Skip to main content
SpringerLink
Log in
Book cover

Coordination in Human and Primate Groups pp 75–92Cite as

The Role of Coordination in Preventing Harm in Healthcare Groups: Research Examples from Anaesthesia and an Integrated Model of Coordination for Action Teams in Health Care

  • Chapter
  • First Online:

Abstract

In this chapter we discuss the role of group coordination as a means of preventing iatrogenic harm in health care using anaesthesia teams as our forum of research. Applying the inclusive model of group coordination in Chap. 2 (see Fig. 2.5), we outline that (1) clinical performance and patient safety are functions of group coordination, (2) information and actions are key input entities of group coordination, (3) adaptation to situational demands serves as a critical coordination process, and (4) explicit and implicit coordination are essential coordination mechanisms. We will present recent findings regarding the role of each of these concepts for teamwork in health care. Combining theoretical considerations and empirical results, we will offer an integrated model of coordination for action teams in health care. The core idea of this model is that coordination can be classified along two independent dimensions (1) mechanisms such as explicit vs. implicit coordination, and (2) input entities such as behaviours (e.g. actions) and meanings (e.g. information). We suggest that the usefulness of team coordination should hence be considered with regard to this distinction.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    Anaesthesia group composition depends on the surgical procedure and can vary across countries.

  2. 2.

    For ease of reading, we will use the term “anaesthesia team” instead of “anaesthesia action team” throughout this chapter.

  3. 3.

    Although these dimensions represent continua instead of dichotomies, for ease of presentation we will discuss four styles of coordination located at the extreme of the continua.

  4. 4.

    During laryngoscopy, vocal cords are directly visualized with the laryngoscope blade. A light beam from the blade tip facilitates the introduction of a plastic tube through the mouth into the trachea under visual control (orotracheal intubation).

References

  • Abeysekera A, Bergman IJ, Kluger MT, Short TG (2005) Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia 60:220–227

    Article  PubMed  CAS  Google Scholar 

  • Arbous MS, Grobee DE, van Kleef JW, de Lange JJ, Spoormans HHAJM, Touw P, Werner FM, Meursing AEE (2001) Mortality associated with anaesthesia: a qualitative analysis to identify risk factors. Anaesthesia 56:1141–1153

    Article  PubMed  CAS  Google Scholar 

  • Arrow H, McGrath JE, Berdahl JL (2000) Small groups as complex systems: formation, coordination, development, and adaption. Sage, Thousand Oaks, CA

    Google Scholar 

  • Baker DP, Days R, Salas E (2006) Teamwork as an essential component of high-reliability organizations. Health Serv Res 41:1576–1598

    Article  PubMed  Google Scholar 

  • Ballard DI, Tschan F, Waller MJ (2008) All in the timing: considering time at multiple stages of group research. Small Group Res 39:328–351

    Article  Google Scholar 

  • Bogenstätter Y, Tschan F, Semmer NK, Spychiger M, Breuer M, Marsch SU (2009) How accurate is information transmitted to medical professionals joining a medical emergency? A simulator study. Hum Factors 51:115–125

    Article  PubMed  Google Scholar 

  • Brannick MT, Prince C (1997) An overview of team performance measurement. In: Brannick MT, Salas E, Prince C (eds) Team performance assessment and measurement theory, methods, and applications. Lawrence Erlbaum, Mahwah, NJ, pp 3–16

    Google Scholar 

  • Burke CS, Stagl KC, Salas E (2006) Understanding team adaptation: a conceptual analysis and model. J Appl Psychol 91:1189–1207

    Article  PubMed  Google Scholar 

  • Burtscher MJ, Manser T (under revision) Assessment of shared mental models in different teamwork settings: a review and implications for future research

    Google Scholar 

  • Burtscher MJ, Wacker J, Sevdalis N, Manser T (2009) Shared mental models in healthcare – Development and testing of a measurement tool. 15th Annual Meeting of Society in Europe for Simulation Applied to Medicine (SESAM), Mainz

