Evidence map›Paper›PMID 30223410›Full record

ArticleWork (Reading, Mass.)2018

Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach.

E Caprari, J T Porsius, P D'Olivo, R M Bloem, S B W Vehmeijer, N Stolk, M Melles

Open access · hybridAbstract read
In one paragraph

Article in Work (Reading, Mass.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Innovation in Orthopedics: Part 1-Design Thinking.Current reviews in musculoskeletal medicine · 2022
    Review
  7. Support for families at home during childhood cancer treatment: a pilot study with Mr.V the Spaceman, a family-based activities tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  8. Innovating health care: key characteristics of human-centered design.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

E CaprariFaculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
J T PorsiusFaculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
P D'OlivoFaculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
R M BloemDepartment of Orthopaedic Surgery, Reinier de Graaf Hospital, Delft, The Netherlands.
S B W VehmeijerDepartment of Orthopaedic Surgery, Reinier de Graaf Hospital, Delft, The Netherlands.
N StolkZimmer Biomet Europe BV, Dordrecht, The Netherlands.
M MellesFaculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
Delft University of Technology · NLReinier de Graaf Hospital · NLZimmer Biomet (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSupporting teamwork in healthcare is a way to foster both the quality and safety of care, and better working conditions for all the team members. Although increasing attention is paid to this topic on a general level, there is less knowledge about its unfolding in orthopaedic units and its translation to interventions.

objectiveTo identify concrete opportunities for teamwork intervention through a design thinking approach by analysing the teamwork dynamics of an orthopaedic team.

methodsAn adaptation of the learning history method, comprising shadowing, observations and interviews involving 26 orthopaedic team members at a top clinical teaching hospital in the Netherlands, was applied. A thematic analysis was conducted to derive themes that describe team dynamics and to subsequently extrapolate opportunities for intervention.

resultsWe identified five themes and translated them into four design opportunities for intervention, namely: a) Improve daily rounds by reducing cognitive overload and promoting confidence; b) Improve collaboration by building empathy; c) Connect the patient with the professional team; and d) Support changes by fostering learning. Suggestions for concrete actions are presented for each opportunity.

conclusionsOpportunities to improve teamwork among healthcare professionals, specifically those in orthopaedics, revolve around the creation of common knowledge, the fostering of mutual understanding, and the design of tools and activities that support these processes.

Indexed as

AdultCooperative BehaviorFemaleHumansInterpersonal RelationsLength of StayMaleNetherlandsOrthopedicsPatient Care TeamQualitative ResearchQuality of Health Caredesign thinkinghealthcare designhospital wardslearning historyTeam interactions

Identifiers

PMID30223410
PMCPMC6218149
OpenAlexW2890141624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.