Background: Non-technical errors, such as insufficient communication or leadership, are a major cause of medical failures during trauma resuscitation. Research on staffing variation among trauma teams on teamwork is still in their infancy. In this study, the extent of variation in trauma team staffing was assessed. Our hypothesis was that there would be a high variation in trauma team staffing. Methods: Trauma team composition of consecutive resuscitations of injured patients were evaluated using videos. All trauma team members that where part of a trauma team during a trauma resuscitation were identified and classified during a one-week period. Other outcomes were number of unique team members, number of new team members following the previous resuscitation and new team members following the previous resuscitation in the same shift (Day, Evening, Night). Results: All thirty-two analyzed resuscitations had a unique trauma team composition and 101 unique members were involved. A mean of 5.71 (SD 2.57) new members in teams of consecutive trauma resuscitations was found, which was two-third of the trauma team. Mean team members present during trauma resuscitation was 8.38 (SD 1.43). Most variation in staffing was among nurses (32 unique members), radiology technicians (22 unique members) and anesthetists (19 unique members). The least variation was among trauma surgeons (3 unique members) and ER physicians (3 unique members). Conclusion: We found an extremely high variation in trauma team staffing during thirty-two consecutive resuscitations at our level one trauma center which is incorporated in an academic teaching hospital. Further research is required to explore and prevent potential negative effects of staffing variation in trauma teams on teamwork, processes and patient related outcomes.
In the project I’m currently working on the aim is to understand human experience in close relation to larger planetary systems. More precisely: developing a (sportive) relation with and within a specific bioregion. Not only can this take us closer to localized traditional sports from pre industrial society, more importantly it can give us the possibility to make a shift from anthropocentrism to ecocentrism through sport. A new understanding considering our existence and to ‘planetary health’ is what is desperately needed in the unfolding process of ecological crisis (Gammelsaeter & Loland 2022) (Goldblatt, 2023).
MULTIFILE
This research project aims to pick up where Incommunicado left off, to look past conferences organized in the West, the debates sponsored by western organizations, and to instead look through the lens of the individual end users on the ground. This project aims to embed itself amongst the people living at the ‘bottom of the ICT pyramid’ and to look at the same discussion from their perspective. It is this ‘other’ point of view that is too often missing in the ICT4D debate, otherwise a valuable voice that helps to put technologies, projects and organizations into their proper context.
