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Variation of in-hospital trauma team staffing: new resuscitation, new team

BACKGROUND: Non-technical errors, such as insufficient communication or leadership, are a major cause of medical failures during trauma resuscitation. Research on staffing variation among trauma teams on teamwork is still in their infancy. In this study, the extent of variation in trauma team staffi...

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Autores principales: van Maarseveen, Oscar E. C., Huijsmans, Roel L. N., Leenen, Luke P. H., Ham, Wietske H. W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479395/
https://www.ncbi.nlm.nih.gov/pubmed/36109695
http://dx.doi.org/10.1186/s12873-022-00715-4
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author van Maarseveen, Oscar E. C.
Huijsmans, Roel L. N.
Leenen, Luke P. H.
Ham, Wietske H. W.
author_facet van Maarseveen, Oscar E. C.
Huijsmans, Roel L. N.
Leenen, Luke P. H.
Ham, Wietske H. W.
author_sort van Maarseveen, Oscar E. C.
collection PubMed
description BACKGROUND: Non-technical errors, such as insufficient communication or leadership, are a major cause of medical failures during trauma resuscitation. Research on staffing variation among trauma teams on teamwork is still in their infancy. In this study, the extent of variation in trauma team staffing was assessed. Our hypothesis was that there would be a high variation in trauma team staffing. METHODS: Trauma team composition of consecutive resuscitations of injured patients were evaluated using videos. All trauma team members that where part of a trauma team during a trauma resuscitation were identified and classified during a one-week period. Other outcomes were number of unique team members, number of new team members following the previous resuscitation and new team members following the previous resuscitation in the same shift (Day, Evening, Night). RESULTS: All thirty-two analyzed resuscitations had a unique trauma team composition and 101 unique members were involved. A mean of 5.71 (SD 2.57) new members in teams of consecutive trauma resuscitations was found, which was two-third of the trauma team. Mean team members present during trauma resuscitation was 8.38 (SD 1.43). Most variation in staffing was among nurses (32 unique members), radiology technicians (22 unique members) and anesthetists (19 unique members). The least variation was among trauma surgeons (3 unique members) and ER physicians (3 unique members). CONCLUSION: We found an extremely high variation in trauma team staffing during thirty-two consecutive resuscitations at our level one trauma center which is incorporated in an academic teaching hospital. Further research is required to explore and prevent potential negative effects of staffing variation in trauma teams on teamwork, processes and patient related outcomes.
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spelling pubmed-94793952022-09-17 Variation of in-hospital trauma team staffing: new resuscitation, new team van Maarseveen, Oscar E. C. Huijsmans, Roel L. N. Leenen, Luke P. H. Ham, Wietske H. W. BMC Emerg Med Research Article BACKGROUND: Non-technical errors, such as insufficient communication or leadership, are a major cause of medical failures during trauma resuscitation. Research on staffing variation among trauma teams on teamwork is still in their infancy. In this study, the extent of variation in trauma team staffing was assessed. Our hypothesis was that there would be a high variation in trauma team staffing. METHODS: Trauma team composition of consecutive resuscitations of injured patients were evaluated using videos. All trauma team members that where part of a trauma team during a trauma resuscitation were identified and classified during a one-week period. Other outcomes were number of unique team members, number of new team members following the previous resuscitation and new team members following the previous resuscitation in the same shift (Day, Evening, Night). RESULTS: All thirty-two analyzed resuscitations had a unique trauma team composition and 101 unique members were involved. A mean of 5.71 (SD 2.57) new members in teams of consecutive trauma resuscitations was found, which was two-third of the trauma team. Mean team members present during trauma resuscitation was 8.38 (SD 1.43). Most variation in staffing was among nurses (32 unique members), radiology technicians (22 unique members) and anesthetists (19 unique members). The least variation was among trauma surgeons (3 unique members) and ER physicians (3 unique members). CONCLUSION: We found an extremely high variation in trauma team staffing during thirty-two consecutive resuscitations at our level one trauma center which is incorporated in an academic teaching hospital. Further research is required to explore and prevent potential negative effects of staffing variation in trauma teams on teamwork, processes and patient related outcomes. BioMed Central 2022-09-15 /pmc/articles/PMC9479395/ /pubmed/36109695 http://dx.doi.org/10.1186/s12873-022-00715-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
van Maarseveen, Oscar E. C.
Huijsmans, Roel L. N.
Leenen, Luke P. H.
Ham, Wietske H. W.
Variation of in-hospital trauma team staffing: new resuscitation, new team
title Variation of in-hospital trauma team staffing: new resuscitation, new team
title_full Variation of in-hospital trauma team staffing: new resuscitation, new team
title_fullStr Variation of in-hospital trauma team staffing: new resuscitation, new team
title_full_unstemmed Variation of in-hospital trauma team staffing: new resuscitation, new team
title_short Variation of in-hospital trauma team staffing: new resuscitation, new team
title_sort variation of in-hospital trauma team staffing: new resuscitation, new team
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479395/
https://www.ncbi.nlm.nih.gov/pubmed/36109695
http://dx.doi.org/10.1186/s12873-022-00715-4
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