    Google Scholar 

  • Burtscher MJ, Wacker J, Grote G, Manser T (2010) Managing non-routine events in anesthesia: the role of adaptive coordination. Hum Factors. Human Factors Advance online publication

    Google Scholar 

  • Catchpole K, Bell MDD, Johnson S (2008) Safety on anaesthesia: a study of 12606 reported incidents from the UK National Reporting and Learning System. Anaesthesia 63:340–346

    Article  PubMed  CAS  Google Scholar 

  • Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM (2006) A prospective study of patient safety in the operating room. Surgery 139:159–173

    Article  PubMed  Google Scholar 

  • Clark HH (1999) On the origins of conversation. Verbum 21:147–161

    Google Scholar 

  • Cooper JB, Newbower RS, Long CD, McPeek B (2002) Preventable anesthesia mishaps: a study of human factors. Qual Saf Health Care 11:277–283

    Article  PubMed  Google Scholar 

  • Currie M, Mackay P, Morgen C, Runciman WB, Russell WJ, Sellen A, Webb RK, Williamson JA (1993) The “wrong drug” problem in anaesthesia: an analysis of 2000 incident reports. Anaesth Intensive Care 21:596–601

    PubMed  CAS  Google Scholar 

  • Dickinson TL, McIntyre RM (1997) A conceptual framework for teamwork measurement. In: Brannick MT, Salas E, Prince C (eds) Team performance assessment and measurement. Lawrence Erlbaum, Mahwah, NJ, pp 19–43

    Google Scholar 

  • Entin EE, Serfaty D (1999) Adaptive team coordination. Hum Factors 41:312–325

    Article  Google Scholar 

  • Espinosa A, Lerch FJ, Kraut RE (2004) Explicit vs. implicit coordination mechanisms and task dependencies: one size does not fit all. In: Salas E, Fiore SM (eds) Team cognition: understanding the factors that drive process and performance. American Psychological Association, Washington, DC, pp 107–129

    Chapter  Google Scholar 

  • Fiedler FE (1964) A contingency model of leadership effectiveness. In: Berkowitz L (ed) Advances in experimental social psychology. Academic, New York, pp 149–190

    Google Scholar 

  • Fletcher GCL, McGeorge P, Flin RH, Glavin RJ, Maran NJ (2002) The role of non-technical skills in anaesthesia: a review of current literature. Brit J Anaesth 88:418–429

    Article  PubMed  CAS  Google Scholar 

  • Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R (2003) Anaesthetists’ non-technical skills (ANTS): evaluation of a behavioural marker system. Brit J Anaesth 90:580–588

    Article  PubMed  CAS  Google Scholar 

  • Gaba DM (1994) Human error in dynamic medical domains. In: Bogner MS (ed) Human error in medicine. Lawrence Erlbaum, Hillsdale, NJ, pp 197–224

    Google Scholar 

  • Gaba DM (2000) Anaesthesiology as a model for patient safety in health care. Brit Med J 320:785–788

    Article  PubMed  CAS  Google Scholar 

  • Gawande AA, Zinner MJ, Studdert DM, Brennan TA (2003) Analysis of errors reported by surgeons at three teaching hospitals. Surgery 133:614–621

    Article  PubMed  Google Scholar 

  • Gersick C, Hackman JR (1990) Habitual routines in task-performing groups. Organ Behav Hum Dec 47:65–97

    Article  CAS  Google Scholar 

  • Gravenstein JS (2002) Safety in anesthesia. Anaesthesist 51:754–759

    Article  PubMed  CAS  Google Scholar 

  • Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, Gawande AA (2007) Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surgeons 204:533–540

    Article  Google Scholar 

  • Grote G, Zala-Mezö E, Grommes P (2003) Effects of standardization on coordination and communication in high workload situations. Linguistische Berichte, Sonderheft 12:127–155

    Google Scholar 

  • Grote G, Kolbe M, Zala-Mezö E, Bienefeld-Seall N, Künzle B (2010) Adaptive coordination and heedfulness make better cockpit crews. Ergonomics 52:211–228

