Team Adaptation to Complex Clinical Situations: The Case of VTE Prophylaxis in Hospitalized Patients

  • Megan E. SalweiEmail author
  • Pascale Carayon
  • Ann Schoofs Hundt
  • Peter Kleinschmidt
  • Peter Hoonakker
  • Brian W. Patterson
  • Douglas Wiegmann
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 818)


Intensive care units (ICUs) are complex environments, which rely on teams in order to coordinate patient care. Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a major concern for ICU patients, who are frequently immobile. VTE prophylaxis (prevention) occurs throughout different stages of a patient’s stay in the ICU, which range in levels of complexity. The objective of this study is to use social network analysis to understand team adaptation in response to different levels of complexity in the VTE prophylaxis process. The more complex stages of VTE prophylaxis involve more people, more team activities, more team interactions, and more two-way communication compared to the less complex stages. Social network analysis can be used to understand team adaptation to these different levels of complexity in a patient’s ICU care.


Team adaptation Social network analysis Complexity Patient safety 



This project was supported by Grant Number R01HS022086 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. The project was also partially supported by the Clinical and Translational Science Award (CTSA) program, through the NIH National Center for Advancing Translational Sciences (NCATS), Grant UL1TR000427. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Megan E. Salwei
    • 1
    • 2
    Email author
  • Pascale Carayon
    • 1
    • 2
  • Ann Schoofs Hundt
    • 2
  • Peter Kleinschmidt
    • 3
  • Peter Hoonakker
    • 2
  • Brian W. Patterson
    • 2
    • 3
  • Douglas Wiegmann
    • 1
    • 2
  1. 1.Department of Industrial and Systems EngineeringUniversity of Wisconsin-MadisonMadisonUSA
  2. 2.Center for Quality and Productivity ImprovementUniversity of Wisconsin-MadisonMadisonUSA
  3. 3.School of Medicine and Public HealthUniversity of Wisconsin-MadisonMadisonUSA

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