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dc.contributor.authorGundrosen, Stine
dc.contributor.authorAadahl, Petter
dc.contributor.authorAndenæs, Ellen
dc.contributor.authorThomassen, Gøril Margrethe
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2016, 24(135)nb_NO
dc.description.abstractBackground: Communication errors can reduce patient safety, especially in emergency situations that require rapid responses by experts in a number of medical specialties. Talking to each other is crucial for utilizing the collective expertise of the team. Here we explored the functions of “team talk” (talking between team members) with an emphasis on the talk-work relationship in interdisciplinary emergency teams. Methods: Five interdisciplinary medical emergency teams were observed and videotaped during in situ simulations at an emergency department at a university hospital in Norway. Team talk and simultaneous actions were transcribed and analysed. We used qualitative discourse analysis to perform structural mapping of the team talk and to analyse the function of online commentaries (real-time observations and assessments of observations based on relevant cues in the clinical situation). Results: Structural mapping revealed recurring and diverse patterns. Team expansion stood out as a critical phase in the teamwork. Online commentaries that occurred during the critical phase served several functions and demonstrated the inextricable interconnections between team talk and actions. Discussion: Discourse analysis allowed us to capture the dynamics and complexity of team talk during a simulated emergency situation. Even though the team talk did not follow a predefined structure, the team members managed to manoeuvre safely within the complex situation. Our results support that online commentaries contributes to shared team situation awareness. Conclusions: Discourse analysis reveals naturally occurring communication strategies that trigger actions relevant for safe practice and thus provides supplemental insights into what comprises “good” team communication in medical emergencies.nb_NO
dc.publisherBioMed Centralnb_NO
dc.subjectEmergency medicine – Patient safety – Interdisciplinary teams – Communication – Patient simulation – Qualitative researchnb_NO
dc.titleTeam talk and team activity in simulated medical emergencies: a discourse analytical approachnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.rights.holder© The Author(s). 2016nb_NO
dc.source.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicinenb_NO
dc.description.localcode© The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.nb_NO

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