    Article  Google Scholar 

  • Gurtner A, Tschan F, Semmer NK, Nägele C (2007) Getting groups to develop good strategies: effects of reflexivity interventions on team process, team performance, and shared mental models. Organ Behav Hum Dec 102:127–142

    Article  Google Scholar 

  • Hackman JR, Morris CG (1975) Group tasks, group interaction process, and group performance effectiveness: a review and proposed integration. In: Berkowitz L (ed) Advances in experimental social psychology. Academic, New York, pp 45–99

    Google Scholar 

  • Healey AN, Undre S, Vincent CA (2004) Developing observational measures of performance in surgical teams. Qual Saf Health Care 13:33–40

    Article  Google Scholar 

  • Hindmarsh J, Pilnick A (2002) The tacit order of teamwork: collaboration and embodied conduct in anaesthesia. Sociol Quart 43:139–164

    Article  Google Scholar 

  • Ilgen DR, Hollenbeck JR, Johnson M, Jundt D (2005) Teams in organizations: from input-process-output models to IMOI models. Annu Rev Psychol 56:517–543

    Article  PubMed  Google Scholar 

  • Kerr S, Jermier JM (1978) Substitutes for leadership: their meaning and measurement. Organ Behav Hum Perf 22:375–403

    Article  Google Scholar 

  • Klein KJ, Ziegert JC, Knight AP, Xiao Y (2006) Dynamic delegation: shared, hierarchical, and deindividualized leadership in extreme action teams. Admin Sci Quart 51:590–621

    Google Scholar 

  • Kolbe M, Boos M (2009) Facilitating group decision-making: Facilitator’s subjective theories on group coordination Forum Qualitative Sozialforschung/Forum: Qualitative Social Research 10: http://nbn-resolving.de/urn:nbn:de:0114-fqs0901287

  • Kolbe M, Künzle B, Zala-Mezö E, Wacker J, Grote G (2009) Measuring coordination behaviour in anaesthesia teams during induction of general anaesthetics. In: Flin R, Mitchell L (eds) Safer surgery: analysing behaviour in the operating theatre. Ashgate, Aldershot, UK, pp 203–221

    Google Scholar 

  • Kolbe M, Künzle B, Zala-Mezö E, Wacker J, Spahn DR, Grote G (under review) Adaptive coordination during emergency situations: Is implicit or explicit more effective?

    Google Scholar 

  • Künzle B (2003) Teamprozesse und Koordination im Anästhesieteam [Team processes and coordination in the anaesthesia team]. University of Zurich, Lizenziatsarbeit

    Google Scholar 

  • Künzle B, Kolbe M, Grote G (2010) Ensuring patient safety through effective leadership behaviour: a literature review. Safety Sci 48:1–17

    Article  Google Scholar 

  • Künzle B, Zala-Mezö E, Kolbe M, Wacker J, Grote G (in press) Substitutes for leadership in anaesthesia teams and their impact on leadership effectiveness. Eur J Work Organ Psy

    Google Scholar 

  • Leedal JM, Smith AF (2007) Methodological approaches to anaesthetists’ workload in the operating theatre. Brit J Anaesth 94:702–709

    Google Scholar 

  • Lim B-C, Klein K-J (2006) Team mental models and team performance: a field study of the effects of team mental model similarity and accuracy. J Organ Behav 27:403–418

    Article  Google Scholar 

  • Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, Bohnen J, Orser B, Doran D, Grober E (2004) Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 13:330–334

    Article  PubMed  CAS  Google Scholar 

  • MacMillan J, Entin EE, Serfaty D (2004) Communication overhead: the hidden cost of team cognition. In: Salas E, Fiore SM (eds) Team cognition: understanding the factors that drive process and performance. American Psychological Association, Washington, DC, pp 61–82

    Chapter  Google Scholar 

  • Manser T (2009) Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesth Scand 53:143–151

