Factors Affecting Communication and Performance among Critical Care Air Transport Team (CCATT) Personnel

Abstract

Critical Care Air Transport Team (CCATT) members must coordinate effectively to care for their patients, but such coordination is not explicitly trained. CCATTs are assembled ad-hoc for each deployment. Each team must develop coordination practices in real-time, and patient care could suffer if a team adopts ineffective coordination patterns. This study examined 91 recordings of simulated patient care scenarios in order to characterize CCATT coordination patterns and examine their relationship to individual team member communication behaviors and team performance. We identified Authoritarian and Egalitarian teams based on the distribution of utterances across team members. We examined the link between Authoritarian/Egalitarian status and team performance, as well as differences in communication content across roles. We found considerable variability between teams in the distribution of utterances across team members and a significant interaction between Authoritarian/Egalitarian team type and team role in predicting communication content. Authoritarian/Egalitarian team type did not predict team performance. CCATT coordination patterns appear to be an emergent property of the interactions between members of a particular team. Individuals in our sample were able to adjust their communications to interact adaptively with unfamiliar teammates. Given the flexibility of CCATT personnel in adapting communication styles and the lack of a link between team coordination style and performance, the current practice of assembling ad-hoc CCATTs is unlikely to impact patient care negatively.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2021
Accession Number
AD1188270

Entities

People

  • Ashton Hughes
  • Christopher H Stucky
  • Clayton D. Rothwell
  • Daniel Bevington
  • Deanne French
  • Frank E. Robinson
  • Marissa Tharp
  • Sarah Huffman

Tags

Communities of Interest

  • Biomedical
  • Human Systems

DTIC Thesaurus Topics

  • Air Force
  • Aircrafts
  • Biological Sciences
  • Cognitive Science
  • Cognitive Systems Engineering
  • Combat Casualty Care
  • Computer Programming
  • Data Sets
  • Deployment
  • Health Care
  • Health Services
  • Heart Rate
  • Information Exchange
  • Information Science
  • Institutional Review Board
  • Medical Personnel
  • Patient Care
  • Physicians
  • Psychology
  • Reliability
  • Simulations
  • Simulators
  • Students
  • Teamwork
  • United States

Readers

  • Emergency Management and Homeland Security.
  • Team-Based Human-Centered Cognitive Task Decision Making and Information Performance.