{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:00:58Z","timestamp":1773327658147,"version":"3.50.1"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2010,5,26]],"date-time":"2010-05-26T00:00:00Z","timestamp":1274832000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cogn Tech Work"],"published-print":{"date-parts":[[2011,3]]},"DOI":"10.1007\/s10111-010-0152-5","type":"journal-article","created":{"date-parts":[[2010,5,25]],"date-time":"2010-05-25T02:02:42Z","timestamp":1274752962000},"page":"1-10","source":"Crossref","is-referenced-by-count":9,"title":["Engineering the system of communication for safer surgery"],"prefix":"10.1007","volume":"13","author":[{"given":"Andrew N.","family":"Healey","sequence":"first","affiliation":[]},{"given":"Kamal","family":"Nagpal","sequence":"additional","affiliation":[]},{"given":"Krishna","family":"Moorthy","sequence":"additional","affiliation":[]},{"given":"Charles A.","family":"Vincent","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2010,5,26]]},"reference":[{"issue":"5","key":"152_CR1","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1016\/j.amjsurg.2005.07.018","volume":"190","author":"SS Awad","year":"2005","unstructured":"Awad SS, Fagan SP, Bellows C, Albo D, Green-Rashad B, De la GM et al (2005) Bridging the communication gap in the operating room with medical team training. Am J Surg 190(5):770\u2013774","journal-title":"Am J Surg"},{"key":"152_CR3","first-page":"323","volume":"10","author":"J Benn","year":"2008","unstructured":"Benn J, Healey AN, Hollnagel E (2008) Improving performance reliability in surgical systems. Cogn Technol Work Spec Issue Enhanc Surg Sys 10:323\u2013333","journal-title":"Cogn Technol Work Spec Issue Enhanc Surg Sys"},{"issue":"6","key":"152_CR4","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1056\/NEJM199102073240604","volume":"324","author":"TA Brennan","year":"1991","unstructured":"Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG et al (1991) Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 324(6):370\u2013376","journal-title":"N Engl J Med"},{"key":"152_CR45","doi-asserted-by":"crossref","unstructured":"Carthey J, de Leval MR, Wright DJ, Farewell VT, Reason JT (2003) Behavioural markers of surgical excellence. Saf Sci 41:409\u2013425","DOI":"10.1016\/S0925-7535(01)00076-5"},{"key":"152_CR46","doi-asserted-by":"crossref","unstructured":"Catchpole KR, Giddings AE, de Leval MR, Peek GJ, Godden PJ, Utley M, Gallivan S, Hirst G, Dale T (2006) Identification of systems failures in successful paediatric cardiac surgery. Ergonomics 49(5\u20136):567\u2013588","DOI":"10.1080\/00140130600568865"},{"issue":"7132","key":"152_CR5","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1136\/bmj.316.7132.673","volume":"316","author":"E Coiera","year":"1998","unstructured":"Coiera E, Tombs V (1998) Communication behaviours in a hospital setting: an observational study. BMJ 316(7132):673\u2013676","journal-title":"BMJ"},{"key":"152_CR6","first-page":"21","volume":"8","author":"J DeFontes","year":"2004","unstructured":"DeFontes J, Surbida S (2004) Preoperative safety briefing project. Permaente Journal 8:21\u201327","journal-title":"Permaente Journal"},{"key":"152_CR7","doi-asserted-by":"crossref","unstructured":"Degani A, Wiener EL (1997) Procedures in complex systems: the airline cockpit. IEEE Transactions on Systems, Man, and Cybernetics, SMC 27(3):302\u2013312","DOI":"10.1109\/3468.568739"},{"issue":"4","key":"152_CR8","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1080\/03637750500322602","volume":"72","author":"EM Eisenberg","year":"2005","unstructured":"Eisenberg EM, Murphy AG, Sutcliffe KM, Wears RL, Schenkel S et al (2005) Communication in emergency medicine: implications for patient safety. Communications Monographs 72(4):390\u2013413","journal-title":"Communications Monographs"},{"issue":"4","key":"152_CR9","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.annemergmed.2007.03.005","volume":"50","author":"RJ Fairbanks","year":"2007","unstructured":"Fairbanks RJ, Bisantz AM, Sunm M (2007) Emergency department communication links and patterns. Ann Emerg Med 50(4):396\u2013406","journal-title":"Ann Emerg Med"},{"issue":"4","key":"152_CR10","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.jamcollsurg.2007.01.010","volume":"204","author":"CC Greenberg","year":"2007","unstructured":"Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ et al (2007) Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg 204(4):533\u2013540","journal-title":"J Am Coll Surg"},{"key":"152_CR11","first-page":"39","volume-title":"The effects of different forms of coordination on coping with workload. Group Interaction in high-risk environments","author":"G Grote","year":"2004","unstructured":"Grote G, Zala-Mezo E, Grommes P (2004) The effects of different forms of coordination on coping with workload. Group Interaction in high-risk environments. Ashgate, Germany, pp 39\u201355"},{"key":"152_CR44","doi-asserted-by":"crossref","unstructured":"Healey AN, Undre S, Vincent CA (2004) Developing observational measures of performance in surgical teams. Qual Saf Health Care 13(Suppl. 1):i33\u2013i40","DOI":"10.1136\/qshc.2004.009936"},{"issue":"5\u20136","key":"152_CR12","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/00140130600568899","volume":"49","author":"AN Healey","year":"2006","unstructured":"Healey AN, Sevdalis N, Vincent CA (2006) Measuring intra-operative interference from distraction and interruption observed in the operating theatre. Ergonomics 49(5\u20136):589\u2013604","journal-title":"Ergonomics"},{"issue":"4p2","key":"152_CR13","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1111\/j.1475-6773.2006.00564.x","volume":"41","author":"K Henriksen","year":"2006","unstructured":"Henriksen K, Dayton E (2006) Organizational silence and hidden threats to patient safety. Health Serv Res 41(4p2):1539\u20131554","journal-title":"Health Serv Res"},{"issue":"4","key":"152_CR14","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1001\/archsurg.141.4.353","volume":"141","author":"MR Kwaan","year":"2006","unstructured":"Kwaan MR, Studdert DM, Zinner MJ, Gawande AA (2006) Incidence, patterns, and prevention of wrong-site surgery. Arch Surg 141(4):353\u2013357","journal-title":"Arch Surg"},{"issue":"7621","key":"152_CR15","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1136\/bmj.39317.641296.AD","volume":"335","author":"RJ Lilford","year":"2007","unstructured":"Lilford RJ, Brown CA, Nicholl J (2007) Use of process measures to monitor the quality of clinical practice. BMJ 335(7621):648\u2013650","journal-title":"BMJ"},{"issue":"5","key":"152_CR16","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1136\/qshc.2003.008425","volume":"13","author":"L Lingard","year":"2004","unstructured":"Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R et al (2004) Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 13(5):330\u2013334","journal-title":"Qual Saf Health Care"},{"issue":"5","key":"152_CR17","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1136\/qshc.2004.012377","volume":"14","author":"L Lingard","year":"2005","unstructured":"Lingard L, Espin S, Rubin B, Whyte S, Colmenares M, Baker GR et al (2005) Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 14(5):340\u2013346","journal-title":"Qual Saf Health Care"},{"issue":"1","key":"152_CR18","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1001\/archsurg.2007.21","volume":"143","author":"L Lingard","year":"2008","unstructured":"Lingard L, Regehr G, Orser B, Reznick R, Baker GR, Doran D et al (2008) Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg 143(1):12\u201317","journal-title":"Arch Surg"},{"issue":"5","key":"152_CR19","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1177\/0310057X9302100516","volume":"21","author":"GL Ludbrook","year":"1993","unstructured":"Ludbrook GL, Webb RK, Fox MA, Singleton RJ (1993) The Australian incident monitoring study. Problems before induction of anaesthesia: an analysis of 2000 incident reports. Anaesth Intensive Care 21(5):593\u2013595","journal-title":"Anaesth Intensive