    Article  PubMed  CAS  Google Scholar 

  • Manser T, Howard SK, Gaba DM (2008) Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. Ergonomics 51:1153–1178

    Article  PubMed  CAS  Google Scholar 

  • Manser T, Harrison TK, Gaba DM, Howard SK (2009a) Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesth Analg 108:1606–1615

    Article  PubMed  Google Scholar 

  • Manser T, Howard SK, Gaba DM (2009b) Identifying characteristics of effective teamwork in complex medical work environments: adaptive crew coordination in anaesthesia. In: Flin R, Mitchell L (eds) Safer surgery: analysing behaviour in the operating theatre. Ashgate, Aldershot, UK, pp 223–239

    Google Scholar 

  • Marks MA, Mathieu JE, Zaccaro SJ (2001) A temporally based framework and taxonomy of team processes. Acad Manage Rev 26:356–376

    Google Scholar 

  • Marks MA, Sabella MJ, Burke CS, Zaccaro SJ (2002) The impact of cross-training on team effectiveness. J Appl Psychol 87:3–13

    Article  PubMed  Google Scholar 

  • Marsch SCU, Müller C, Marquardt K, Conrad G, Tschan F, Hunziker PR (2004) Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation 60:51–56

    Article  PubMed  Google Scholar 

  • Mathieu JE, Marks MA, Zaccaro S-J (2001) Multi-team systems. In: Anderson N, Ones D, Sinangil HK, Viswesvaran C (eds) International handbook of work and organizational psychology. Sage, London, pp 289–313

    Google Scholar 

  • McGrath JE, Tschan F (2004) Temporal matters in social psychology. Examining the role of time in the lives of groups and individuals. American Psychological Association, Washington, DC

    Book  Google Scholar 

  • Mesmer-Magnus JR, DeChurch LA (2009) Information sharing and team performance: a meta-analysis. J Appl Psychol 94:535–546

    Article  PubMed  Google Scholar 

  • Michinov E, Olivier-Chiron E, Rusch E, Chiron B (2008) Influence of transactive memory on perceived performance, job satisfaction and identification in anaesthesia teams. Brit J Anaesth 100:327–332

    Article  PubMed  CAS  Google Scholar 

  • Nyssen AS, Hansez I, Baele P, Lamy M, De Keyser V (2003) Occupational stress and burnout in anaesthesia. Brit J Anaesth 90:333–337

    Article  PubMed  CAS  Google Scholar 

  • Oken A, Rasmusson MD, Slagle JM, Jain S, Kuykendall T, Ordonez N, Weinger MB (2007) A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesthesiology 107:909–922

    Article  PubMed  Google Scholar 

  • Orasanu JM (1993) Decision-making in the cockpit. In: Wiener EL, Kanki BG, Helmreich RL (eds) Cockpit ressource management. Academic, San Diego, pp 137–172

    Google Scholar 

  • Phipps D, Meakin GH, Beatty PCW, Nsoedo C, Parker D (2008) Human factors in anaesthetic practice: insights from a task analysis. Brit J Anaesth 100:333–343

    Article  PubMed  CAS  Google Scholar 

  • Pulakos ED, Arad S, Donovan MA, Plamondon KE (2000) Adaptability in the workplace: development of a taxonomy of adaptive performance. J Appl Psychol 85:612–624

    Article  PubMed  CAS  Google Scholar 

  • Rico R, Sánchez-Manzanares M, Gil F, Gibson C (2008) Team implicit coordination processes: a team knowledge-based approach. Acad Manage Rev 33:163–184

    Article  Google Scholar 

  • Rosen MA, Salas E, Wilson KA, King HB, Salisbury ML, Augenstein JS, Robinson DW, Birnbach DJ (2008) Measuring team performance in simulation-based training: adopting best practices for healthcare. Simul Healthcare 3:33–41

    Article  Google Scholar 

  • Rousseau V, Aubé C, Savoie A (2006) Teamwork behaviors: a review and an integration of frameworks. Small Group Res 37:540–570

