simulation and live patient environments, a deeper analysis revealed differences in the EEG frequencies and scalp locations of the signals responsible for those team dynamics. As measures of individual and team performance become more micro-scale and dynamic, and simulations become extended into virtual environments, these results argue for the need for parallel studies in live environments to validate the dynamics of cognition being observed. |
format | Online Article Text |
id | pubmed-6699601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66996012019-08-27 Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective Stevens, Ronald Galloway, Trysha Willemsen-Dunlap, Ann Front Psychol Psychology The initial models of team and team member dynamics using biometric data in healthcare will likely come from simulations. But how confident are we that the simulation-derived high-resolution dynamics will reflect those of teams working with live patients? We have developed neurodynamic models of a neurosurgery team while they performed a peroneal nerve decompression surgery on a patient to approach this question. The models were constructed from EEG-derived measures that provided second-by-second estimates of the neurodynamic responses of the team and team members to task uncertainty. The anesthesiologist and two neurosurgeons developed peaks, often coordinated, of elevated neurodynamic organization during the patient preparation and surgery which were similar to those seen during simulation training, and which occurred near important episodes of the patient preparation and surgery. As the analyses moved down the neurodynamic hierarchy, and the simulation and live patient neurodynamics occurring during the intubation procedure were compared at progressively smaller time scales, differences emerged across scalp locations and EEG frequencies. The most significant was the pronounced suppression of gamma rhythms detected by the frontal scalp sensors during the live patient intubation which was absent in simulation trials of the intubation procedure. These results indicate that while profiles of the second-by-second neurodynamics of teams were similar in both the simulation and live patient environments, a deeper analysis revealed differences in the EEG frequencies and scalp locations of the signals responsible for those team dynamics. As measures of individual and team performance become more micro-scale and dynamic, and simulations become extended into virtual environments, these results argue for the need for parallel studies in live environments to validate the dynamics of cognition being observed. Frontiers Media S.A. 2019-08-12 /pmc/articles/PMC6699601/ /pubmed/31456706 http://dx.doi.org/10.3389/fpsyg.2019.01660 Text en Copyright © 2019 Stevens, Galloway and Willemsen-Dunlap. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Stevens, Ronald Galloway, Trysha Willemsen-Dunlap, Ann Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title | Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title_full | Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title_fullStr | Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title_full_unstemmed | Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title_short | Advancing Our Understandings of Healthcare Team Dynamics From the Simulation Room to the Operating Room: A Neurodynamic Perspective |
title_sort | advancing our understandings of healthcare team dynamics from the simulation room to the operating room: a neurodynamic perspective |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699601/ https://www.ncbi.nlm.nih.gov/pubmed/31456706 http://dx.doi.org/10.3389/fpsyg.2019.01660 |
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