ArticleProceedings of the National Academy of Sciences of the United States of America2018
Ethological observations of social behavior in the operating room.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of physician's sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review.BMJ open · 2020Pooled it
- The impact of verbal goal setting on operating room turnover time: a randomized trial.International urogynecology journal · 2024Trial
- From Person to Patient: Power, Control and the Construction of Vulnerability in the Operating Room.Nursing inquiry · 2026Article
- Teamwork in the Operating Room: A Survey on Anesthesiologist-Surgeon Interaction in a German University Hospital Setting.Journal of patient safety · 2026Article
- The Concept of a Bidirectional Loop of Behavior in Surgery: How Personality and Environment May Reinforce Each Other.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Practical Approaches to Balancing Music and Safety in the Operating Room: A Systematic and Narrative Review.Plastic and reconstructive surgery. Global open · 2026Article
- [Interdisciplinary collaboration between anesthesia and surgery : Which key issues need to be addressed?]Chirurgie (Heidelberg, Germany) · 2026Article
- Review
- Chronicling the Transition to Competency-Based Medical Education in a Small Subspeciality Program.Journal of graduate medical education · 2024Article
- Editorial: Diversity, Equity, and Inclusion in Hernia Surgery.Journal of abdominal wall surgery : JAWS · 2024Article
- Strong German Hearts 2023: A Field Report.The Thoracic and cardiovascular surgeon · 2023Article
- Operator-patient sex discordance and periprocedural outcomes of percutaneous coronary intervention (from the ORPKI Polish National Registry).Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2023Article
- Women as a driver to address gaps in the global surgical workforce.Human resources for health · 2023Article
- Variations in operating room staff compliance with mandatory daily electronic COVID-19 symptom screening.British journal of anaesthesia · 2023Article
- Resident performance in simulation module is associated with operating room performance for laparoscopic cholecystectomy.Surgical endoscopy · 2022Article
- Opportunities and Barriers to Rural Telerobotic Surgical Health Care in 2021: Report and Research Agenda from a Stakeholder Workshop.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Ethics Consultation in Surgical Specialties.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Creating work environments where people of all genders in gynecologic oncology can thrive: An SGO evidence-based review.Gynecologic oncology · 2022Review
- [Professional teamwork and communication in the operating room-A narrative review].Der Anaesthesist · 2022Review
- How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Operating rooms (ORs) are inhabited by hierarchical, mixed-gender clinical teams that are often prone to conflict. In evolutionary terms, one expects more within- than between-gender rivalries, especially since the OR is a place where all sorts of social interactions occur, not merely technical communications. To document the full range of behavior, the present study used ethological observation techniques, recording live all social behavior by the team. Using an ethogram, 6,348 spontaneous social interactions and nontechnical communications were timestamped during 200 surgical procedures. Cooperation sequences (59.0%) were more frequent than conflict sequences (2.8%), which ranged from constructive differences of opinion to discord and distraction that could jeopardize patient safety. Behavior varied by clinical role and with the gender composition in the OR. Conflict was initiated mostly down the hierarchy between individuals several ranks apart. Cooperation tended to increase with a rising proportion of females in the OR, but the most pronounced effect concerned the interaction between both genders. If the attending surgeon's gender differed from that of the majority of other personnel in the OR, cooperation was significantly more common.
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Registered trials
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