Is it possible to form expert medical teams from expert professionals?
DOI:
https://doi.org/10.35954/SM2017.36.1.4Keywords:
Efficiency, Organizational; Patient Care Team; Occupational Groups; Physician’s RoleAbstract
Multidisciplinary teamwork increases patient safety and minimizes medical errors, as well as improving the satisfaction and performance of healthcare personnel and reducing the costs generated by malpractice and complications. However, the implementation of medical teamwork is complex and seems to be a utopia, especially in countries with scarce resources. Despite efforts to change the paradigm of medical care, it is still based on the acquisition of individual knowledge rather than collective interaction. The development of teamwork skills is not part of the medical curriculum in our country. The pillars and advantages of teamwork are explained in order to generate awareness in initiating the difficult path towards this way of working.
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(1) Salas E, Burke C, Bowers C, Wilson K. Team training in the skies: does crew resource management (CRM) training work?. Hum Fact 2001; 43(4):641-74.
(2) Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Q Qual Saf Health Care 2004; 13(Suppl 1):i80-4.
(3) Weaver S, Rosen M, Diaz Granados D, Lazzara E, Lyons R, Salas E, et al. Does teamwork improve performance in the operating room? Amultilevel evaluation. J Comm J Qual Patient Saf 2010; 36(3):133-42.
(4) West P, Sculli G, Fore A, Okam N, Dunlap C, Neily J, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm 2012; 42(1):15-20.
(5) Weaver SJ, Dy SM, Rosen MA. Team training in health care: a narrative synthesis of the literature. BMJ Qual Saf 2014; 23(5):359-72.
(6) Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf 2016; 25(2):92-97.
(7) Rutherford J, Flin R, Irwin A. The non-technical skills usedby anaesthetic technicians in criticalincidents reported to the Australian Incident Monitoring System between 2002 and 2008. Anaesth Intensive Care 2015; 43(4):512-7.
(8) Gramling R, Gajary-Coots E, Stanek S, Dougoud N, Pyke H, Thomas M, et al. Design of, and enrollment in, the palliative care communication research initiative: a direct observation cohort study. BMC Palliat Care 2015; 14:40.
(9) Thomas E, Studdert D, Burstin H, Orav E, Zeena T, Williams E, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000; 38(3):261-71.
(10) Manser T, Harrison T, Gaba D, Howard S. Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesth Analg 2009; 108(5):1606-15.
(11) Hughes R, Ortiz E. Medication errors: why they happen, and how they can be prevented. Am J Nurs 2005; 105(3 Suppl):14-24; quiz 48-51.
(12) King HB, Battles J, Baker DP, Alonso A, Salas E, Webster J, et al. Team STEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. SourceAdvances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. Advances in Patient Safety.
(13) Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in health care. Postgrad Med J 2014; 90(1061):149-54.
(14) Volpe C, Cannon-Bowers J, Salas E, Spector P. The impact of cross-training on team functioning: an empirical investigation. Hum Fact 1996; 8(1):87-100.
(15) Weller J, Torrie J, Boyd M, Frengley R, Garden A, Ng W, et al. Improving team information sharing with a structuredcall-outinanaestheticemergencies:a randomized controlled trial. Br J Anaesth 2014;112(6):1042-9.
(16) Leykum L, Lanham H, Provost S, McDaniel R, Pugh J.Improving outcomes of hospitalized patients:the Physician Relation ships, Improvising, and Sense making intervention protocol. Implement Sci 2014; 9:171.
(17) Aritzeta A, Balluerka N. Cooperation, competition and goal interdependence in work teams: a multilevel approach. Psicothema 2006; 18(4):757-65.
(18) McComb S, Hebdon M. Enhancing patient outcomes in health care systems through multidisciplinary team work. Clin J Oncol Nurs 2013; 17(6):669-72.
(19) Muller-Juge V, Cullati S, Blondon KS, Hudelson P, Maitre F, Vu NV, et al. Inter professional collaboration between residents and nurses in general internal medicine: a qualitative study on behaviours enhancing team work quality. PloS One 2014; 9(4):e96160.