Care"},{"issue":"6","key":"152_CR20","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/S1553-7250(06)32045-4","volume":"32","author":"MA Makary","year":"2006","unstructured":"Makary MA, Holzmueller CG, Thompson D, Rowen L, Heitmiller ES, Maley WR et al (2006) Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf 32(6):351\u2013355","journal-title":"Jt Comm J Qual Patient Saf"},{"issue":"2","key":"152_CR21","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.jamcollsurg.2006.10.018","volume":"204","author":"MA Makary","year":"2007","unstructured":"Makary MA, Mukherjee A, Sexton JB, Syin D, Goodrich E, Hartmann E et al (2007) Operating room briefings and wrong-site surgery. J Am Coll Surg 204(2):236\u2013243","journal-title":"J Am Coll Surg"},{"key":"152_CR43","doi-asserted-by":"crossref","unstructured":"Martin JA, Regehr G, Reznick R et al. (1997) Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg 84:273\u2013278","DOI":"10.1002\/bjs.1800840237"},{"issue":"1","key":"152_CR22","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s00464-007-9346-1","volume":"22","author":"A Mishra","year":"2008","unstructured":"Mishra A, Catchpole K, Dale T, McCulloch P (2008) The influence of non-technical performance on technical outcome in laparoscopic cholecystectomy. Surg Endosc 22(1):68\u201373","journal-title":"Surg Endosc"},{"issue":"5","key":"152_CR23","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/01.sla.0000186298.79308.a8","volume":"242","author":"K Moorthy","year":"2005","unstructured":"Moorthy K, Munz Y, Adams S, Pandey V, Darzi A (2005) A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Ann Surg 242(5):631\u2013639","journal-title":"Ann Surg"},{"issue":"3","key":"152_CR24","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.annemergmed.2009.03.013","volume":"54","author":"AG Murphy","year":"2009","unstructured":"Murphy AG, Wears RL (2009) The medium is the message: communication and power in sign-outs. Ann Emerg Med 54(3):379\u2013380","journal-title":"Ann Emerg Med"},{"key":"152_CR25","volume-title":"Improving healthcare team communication: building on lessons from aviation and aerospace","year":"2008","unstructured":"Nemeth CP (ed) (2008) Improving healthcare team communication: building on lessons from aviation and aerospace. Ashgate, Aldershot, UK 280"},{"issue":"3","key":"152_CR26","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1136\/qhc.11.3.270","volume":"11","author":"J Ovretveit","year":"2002","unstructured":"Ovretveit J, Gustafson D (2002) Evaluation of quality improvement programmes. Qual Saf Health Care 11(3):270\u2013275","journal-title":"Qual Saf Health Care"},{"issue":"6","key":"152_CR27","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.annemergmed.2008.07.014","volume":"53","author":"ES Patterson","year":"2009","unstructured":"Patterson ES, Wears RL (2009) Beyond \u201ccommunication failure\u201d. Ann Emerg Med 53(6):711\u2013712","journal-title":"Ann Emerg Med"},{"issue":"2\/3","key":"152_CR28","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0925-7535(97)00052-0","volume":"27","author":"J Rasmussen","year":"1997","unstructured":"Rasmussen J (1997) Risk management in a dynamic society: a modelling problem. Saf Sci 27(2\/3):183\u2013213","journal-title":"Saf Sci"},{"issue":"1","key":"152_CR29","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.surg.2006.01.008","volume":"140","author":"SO Rogers Jr","year":"2006","unstructured":"Rogers SO Jr, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA et al (2006) Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery 140(1):25\u201333","journal-title":"Surgery"},{"issue":"6","key":"152_CR30","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1093\/intqhc\/13.6.469","volume":"13","author":"HR Rubin","year":"2001","unstructured":"Rubin HR, Pronovost P, Diette GB (2001) The advantages and disadvantages of process-based measures of health care quality. Int J Qual Health Care 13(6):469\u2013474","journal-title":"Int J Qual Health Care"},{"issue":"8","key":"152_CR31","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1007\/s00464-006-2050-8","volume":"20","author":"SD