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Showing results for tags 'Teamwork'.
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Content Article
Teamwork in the operating room is very important for high-quality patient care. It has been shown that increased team member familiarity predicts improved teamwork and is associated with shared mental models and mutual trust, which are in turn important factors for team effectiveness. The aim of this study in Surgery was to investigate the relationship between team member familiarity and perceived team effectiveness in operating room teams. The authors found that greater team member familiarity predicts greater team effectiveness, and this relationship is mediated by shared mental models. They concluded that training should be aimed at these aspects of team functioning to optimise team performance in the operating room.- Posted
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- Surgery - General
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In this episode of the Safety Talks podcast. you will have the chance to hear from Dr Ali Mehdi, Consultant Trauma & Orthopedic Surgeon and Medical Director of Kent & Canterbury Hospital on workplace identity and team work. Safety Talks is a podcast series as part of the Safety for All Campaign, launched to shine a light on the symbiotic relationship and benefits of integrating the approach to deliver healthcare worker safety and patient safety.- Posted
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This video provides an in-depth look at how Patient and Public Involvement (PPI) can enhance quality improvement projects. Involving patients and the public ensures transparency and enriches the team dynamic, bringing new thinking and ideas. It looks at the collaborative approach adopted in an HDR-UK funded initiative which demonstrates the significant impact of PPI and co-production. The video was produced by the Healthcare Quality Improvement Partnership (HQIP) to mark Clinical Audit Awareness Week 2024.- Posted
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- Patient engagement
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Team diversity is recognised not only as an equity issue but also a catalyst for improved performance through diversity in knowledge and practices. However, team diversity data in healthcare are limited and it is not known whether it may affect outcomes in surgery. This study examined the association between anaesthesia–surgery team sex diversity and postoperative outcomes. The study found that care in hospitals with greater anaesthesia–surgery team sex diversity was associated with better postoperative outcomes. Care in a hospital reaching a critical mass with over 35% female anaesthetists and surgeons, representing higher team sex-diversity, was associated with a 3% lower odds of 90-day major morbidity.- Posted
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- Anaesthesia
- Organisational culture
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The Patient Safety Management Network (PSMN) started on a Friday afternoon in June 2021 as three people in a Zoom meeting. In this interview, PSMN founder Claire Cox reflects on why the network has grown to have over 1600 members and what it has achieved over the past three years. She outlines how the network has fostered a safe space for staff to raise issues and shares feedback from members about what they love about the PSMN.- Posted
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Medicines reconciliation is the process of compiling a complete list of a person’s current medicines. When a patient registers at a new primary care setting, medicines reconciliation contributes to patient safety and continuity of care. This article in The Pharmaceutical Journal explores how to optimise the multidisciplinary team and involve pharmacy technicians in the process, using four case scenarios. The article aims to help those working in community pharmacy teams to: identify potential risks and appropriate management strategies for new patients with complex medication needs, including those with chronic conditions and those requiring specialist care. understand the importance of timely referrals, communication with specialists, and adherence to guidelines in ensuring safe and effective medication management. recognise the significance of interdisciplinary collaboration and patient-centred approaches in addressing the diverse healthcare needs of patients, particularly those from other cultural backgrounds. You can access this article by signing up for a free account with The Pharmaceutical Journal.- Posted
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- Pharmacy / chemist
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The Independent Healthcare Providers Network (IHPN) have launched a toolkit to support independent healthcare providers to further improve multi-disciplinary team (MDT) working in the sector. MDT working is an established practice in many areas of healthcare, including in the independent sector, and for patients with complex care needs such as cancer, MDTs are viewed as the gold standard for care.- Posted
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- Teamwork
- Private sector
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Craig Russo is an Operational Manager at Leeds Community Healthcare NHS Trust. In this blog, he tells us about a recent project he delivered in partnership with Accident and Emergency (A&E) services, the police and custody healthcare. Craig talks about the safety concerns that led them to take action and the positive impact they have seen so far.- Posted
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Evidence shows that nurse staffing affects patient safety events (PSEs), but the role of an appropriate nursing care delivery system remains unclear. This Japanese study aimed to investigate whether nursing care delivery systems could prevent PSEs. The findings suggest that in an emergency intensive care unit, a collaborative nursing care delivery system was associated with a decrease in PSEs.- Posted
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Diagnostic management teams (DMT), which are comprised of experts in specialised fields, review patient cases and produce reports with diagnostic interpretations and recommendations for future testing or treatments. This pre/post study evaluates the effectiveness of a coagulation DMT at one hospital. Cases reviewed by the DMT were twice as likely to have a diagnostic conclusion (i.e., ruled in or ruled out coagulopathy) than cases without DMT. -
Content Article
This study in Surgery aimed to assess the impact of presenting the STOPS framework (stop, talk to your team, obtain help, plan, succeed) on how surgeons cope in the operating room. It also looked at the related outcome of burnout and examined sex differences. The results suggest that there is evidence of efficacy in the STOPS framework—female surgeons who were presented this material reported higher levels of coping in the operating room compared to those who did not receive the framework. In addition, an increase in coping ability was associated with reduced levels of burnout for both genders.- Posted
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- Surgery - General
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This study in Surgery aimed to evaluate the association between trauma team function and cardiac arrest in hypotensive trauma patients. Trauma video review was used to collect data from resuscitations of adult hypotensive trauma patients at 19 centres, and 430 patients were included in the study. The results show that better team function is independently associated with a decreased probability of cardiac arrest in trauma patients presenting with hypotension. The authors suggest that trauma team training may improve outcomes in peri-arrest patients.- Posted
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- Medicine - Cardiology