(20) Leasure E, Jones R, Meade L, Sanger M, Thomas K, Tilden V, et al. There is no "i" in team work in the patient centered medical home: defining teamwork competen-cies for academic practice. Acad Med 2013; 88(5):585-92.
(21) Hindmarsh J, Pilnick A. The Tacit Order of Team work: Collaboration and Embodied Conduct in Anesthesia. Sociological Quarterly 2002; 43(2):139-64.
(22) Thomas EJ, Sexton JB, Helmreich RL. Translating team work behaviours from aviation to health care: development of behaviour almarkers for neonatal resuscitation. Qual Saf Health Care 2004; 13(Suppl 1):i57-64.
(23) Banks A, Millward L. Running shared mental models as a distributed cognitive process. Br J Psychol 2000; 91(Pt 4):513-31.
(24) Mathieu J, Heffner T, Goodwin G, Salas E, Cannon-Bowers J. The influence of shared mental models on team process and performance. J Appl Psychol 2000; 85(2):273-83.
(25) Silva P, Garganta J, Araujo D, Davids K, Aguiar P. Shared knowledge or shared affordances? Insights from an ecological dynamics approach to team coordination in sports. Sports Med 2013; 43(9):765-72.
(26) Simsarian Webber S. Leader ship and trust facilitating cross functional team success. J Manag Develop 2002; 21(3):201-14.
(27) Spanager L, Lyk-Jensen H, Dieckmann P, Wettergren A, Rosenberg J, Ostergaard D. Customization of a tool to assess Danish surgeons non-technical skills in the operating room. Dan Med J 2012; 59(11):A4526.
(28) Healey A, Undre S, Vincent C. Developing observational measures of performance insurgical teams. Qual Saf Health Care 2004; 13 (Suppl 1):i33-40.
(29) Rutherford J, Flin R, Mitchell L. Non-technical skills of anaesthetic assistants in the perioperative period: a literature review. Br J Anaesth 2012; 109(1):27-31.
(30) Gardner A, Scott D. Concepts for Developing Expert Surgical Teams Using Simulation. Surg Clin North Am 2015; 95(4):717-28.
(31) Cooper J, Singer S, Hayes J, Sales M, Vogt J, Raemer D, et al. Design and evaluation of simulation scenarios for a program introducing patient safety, team work, safety leader ship, and simulation to health care leaders and managers. Simul Health 2011; 6(4):231-8.
(32) Nicksa G, Anderson C, Fidler R, Stewart L. Innovative approach using inter professional simulation to educate surgical residents in technical and non technical skills in high-risk clinical scenarios. JAMA Surg 2015; 150(3):201-7.
(33) Sorensen A, Poehlman J, Bollenbacher J, Riggan S, Davis S, Miller K, et al. Training for teamwork through simulations. BMJ Innov 2015; 1(3):144.
(34) Sexton J, Thomas E, Helmreich R. Error, stress, and team work in medicine and aviation: cross sectional surveys. BMJ 2000; 320(7237):745-9.
(35) Almost J, Wolff A, Mildon B, Price S, Godfrey C, Robinson S, et al. Positive and negative behaviours in work place relation ships: a scoping review protocol. BMJ Open 2015; 5(2):e007685.
(36) Flin R, Fletcher G, McGeorge P, Sutherland A, Patey R. Anaesthetists' attitudes to team work and safety. Anaesthesia 2003; 58(3):233-42.
(37) Weldon S, Korkiakangas T, Bezemer J, Kneebone R. Music and communication in the operating theatre. J Adv Nurs 2015; 71(12):2763-74.
(38) Jacobs J, Wernovsky G, Cooper D, Karl T. Principles of shared decision making with in teams. Cardiol Young 2015; 25(8):1631-6.
(39) Epstein N. Multidisciplinary in hospital teams improve patient outcomes: Areview. Surg Neurol Int 2014; 5(Suppl 7):S295-303.
(40) Rando K, Harguindeguy M, Leites A, Ettlin A, Gonzalez S, Scalone P, et al. Quality standards in liver surgery: influence of multidisciplinary team work and patient centralization. Acta Gastroenterol Latinoam 2010; 40(1):10-21.
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