{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:31:48Z","timestamp":1770816708576,"version":"3.50.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hum Factors"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p> Objectives: This paper examines the effects of new technology on team communication and information flow in a complex work environment, and offers design suggestions for improved team performance. Background: Case study of a robot-assisted cholecystectomy procedure revealed teamwork disruption and an increase in the complexity of information flow and communication in the operating room as a result of the novel technology. A controlled experiment using a between-subjects design was conducted to test the hypothesis that providing critical information in a timely and accessible manner would increase communication efficiency and reduce errors in task performance. Methods: Eighteen pairs of participants took part in a simulated tool-changing task in surgery under one of three communication conditions: (a) no rules, (b) scripted, or (c) automated. Results: Teams in the scripted and automated conditions performed significantly faster than the no-rules teams ( p &lt; .05). Teams in the automated condition made significantly more errors than those in the scripted condition ( p &lt; .05). Conclusion: Scripted speech can facilitate team communication and adaptation to new technology; automatic information display interfaces are not useful if the modality is incompatible with operator expectations. Application: Information displays and communication protocols can be designed to ease adaptation to complex operating room technology. <\/jats:p>","DOI":"10.1518\/001872006779166271","type":"journal-article","created":{"date-parts":[[2006,12,16]],"date-time":"2006-12-16T15:07:33Z","timestamp":1166281653000},"page":"747-758","source":"Crossref","is-referenced-by-count":41,"title":["Lowering Communication Barriers in Operating Room Technology"],"prefix":"10.1177","volume":"48","author":[{"given":"Jessica L.","family":"Webster","sequence":"first","affiliation":[{"name":"Tufts University, Medford, Massachusetts"}]},{"given":"Caroline G. 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