    Article  Google Scholar 

  • Salas E, Bowers C, Edens E (2001) Improving teamwork in organizations: application of resource management training. Laurence Erlbaum, Mahwah, NJ

    Google Scholar 

  • Salas E, Nichols DR, Driskell JE (2007a) Testing three team training strategies in intact teams. A meta-analysis. Small Group Res 38:471–488

    Article  Google Scholar 

  • Salas E, Rosen MA, King H (2007b) Managing teams managing crisis: principles of teamwork to improve patient safety in the emergency room and beyond. Theor Issues Ergon Sci 8:381–394

    Article  Google Scholar 

  • Serfaty D, Entin EE (2002) Team adaptation and coordination training. In: Flin R, Salas E, Strub M, Martin C (eds) Decision making under stress: emerging themes and applications. Ashgate, Alderhot, UK, pp 170–184

    Google Scholar 

  • Serfaty D, Kleinman DL (1990) Adaptation processes in team decisionmaking and coordination. In: Proceedings of the IEEE International Conference on Systems, Man and Cybernetics. IEEE, Los Angeles, pp 394–395

    Google Scholar 

  • Sexton JB, Thomas EJ, Helmreich RL (2000) Error, stress, and teamwork in medicine and aviation: cross sectional surveys. Brit Med J 320:745–749

    Article  PubMed  CAS  Google Scholar 

  • Smith-Jentsch KA, Mathieu JE, Kraiger K (2005) Investigating linear and interactive effects of shared mental models on safety and efficiency in a field setting. J Appl Psychol 90:523–535

    Article  PubMed  Google Scholar 

  • Stachowski AA, Kaplan SA, Waller MJ (2009) The benefits of flexible team interaction during crisis. J Appl Psychol 94:1536–1543

    Article  PubMed  Google Scholar 

  • Stasser G, Titus W (1985) Pooling of unshared information in group decision making: biased information sampling during discussion. J Pers Soc Psychol 48:1467–1578

    Article  Google Scholar 

  • Steiner ID (1972) Group processes and productivity. Academic, New York

    Google Scholar 

  • Stroebe W, Frey BS (1982) Self-interest and collective action: the economics and psychology of public goods. Brit J Soc Psychol 21:121–137

    Article  Google Scholar 

  • Sundstrom E, de Meuse KP, Futrell D (1990) Work teams. Applications and effectiveness. Am Psychol 45:120–133

    Article  Google Scholar 

  • Thuilliez H, Anceaux F, Hoc J-M (2005) Rôle de l’opérateur et du statut fonctionnel des informations lors de la prise d’informations en anesthésie [in French]. Le Travail Humain 68:225–252

    Article  Google Scholar 

  • Toups ZO, Kerne A (2007) Implicit coordination in firefighting practice: design implications for teaching fire emergency responders. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM Press, New York, pp 707–716

    Google Scholar 

  • Tschan F, Semmer NK, Gautschi D, Hunziker P, Spychiger M, Marsch SU (2006) Leading to recovery: group performance and coordinative activities in medical emergency driven groups. Hum Perform 19:277–304

    Article  Google Scholar 

  • Wacker J, Kleeb B, Künzle B, Leisinger E, Kobler A, Kolbe M, Manser T, Burtscher M, Spahn DR, Grote G (2008) High incidence of non-routine events during standard anesthesia inductions: a prospective analysis of synchronized video and vital parameter recordings. Annual Conference of the Swiss Society of Anaesthesiology and Reanimation, Fribourg, Switzerland

    Google Scholar 

  • Waller MJ (1999) The timing of adaptive group responses to nonroutine events. Acad Manage J 42:127–137

    Article  Google Scholar 

  • Waller MJ, Uitdewilligen S (2008) Talking to the room. Collective sensemaking during crisis situations. In: Roe RA, Waller MJ, Clegg SR (eds) Time in organizational research. Oxford, Routledge, pp 186–203

