Anne van Dalen

4 Analyzing and discussing human factors affecting surgical patient safety I 153 Anticipatory Action Contingency planning Evidence of planning for unanticipated events + communicating plan to team Error margins Surgeon executes surgical step while preserving margin for error Proactive team management Leadership regarding the delegation of tasks to clinical team members in advance of their required completion (Ex. Surgeon tells nurse to get something in advance) Proactive task completion Clinician proactively completes required task in advance of prepare tool/resource for use by surgical team before it is needed, without being asked Establishing next steps Evidence of proactive planning for subsequent surgical tasks + communicating plan to team Effective Teamwork Collaborative decision- making Discussion among surgeons/ evaluating options prior to ultimate decision Interdisciplinary problem solving Clinicians with different backgrounds collaborate to address a concern that has arisen Team harmony Evidence of synergy/harmony among teammembers (Ex. Getting alongwell, enjoy working with eachother) Debriefing Team discussion at the end of case to evaluate surgical performance/explore concerns Shared mental model Clinical team works to establish a shared mental model/shared understanding of the patient/ procedure to enable smooth/safe workflow