Imperial College London
Portrait Picture

Dr Tayana Soukup PhD CPsychol FRSPH

Faculty of Medicine, Department of Surgery & Cancer

Research Fellow in Human Factors - Artificial Intelligence
 
 
 
//

Contact

 

t.soukup

 
 
//

Location

 

508Medical SchoolSt Mary's Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Soukup:2019:osf.io/pvgfn,
author = {Soukup, T and Lamb, BW and Green, J and Sevdalis, N},
doi = {osf.io/pvgfn},
title = {Cognitive catch-22: Observational assessment of decision-making, interactions and team dynamics across two equal temporal halves of multidisciplinary oncology team meetings},
url = {http://dx.doi.org/10.31234/osf.io/pvgfn},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <p>BackgroundMultidisciplinary team meetings are designed to bring diverse range of healthcare professionals together to discuss patients with cancer and formulate expert informed treatment recommendations; their decision-making (DM) was found variable, however. ObjectiveWe set out to examine how the factors proposed by functional perspective of group DM i.e. the quality of DM, interactions, internal factors (factors emanating from within the group such as group size) and external circumstances (factors coming from the outside of the team, such as time-workload pressure) fare between two equal temporal halves of the multidisciplinary oncology meetings. Design This was a prospective cross-sectional observational study. Setting and participantsThree cancer multidisciplinary teams were recruited with 44 members overall. Thirty weekly meetings were filmed over 3 months respectively. MeasuresThree validated observational instruments were used to measure quality of DM, interactions and discussion complexity for 822 individual patient discussions.ResultsThere was a significant difference between 1st and 2nd half of meetings, F(11,809)=21.56, p&lt;.001; Hotelling’s Trace=0.29. partial η2=.23, with a reduced quality of DM (p=.001) and interactions (p=.001), group size (p=.003), and clinical complexity (p=.001), and increased negative reactions (p=.001) and time-workload pressure (p=.001). ConclusionWhile patient-discussions are significantly simpler in the 2nd half of the meeting, there is significantly less time left to discuss the remaining patients as the teams are rapidly attempting to close the time-workload gap and reach a treatment recommendation for all patients put forward for the meeting. Arguably this further adds to the cognitive taxation in the teams with implications for quality and safety.</p>
AU  - Soukup,T
AU  - Lamb,BW
AU  - Green,J
AU  - Sevdalis,N
DO  - osf.io/pvgfn
PY  - 2019///
TI  - Cognitive catch-22: Observational assessment of decision-making, interactions and team dynamics across two equal temporal halves of multidisciplinary oncology team meetings
UR  - http://dx.doi.org/10.31234/osf.io/pvgfn
ER  -
Download