We describe how a gender specialist team managed the case of a disorder of sex development in a preterm infant where definitive diagnosis and gender assignment were delayed due to complications of prematurity, anemia, and severe intrauterine growth restriction.

Electrical failure during cardiopulmonary bypass is a crisis situation for the cardiac surgical team. Fortunately, it has a low incidence with low morbidity and mortality rates. Notwithstanding, institutional preventative and management measures should be taken. Here, we report a case of electrical failure during cardiopulmonary bypass, which was successfully managed during the surgery, allowin...

We report a case series of five adolescents who were managed with dual simultaneous perineural infusions after orthopaedic surgery on an outpatient basis. Adolescents undergoing orthopaedic procedures involving more than one extremity or nerve distribution can be managed after operation with multiple catheters. Use of low concentrations of local anaesthetic infusions along with good patient and...

This paper presents a computational model developed to study the role of different modes of social learning on the formation of team mental models (TMM). In this model, the TMM is formed over time as team members learn about each other. Members can learn about other team members from (a) their personal interactions with the task and other team members (b) observing other members perform tasks a...

This multi-centre repeated measures study was undertaken to determine how contrasting designs of cognitive aids affect team performance during simulated intra-operative anaphylaxis crises. A total of 24 teams consisting of a consultant anaesthetist, an anaesthetic trainee and anaesthetic assistant managed three simulated intra-operative anaphylaxis emergencies. Each team was assigned at random ...

This paper offers a political explanation for the diffusion and sustainability of team-based work systems by examining the differential outcomes of team structures for 1200 workers, supervisors, and middle managers in a large unionized telecommunications company. Regression analyses show that participation in self-managed teams is associated with significantly higher levels of perceived discret...

BACKGROUND Total parenteral nutrition (TPN) is a form of nutritional support that has become an essential adjunct to the management of patients who are unable to obtain adequate nutrition either via the oral or enteral route. Previous studies indicate that TPN can be administered safely and effectively to patients; however, there are associated risks with this form of nutritional support. Resea...

Background Medical simulation and team training is widely used and the effect on learning is generally accepted. However, full scale simulation is expensive and time consuming. Mornings in the Emergency Department (ED) are often quiet leaving time for other activities. The trauma teams are well organized, and they participate in team training regularly. In contrast, even though medical and surg...

This report describes experiences the authors made over a period of approximately 15 months in a software development and maintenance project in the banking area. It analyzes how the project team managed the transition from the development to the maintenance phase under rather difficult circumstances. The report starts with a description of the project analyzed and a diagnosis of the challenges...