An Ethogram to Quantify Operating Room Behavior
- PMID: 26813263
- PMCID: PMC5320891
- DOI: 10.1007/s12160-016-9773-0
An Ethogram to Quantify Operating Room Behavior
Abstract
Background: The operating room (OR) is a highly social and hierarchical setting where interprofessional team members must work interdependently under pressure. Due primarily to methodological challenges, the social and behavioral sciences have had trouble offering insight into OR dynamics.
Purpose: We adopted a method from the field of ethology for observing and quantifying the interpersonal interactions of OR team members.
Methods: We created and refined an ethogram, a catalog of all our subjects' observable social behaviors. The ethogram was then assessed for its feasibility and interobserver reliability.
Results: It was feasible to use an ethogram to gather data in the OR. The high interobserver reliability (Cohen's Kappa coefficients of 81 % and higher) indicates its utility for yielding largely objective, descriptive, quantitative data on OR behavior.
Conclusions: The method we propose has potential for social research conducted in healthcare settings as complex as the OR.
Keywords: Health communication; Health services research; Worksite health.
Conflict of interest statement
Figures

Similar articles
-
Ethological observations of social behavior in the operating room.Proc Natl Acad Sci U S A. 2018 Jul 17;115(29):7575-7580. doi: 10.1073/pnas.1716883115. Epub 2018 Jul 2. Proc Natl Acad Sci U S A. 2018. PMID: 29967170 Free PMC article.
-
Social structures in the operating theatre: how contradicting rationalities and trust affect work.J Adv Nurs. 2012 Apr;68(4):783-95. doi: 10.1111/j.1365-2648.2011.05779.x. Epub 2011 Jul 20. J Adv Nurs. 2012. PMID: 21777271
-
Reliability issues and solutions for coding social communication performance in classroom settings.J Speech Lang Hear Res. 2006 Oct;49(5):1058-71. doi: 10.1044/1092-4388(2006/075). J Speech Lang Hear Res. 2006. PMID: 17077214
-
Nonverbal behavior during face-to-face social interaction in schizophrenia: a review.J Nerv Ment Dis. 2014 Jan;202(1):47-54. doi: 10.1097/NMD.0000000000000031. J Nerv Ment Dis. 2014. PMID: 24375212 Review.
-
Re-wilding Collective Behaviour: An Ecological Perspective.Trends Ecol Evol. 2018 May;33(5):347-357. doi: 10.1016/j.tree.2018.03.004. Epub 2018 Apr 4. Trends Ecol Evol. 2018. PMID: 29627203 Review.
Cited by
-
Social relations and presence of others predict bystander intervention: Evidence from violent incidents captured on CCTV.Aggress Behav. 2019 Nov;45(6):598-609. doi: 10.1002/ab.21853. Epub 2019 Jul 29. Aggress Behav. 2019. PMID: 31359450 Free PMC article.
-
How do you do the things that you do? Ethological approach to the description of robot behaviour.Biol Futur. 2023 Sep;74(3):253-279. doi: 10.1007/s42977-023-00178-z. Epub 2023 Oct 9. Biol Futur. 2023. PMID: 37812380 Review.
-
Face-touching behaviour as a possible correlate of mask-wearing: A video observational study of public place incidents during the COVID-19 pandemic.Transbound Emerg Dis. 2022 May;69(3):1319-1325. doi: 10.1111/tbed.14094. Epub 2021 May 18. Transbound Emerg Dis. 2022. PMID: 33817991 Free PMC article.
-
Opportunities and Barriers to Rural Telerobotic Surgical Health Care in 2021: Report and Research Agenda from a Stakeholder Workshop.Telemed J E Health. 2022 Jul;28(7):1050-1057. doi: 10.1089/tmj.2021.0378. Epub 2021 Nov 19. Telemed J E Health. 2022. PMID: 34797741 Free PMC article.
-
"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams.PLoS One. 2019 Dec 12;14(12):e0226437. doi: 10.1371/journal.pone.0226437. eCollection 2019. PLoS One. 2019. PMID: 31830122 Free PMC article.
References
-
- Rogers DA, Lingard L, Boehler ML, et al. Surgeons managing conflict in the operating room: Defining the educational need and identifying effective behaviors. Am J Surg. 2013;205(2):125–130. - PubMed
-
- Rogers DA, Lingard L. Surgeons managing conflict: A framework for understanding the challenge. J Am Chem Soc. 2006;203(4):568–574. - PubMed
-
- Rogers DA, Lingard L, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg. 2013;206(3):428–432. - PubMed
-
- King HB, Battles J, Baker DP. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 3. Rockville, MD: AHRQ; 2008. Teamstepps™: Team strategies and tools to enhance performance and patient safety. Retrieved from http://teamstepps.ahrq.gov. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical