Similarity of mental model of task sequence (% agreement) | Scenario 1: Laparotomy for an abdominal stab wound | Scenario 2: Laparotomy for a perforated viscus | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean task rank (in a sequence from 1 to 20) | OR team | Anaesthesia subteam | Surgical subteam | Nursing subteam | Mean task rank (in a sequence from 1 to 20) | OR team | Anaesthesia subteam | Surgical subteam | Nursing subteam | |
Mean similarity scores for all 20 tasks combined | Â | 77 | 76 | 80 | 79 | Â | 83 | 83 | 83 | 83 |
 1. Check blood availability | 2.3 | 90 | 88 | 92 | 88 | 2.0 | 92 | 93 | 92 | 90 |
 2. Check for optimal patient positioning on table | 5.6 | 83 | 80 | 89 | 88 | 4.9 | 84 | 82 | 85 | 85 |
 3. Initiate sign in | 2.2 | 90 | 86 | 93 | 93 | 1.9 | 91 | 91 | 95 | 91 |
 4. Administer anaesthesia induction drugs | 5.4 | 85 | 82 | 85 | 91 | 5.1 | 88 | 86 | 88 | 90 |
 5. Perform a rapid sequence induction | 6.0 | 86 | 85 | 88 | 91 | 5.5 | 86 | 87 | 86 | 89 |
 6. Ensure appropriate antibiotic prophylaxis | 7.7 | 86 | 86 | 88 | 85 | 6.7 | 84 | 81 | 84 | 86 |
 7. Insert urinary catheter | 7.2 | 86 | 84 | 87 | 85 | 6.8 | 85 | 88 | 89 | 82 |
 8. Initiate time out | 9.3 | 85 | 85 | 83 | 89 | 8.9 | 86 | 89 | 78 | 88 |
 9. Make surgical incision | 12.0 | 94 | 93 | 95 | 96 | 11.3 | 97 | 96 | 98 | 97 |
 10. Ensure patient warming devices in place | 6.1 | 84 | 83 | 82 | 87 | 5.6 | 86 | 86 | 88 | 88 |
 11. Ensure TED stockings and calf compressors on | 6.3 | 83 | 81 | 88 | 87 | 5.4 | 86 | 84 | 89 | 87 |
 12. Monitor ongoing blood loss | 12.3 | 85 | 84 | 83 | 89 | 12.5 | 88 | 91 | 84 | 86 |
 13. Organise bed space in PACU | 15.5 | 80 | 85 | 86 | 79 | 15.2 | 81 | 85 | 86 | 76 |
 14. Close incision | 15.8 | 92 | 92 | 94 | 88 | 15.7 | 92 | 93 | 93 | 87 |
 15. Check drains are turned on | 17.0 | 89 | 89 | 89 | 92 | 17.0 | 90 | 91 | 89 | 92 |
 16. Confirm estimated blood loss | 13.1 | 72 | 69 | 74 | 75 | 14.5 | 80 | 72 | 82 | 84 |
 17. Initiate sign out | 18.0 | 87 | 84 | 91 | 89 | 18.3 | 91 | 93 | 95 | 88 |
 18. Provide handover on intraoperative events to PACU staff | 19.3 | 92 | 98 | 90 | 86 | 19.5 | 95 | 98 | 89 | 98 |
  Inform intensive care unit (scenario1) | 8.6 | 57 | 66 | 74 | 64 | n/a | n/a | n/a | n/a | n/a |
  Remove knife from abdomen (scenario 1) | 13.3 | 92 | 88 | 93 | 92 | n/a | n/a | n/a | n/a | n/a |
  Locate site of perforation (scenario 2) | n/a | n/a | n/a | n/a | n/a | 12.3 | 95 | 93 | 97 | 96 |
  Fashion stoma (scenario 2) | n/a | n/a | n/a | n/a | n/a | 14.6 | 91 | 93 | 93 | 89 |