    Google Scholar 

  • Webber SS, Klimoski RJ (2004) Crews: a distinct type of work team. J Bus Psychol 18:261–279

    Article  Google Scholar 

  • Weinger MB, Englund CE (1990) Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology 73:995–1021

    Article  PubMed  CAS  Google Scholar 

  • Weinger MB, Slagle J (2002) Human factors research in anesthesia patient safety: techniques to elucidate factors affecting clinical task performance and decision making. J Amer Med Assoc 9:58–63

    Article  Google Scholar 

  • Wittenbaum GM, Stasser G, Merry CJ (1996) Tacit coordination in anticipation of small group task completion. J Exp Soc Psychol 32:129–152

    Article  Google Scholar 

  • Wittenbaum GM, Vaughan SI, Stasser G (1998) Coordination in task-performing groups. In: Tindale RS, Heath L, Edwards J, Posavac EJ, Bryant FB, Suarez-Balcazar Y, Henderson-King E, Myers J (eds) Theory and research on small groups. Plenum, New York, pp 177–204

    Google Scholar 

  • Wittenbaum GM, Hollingshead AB, Paulus PB, Hirokawa RY, Ancona DG, Peterson RS, Jehn KA, Yoon K (2004) The functional perspective as a lens for understanding groups. Small Group Res 35:17–43

    Article  Google Scholar 

  • Xiao Y, Seagull FJ, Mackenzie CF, Klein K (2004) Adaptive leadership in trauma resuscitation teams: a grounded theory approach to video analysis. Cogn Tech Work 6:158–164

    Google Scholar 

  • Zala-Mezö E, Künzle B, Wacker J, Grote G (2004) Zusammenarbeit in Anästhesieteams aus Sicht der Teammitglieder (Cooperation in anesthesia teams as seen by team members). Z Arbeitswiss 58:199–207

    Google Scholar 

  • Zala-Mezö E, Wacker J, Künzle B, Brüesch M, Grote G (2009) The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf Health Care 18:127–130

    Article  PubMed  Google Scholar 

  • Zingg U, Zala-Mezö E, Künzle B, Licht A, Metzger U, Grote G, Platz A (2008) Evaluation of critical incidents in general surgery. Brit J Surg 95:1420–1425

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Management, Technology, and Economics, Organisation, Work, Technology Group, ETH Zürich, Kreuzplatz 5, KPL G 14, 8032, Zürich, Switzerland

    Michaela Kolbe, Michael Burtscher, Barbara Künzle & Gudela Grote

  2. Industrial Psychology Research Centre, School of Psychology, King’s College, University of Aberdeen, G32 William Guild Building, Aberdeen, AB24 2UB, UK

    Tanja Manser

Authors
  1. Michaela Kolbe
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael Burtscher
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tanja Manser
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Barbara Künzle
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gudela Grote
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michaela Kolbe .

Editor information

Editors and Affiliations

  1. , Georg-Elias-Müller-Institute for Psychol, University of Göttingen, Goßlerstr. 14, Göttingen, 37073, Germany

    Margarete Boos

  2. , Dept. of Management, Technology, and Eco, ETH Zürich, Kreuzplatz 5, Zürich, 8032, Switzerland

    Michaela Kolbe

  3. , Dept. of Behavioral Ecology, University of Göttingen, Kellnerweg 6, Göttingen, 37077, Germany

    Peter M. Kappeler

  4. , Dept. of Economic Psychology, University of Trier, Campus 1, Trier, 54286, Germany

    Thomas Ellwart

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kolbe, M., Burtscher, M., Manser, T., Künzle, B., Grote, G. (2011). The Role of Coordination in Preventing Harm in Healthcare Groups: Research Examples from Anaesthesia and an Integrated Model of Coordination for Action Teams in Health Care. In: Boos, M., Kolbe, M., Kappeler, P., Ellwart, T. (eds) Coordination in Human and Primate Groups. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15355-6_5

Download citation

Publish with us

Policies and ethics

Search

Navigation