000			02009nam a2200169 4500
999			_c510001 _d510001
008			190712b ||||| |||| 00| 0 eng d
100			_aChristianson, Marlys K. _97024
245			_aMore and less effective updating: the role of trajectory management in making sense again
260			_c2019
300			_ap.45-86.
520			_aThis study examines how updating—the process of revising provisional sensemaking to incorporate new cues—occurs within teams during unexpected events. I compare how 19 teams of emergency department staff managed the same unexpected event (a broken piece of equipment) in a medical simulation scenario. Using a microethnographic approach to analyze video recordings of these teams, I conduct a fine-grained examination of how updating takes place and find considerable variation in its effectiveness across teams. I show that the effectiveness of updating depends not only on how teams remake sense but also on how they engage in trajectory management, balancing the work of updating with their ongoing work (in this case, patient care). Trajectory management practices related to monitoring cues and managing engaging tasks facilitated effective updating and allowed teams to detect and identify the problem caused by the broken piece of equipment and correct it before it led to serious consequences. More-effective teams monitor and rapidly interpret cues, confirming them with others and evaluating changes over time; they then investigate cues, develop plausible explanations, and quickly test them, monitoring cues for feedback. Less-effective teams fail to monitor and confirm cues with others, overlook or misinterpret cues, and delay investigating cues and developing plausible explanations; they also delay testing explanations, often being sidetracked by patient care tasks. - Reproduced.
650			_aTeam building _97025
650			_aTrajectory management _97026
773			_aAdministrative Science Quarterly
906			_aManagement
942			_2ddc _cAR