Evidence map›Paper›PMID 35658721›Full record

ArticleHuman factors2024

Team Cognition in Handoffs: Relating System Factors, Team Cognition Functions and Outcomes in Two Handoff Processes.

Abigail R Wooldridge, Pascale Carayon, Peter Hoonakker, Bat-Zion Hose, David W Shaffer, Tom Brazelton, Ben Eithun, Deborah Rusy, Joshua Ross, Jonathan Kohler and 3 more

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In one paragraph

Article in Human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Abigail R WooldridgeDepartment of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0001-8914-1130
Pascale CarayonWisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0003-4632-6930
Peter HoonakkerWisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0002-6854-8780
Bat-Zion HoseDepartment of Anesthesiology and Critical Care at the Perelman School of Medicine, University of Pennsylvania.ORCID 0000-0002-4368-0136
David W ShafferWisconsin Center for Education Research, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0001-9613-5740
Tom BrazeltonUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0003-2840-3285
Ben EithunUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0003-3686-6263
Deborah RusyUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0002-8266-8412
Joshua RossUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jonathan KohlerUC Davis School of Medicine, Sacramento, CA, USA.ORCID 0000-0001-7509-4097
Michelle M KellyUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0002-9554-6692
Scott SpringmanUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0002-5458-5521
Ayse P GursesCenter for Health Care Human Factors, Armstrong Institute for Patient Safety and Quality, Schools of Medicine, Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0001-7422-6852

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Care Transitions and Teamwork in Pediatric Trauma: Implications for HIT DesignR01HS023837 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI GURSES, AYSE PINAR · 2015 to 2019
$2.5M
AHRQ HHS R01 HS023837NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

objectiveThis study investigates how team cognition occurs in care transitions from operating room (OR) to intensive care unit (ICU). We then seek to understand how the sociotechnical system and team cognition are related.

backgroundEffective handoffs are critical to ensuring patient safety and have been the subject of many improvement efforts. However, the types of team-level cognitive processing during handoffs have not been explored, nor is it clear how the sociotechnical system shapes team cognition.

methodWe conducted this study in an academic, Level 1 trauma center in the Midwestern United States. Twenty-eight physicians (surgery, anesthesia, pediatric critical care) and nurses (OR, ICU) participated in semi-structured interviews. We performed qualitative content analysis and epistemic network analysis to understand the relationships between system factors, team cognition in handoffs and outcomes.

resultsParticipants described three team cognition functions in handoffs-(1) information exchange, (2) assessment, and (3) planning and decision making; information exchange was mentioned most. Work system factors influenced team cognition. Inter-professional handoffs facilitated information exchange but included large teams with diverse backgrounds communicating, which can be inefficient. Intra-professional handoffs decreased team size and role diversity, which may simplify communication but increase information loss. Participants in inter-professional handoffs reflected on outcomes significantly more in relation to system factors and team cognition (

conclusionHandoffs include team cognition, which was influenced by work system design. Opportunities for handoff improvement include a flexibly standardized process and supportive tools/technologies. We recommend incorporating perspectives of the patient and family in future work.

Indexed as

Patient HandoffChildCognitionCommunicationHumansIntensive Care UnitsOperating Roomscare transitions and handoffscommunication and teamwork in health caremacroergonomics and the environmentsystem design and analysisteam cognition

Identifiers

PMID35658721
PMCPMC11022309

What OpenQuestion holds

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Registered trials

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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.