Similarity of mental model of responsibility for task (% agreement) | Scenario 1: Laparotomy for an abdominal stab wound | Scenario 2: Laparotomy for a perforated viscus | ||||||
---|---|---|---|---|---|---|---|---|
OR Team | Anaesthesia subteam | Surgical subteam | Nursing subteam | OR Team | Anaesthesia subteam) | Surgical subteam | Nursing subteam | |
Mean similarity scores for all 20 tasks combined | 69 | 76 | 73 | 72 | 72 | 78 | 73 | 74 |
 1. Check blood availability | 51 | 55 | 50 | 74 | 55 | 65 | 32 | 65 |
 2. Check for optimal patient positioning on table | 39 | 50 | 85 | 37 | 38 | 45 | 79 | 55 |
 3. Initiate sign in | 78 | 80 | 85 | 63 | 76 | 80 | 84 | 65 |
 4. Administer anaesthesia induction drugs | 96 | 100 | 95 | 95 | 100 | 100 | 100 | 100 |
 5. Perform a rapid sequence induction | 100 | 100 | 100 | 100 | 98 | 100 | 95 | 100 |
 6. Ensure appropriate antibiotic prophylaxis | 61 | 90 | 55 | 63 | 64 | 90 | 37 | 70 |
 7. Insert urinary catheter | 55 | 75 | 70 | 68 | 53 | 60 | 84 | 75 |
 8. Initiate time out | 73 | 70 | 75 | 84 | 73 | 75 | 74 | 75 |
 9. Make surgical incision | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
 10. Ensure patient warming devices in place | 54 | 80 | 45 | 74 | 55 | 80 | 37 | 80 |
 11. Ensure TED stockings and calf compressors on | 83 | 85 | 75 | 84 | 87 | 90 | 68 | 100 |
 12. Monitor ongoing blood loss | 61 | 90 | 55 | 53 | 58 | 85 | 37 | 45 |
 13. Organise bed space in PACU | 69 | 80 | 65 | 74 | 72 | 85 | 79 | 65 |
 14. Close incision | 96 | 95 | 100 | 95 | 98 | 100 | 100 | 95 |
 15. Check drains are turned on | 46 | 35 | 55 | 68 | 48 | 45 | 63 | 45 |
 16. Confirm estimated blood loss | 39 | 40 | 50 | 37 | 39 | 55 | 37 | 35 |
 17. Initiate sign out | 81 | 85 | 85 | 84 | 77 | 65 | 89 | 75 |
 18. Provide handover on intraoperative events to PACU staff | 44 | 40 | 45 | 37 | 49 | 45 | 58 | 55 |
  Inform intensive care unit (scenario1) | 50 | 70 | 75 | 58 | n/a | n/a | n/a | n/a |
  Remove knife from abdomen (scenario 1) | 98 | 100 | 90 | 100 | n/a | n/a | n/a | n/a |
  Locate site of perforation (scenario 2) | n/a | n/a | n/a | n/a | 98 | 95 | 100 | 100 |
  Fashion stoma (scenario 2) | n/a | n/a | n/a | n/a | 97 | 100 | 100 | 90 |