Schwaitzberg","year":"2006","unstructured":"Schwaitzberg SD (2006) The emergence of radiofrequency identification tags: applications in surgery. Surg Endosc 20(8):1315\u20131319","journal-title":"Surg Endosc"},{"issue":"10","key":"152_CR33","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1007\/s00268-005-0488-9","volume":"30","author":"S Undre","year":"2006","unstructured":"Undre S, Healey AN, Darzi A, Vincent CA (2006) Observational assessment of surgical teamwork: a feasibility study. World J Surg 30(10):1774\u20131783","journal-title":"World J Surg"},{"issue":"9","key":"152_CR34","doi-asserted-by":"crossref","first-page":"409","DOI":"10.5694\/j.1326-5377.2002.tb04478.x","volume":"176","author":"CA Vincent","year":"2002","unstructured":"Vincent CA, Wears RL (2002) Communication in the emergency department: separating the signal from the noise. Med J Aust 176(9):409\u2013410","journal-title":"Med J Aust"},{"issue":"7138","key":"152_CR35","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1136\/bmj.316.7138.1154","volume":"316","author":"C Vincent","year":"1998","unstructured":"Vincent C, Taylor-Adams S, Stanhope N (1998) Framework for analysing risk and safety in clinical medicine. British Medical Journal 316(7138):1154\u20131157","journal-title":"British Medical Journal"},{"issue":"7285","key":"152_CR36","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1136\/bmj.322.7285.517","volume":"322","author":"C Vincent","year":"2001","unstructured":"Vincent C, Neale G, Woloshynowych M (2001) Adverse events in British hospitals: preliminary retrospective record review. BMJ 322(7285):517\u2013519","journal-title":"BMJ"},{"issue":"2","key":"152_CR37","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/01.sla.0000242709.28760.56","volume":"245","author":"RG Williams","year":"2007","unstructured":"Williams RG, Silverman R, Schwind C, Fortune JB, Sutyak J, Horvath KD et al (2007) Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg 245(2):159\u2013169","journal-title":"Ann Surg"},{"key":"152_CR38","unstructured":"World Alliance for Patient Safety (2008) Safe surgery save lives. http:\/\/www.who.int\/patientsafety\/safesurgery . 10-10-2008"},{"issue":"1","key":"152_CR39","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jbi.2004.11.004","volume":"38","author":"Y Xiao","year":"2005","unstructured":"Xiao Y (2005) Artifacts and technical work in health care: methodological, theoretical, and technological implications of the tangible. J Biomed Inform 38(1):26\u201333","journal-title":"J Biomed Inform"},{"issue":"4","key":"152_CR40","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.annemergmed.2007.03.027","volume":"50","author":"Y Xiao","year":"2007","unstructured":"Xiao Y, Schenkel S, Faraj S, Mackenzie CF, Moss J (2007) What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med 50(4):387\u2013395","journal-title":"Ann Emerg Med"},{"issue":"11","key":"152_CR41","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1111\/j.1365-2929.2006.02610.x","volume":"40","author":"S Yule","year":"2006","unstructured":"Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D (2006) Development of a rating system for surgeons\u2019 non-technical skills. Med Educ 40(11):1098\u20131104","journal-title":"Med Educ"}],"container-title":["Cognition, Technology & Work"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-010-0152-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10111-010-0152-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-010-0152-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T00:31:02Z","timestamp":1591317062000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10111-010-0152-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,26]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["152"],"URL":"https:\/\/doi.org\/10.1007\/s10111-010-0152-5","relation":{},"ISSN":["1435-5558","1435-5566"],"issn-type":[{"value":"1435-5558","type":"print"},{"value":"1435-5566","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5,26]]}}}