title: Monitoring and talking to the room: autochthonous coordination patterns in team interaction and performance.
abstract: This paper builds on and extends theory on team functioning in high-risk environments. We examined 2 implicit coordination behaviors that tend to emerge autochthonously within high-risk teams: team member monitoring and talking to the room. Focusing on nonrandom patterns of behavior, we examined sequential patterns of team member monitoring and talking to the room in higher- and lower-performing action teams working in a high-risk health care environment. Using behavior observation methods, we coded verbal and nonverbal behaviors of 27 anesthesia teams performing an induction of general anesthesia in a natural setting and assessed team performance with a Delphi-validated checklist-based performance measure. Lag sequential analyses revealed that higher-performing teams were characterized by patterns in which team member monitoring was followed by speaking up, providing assistance, and giving instructions and by patterns in which talking to the room was followed by further talking to the room and not followed by instructions. Higher- and lower-performing teams did not differ with respect to the frequency of team member monitoring and talking to the room occurrence. The results illustrate the importance of patterns of autochthonous coordination behaviors and demonstrate that the interaction patterns, as opposed to the behavior frequencies, discriminated higher- from lower-performing teams. Implications for future research and for team training are included. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
authors.affiliation: Department of Management, Technology, and Economics.
authors.forename: Michaela
authors.initials: M
authors.lastname: Kolbe
authors.affiliation: Department of Management, Technology, and Economics.
authors.forename: Gudela
authors.initials: G
authors.lastname: Grote
authors.affiliation: Schulich School of Business, York University.
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Waller
authors.affiliation: Institute of Anaesthesiology, University Hospital Zurich.
authors.forename: Johannes
authors.initials: J
authors.lastname: Wacker
authors.affiliation: Institute of Anaesthesiology, University Hospital Zurich.
authors.forename: Bastian
authors.initials: B
authors.lastname: Grande
authors.affiliation: Center for Organizational and Occupational Sciences.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Burtscher
authors.affiliation: Institute of Anaesthesiology, University Hospital Zurich.
authors.forename: Donat R
authors.initials: DR
authors.lastname: Spahn
mesh_terms: D000776:Anesthesiology / Q000458:organization & administration*; D003142:Communication; D003299:Cooperative Behavior; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010564:Personnel, Hospital / Q000523:psychology*; D013647:Task Performance and Analysis