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Surgical doctors needed for psychological safety research
Patient_Safety_Learning posted an article in Culture
Are you a surgical doctor working in the NHS? Could you spare 1 hour of your time to share your insights and help researchers explore psychological safety? Shinal Patel-Thakkar, a trainee Clinical Psychologist, is seeking participants for a qualitative research study into psychological safety in surgical environments. In this interview she tells us more about the study, how people can register their interest, and provides reassurance that confidentiality will be maintained.- Posted
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- Team culture
- Safety culture
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Content Article
Effective teamwork is critical to the provision of safe, effective healthcare. High functioning teams adapt to rapidly changing patient and environmental factors, preventing diagnostic and treatment errors. While the emphasis on teamwork and patient safety is relatively new, significant team-related foundational and implementation research exists in disciplines outside of healthcare. Social scientists, including, organizational psychologists, have expertise in the study of teams, multi-team units, and organizations. This article highlights guiding team science principles from the organisational psychology literature that can be applied to the study of teams in healthcare. The authorsʼ goal is to provide some common language and understanding around teams and teamwork. Additionally, they hope to impart an appreciation for the potential synergy present within clinician-social scientist collaborations.- Posted
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This is a video presentation from the Royal College of Surgeons in Ireland, looking at facilitation skills for after action reviews (AAR) and the wider process.- Posted
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- After action review
- Safety process
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The aim of this study in the Journal of Patient Safety was to identify quantitative evidence for the efficacy of interprofessional learning (IPL) to improve patient outcomes. The authors conducted a systematic review and meta-analysis of quantitative patient outcomes after IPL in multidisciplinary healthcare teams reported in the Medline, Scopus, PsycInfo, Embase and CINAHL databases. The authors believe that their results are the first to demonstrate significant quantitative evidence for the efficacy of IPL to translate into changes in clinical practice and improved patient outcomes. They reinforce earlier qualitative work on the value of IPL.- Posted
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- Human factors
- Team culture
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The rise of the #TheatreCapChallenge in 2017, which saw participants donning surgical caps labelled with their names and roles, promises to be a seemingly simple intervention aimed at improving operating theatre communication and patient safety. This narrative review strives to expand upon the perceived and studied benefits of this intervention and address potential concerns that have arisen with the use of these name and role-labelled surgical caps.- Posted
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- Surgery - General
- Team culture
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Interprofessional communication is of extraordinary importance for patient safety. To improve interprofessional communication, joint training of the different healthcare professions is required in order to achieve the goal of effective teamwork and interprofessional care. The aim of this pilot study from Heier et al. published in BMC Medical Education was to develop and evaluate a joint training concept for nursing trainees and medical students in Germany to improve medication error communication.- Posted
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- Communication
- Human factors
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Judy Walker looks at the ways in which team learning can contribute to safety in healthcare using tools such as After Action Review (AAR). She explores research highlighted in Amy Edmondson's new book The Right Kind of Wrong that demonstrates the impact on certain safety indicators of flight crews building a team culture through working together consistently. Judy suggests that gaining insights about co-workers through proximity accelerates the process of learning for teams.- Posted
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- Team culture
- Teamwork
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This article by NHS England looks at a national project on aligning quality improvement (QI), experience of care and co-production. It explains the principles of co-production and the approach taken to implement the project, as well as highlighting identified themes and key findings. It makes some practical recommendations based on these findings.- Posted
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- Patient engagement
- Collaboration
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TED talk: Tribal leadership (Ted Logan, March 2009)
Patient-Safety-Learning posted an article in Leadership
David Logan talks about the five kinds of tribes that humans naturally form—in schools, workplaces, even the driver's license office. He argues that by understanding our shared tribal tendencies, we can help lead each other to become better individuals.- Posted
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- Leadership
- Organisational culture
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This study compared two quality improvement (QI) interventions to improve antenatal magnesium sulphate (MgSO4) uptake in preterm births for the prevention of cerebral palsy. It found that PReCePT improved MgSO4 uptake in all maternity units. Enhanced support did not further improve uptake but may improve teamwork, and more accurately represented the time needed for implementation. Targeted enhanced support, sustainability of improvements and the possible indirect benefits of stronger teamwork associated with enhanced support should be explored further.- Posted
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- Maternity
- Quality improvement
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Leadership walkarounds (LWs) have been promoted in practice as means to drive operational, cultural and safety outcomes. This systematic review in BMJ Open Quality aimed to evaluate the impact of LWs on these outcomes in the US healthcare industry. The authors found only positive association of LWs with operational and perception of cultural outcomes.- Posted
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- Leadership
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RCGP: Physician Associates update (October 2023)
Patient-Safety-Learning posted an article in GP and primary care
Physician associates (PAs) support doctors in the diagnosis and management of patient. They are often employed in general practice as members of the multidisciplinary team, trained in the medical model. This update outlines the Royal College of General Practitioners' (RCGP's) policy position on PAs. The RCGP sees PAs as having an enabling role to play for general practice, but highlights that they must always work under the supervision of GPs and must be considered additional members of the team, rather than a substitute for GPs.- Posted
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- GP
- Physician associate
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Authors of this study, aim to describe the development of a post-simulation reflective learning conversations model in which a number of contributing factors to achieve clinical reasoning optimization were addressed.- Posted
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- Training
- Simulation
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