Team Adaptation to Complex Clinical Situations: The Case of VTE Prophylaxis in Hospitalized Patients
Intensive care units (ICUs) are complex environments, which rely on teams in order to coordinate patient care. Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a major concern for ICU patients, who are frequently immobile. VTE prophylaxis (prevention) occurs throughout different stages of a patient’s stay in the ICU, which range in levels of complexity. The objective of this study is to use social network analysis to understand team adaptation in response to different levels of complexity in the VTE prophylaxis process. The more complex stages of VTE prophylaxis involve more people, more team activities, more team interactions, and more two-way communication compared to the less complex stages. Social network analysis can be used to understand team adaptation to these different levels of complexity in a patient’s ICU care.
KeywordsTeam adaptation Social network analysis Complexity Patient safety
This project was supported by Grant Number R01HS022086 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. The project was also partially supported by the Clinical and Translational Science Award (CTSA) program, through the NIH National Center for Advancing Translational Sciences (NCATS), Grant UL1TR000427. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
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