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Assessing team performance in healthcare team training: application of a protocol based on Hollnagel's contextual control model

Berglund, John LU (2012) LÄKM01 20121
MD Programme
Abstract (Swedish)
This study introduces a protocol for healthcare team performance assessments, based on cognitive systems engineering and the contextual control model (COCOM). The protocol was developed by Palmqvist et al. focusing on team's joint level of control. This is contrasted by present means for team assessments, which are based on individual behavioural ratings. Data is analysed in intervals, and through the use of structured observations and questionnaires, control is determined for each interval and characterised as one out of four control modes. In order to investigate its potential in healthcare, the protocol was tested in medical team training courses, where professionals practised in emergency scenarios. To enable alterations to the... (More)
This study introduces a protocol for healthcare team performance assessments, based on cognitive systems engineering and the contextual control model (COCOM). The protocol was developed by Palmqvist et al. focusing on team's joint level of control. This is contrasted by present means for team assessments, which are based on individual behavioural ratings. Data is analysed in intervals, and through the use of structured observations and questionnaires, control is determined for each interval and characterised as one out of four control modes. In order to investigate its potential in healthcare, the protocol was tested in medical team training courses, where professionals practised in emergency scenarios. To enable alterations to the protocol if necessary, the project was carried out as one pilot and one main study. The resulting performance assessments were in line with the theories of COCOM, and were characterised by that teamwork in healthcare emergencies, to a large
extent, is based on procedures and guidelines. The results indicate that the protocol can be used in healthcare, but that further research is required to overcome remaining limitations. In addition, the design criteria of the protocol are confirmed. It is concluded that this protocol could contribute to a commonly established method for team performance assessments, for which there would be many substantial benefits. (Less)
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author
Berglund, John LU
supervisor
organization
course
LÄKM01 20121
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Team performance, Contextual control model, Healthcare, Simulation
language
English
additional info
Co.Supervisor: Johan Bergström, Department of Fire Safety Engineering and Systems Safety, Lund University
id
2607577
date added to LUP
2012-10-19 08:44:56
date last changed
2012-11-01 15:02:57
@misc{2607577,
  abstract     = {This study introduces a protocol for healthcare team performance assessments, based on cognitive systems engineering and the contextual control model (COCOM). The protocol was developed by Palmqvist et al. focusing on team's joint level of control. This is contrasted by present means for team assessments, which are based on individual behavioural ratings. Data is analysed in intervals, and through the use of structured observations and questionnaires, control is determined for each interval and characterised as one out of four control modes. In order to investigate its potential in healthcare, the protocol was tested in medical team training courses, where professionals practised in emergency scenarios. To enable alterations to the protocol if necessary, the project was carried out as one pilot and one main study. The resulting performance assessments were in line with the theories of COCOM, and were characterised by that teamwork in healthcare emergencies, to a large
extent, is based on procedures and guidelines. The results indicate that the protocol can be used in healthcare, but that further research is required to overcome remaining limitations. In addition, the design criteria of the protocol are confirmed. It is concluded that this protocol could contribute to a commonly established method for team performance assessments, for which there would be many substantial benefits.},
  author       = {Berglund, John},
  keyword      = {Team performance,Contextual control model,Healthcare,Simulation},
  language     = {eng},
  note         = {Student Paper},
  title        = {Assessing team performance in healthcare team training: application of a protocol based on Hollnagel's contextual control model},
  year         = {2012},
}