Abstract
This article was migrated. The article was marked as recommended. Patient safety is a preeminent healthcare concern in modern medicine. In the years since To Err is Human, researchers have found that the number of preventable deaths far exceeds 98,000; more accurately, 400,000 patients die each year from preventable healthcare errors. To combat the evolving patient safety crisis, a variety of organizations from Institute of Medicine to World Health Organization have called for the development of interprofessional healthcare teams. Interprofessional healthcare teams and teamwork have been a topic of discussion for over 40 years. And while some Interprofessional healthcare teams have been shown to be beneficial in some settings the success of these teams is not universal nor achieved in all healthcare settings. In short, research has found that interprofessional healthcare teams both improve and impede patient care. Building on this contradictions of interprofessional healthcare teams and teamwork, we present a model for the conceptualization of teamwork that could be readily applied to clinical experiences. This model is informed by the interprofessional healthcare team literature and relevant theories, and we believe will enable us to examine authentic interprofessional healthcare team interactions and identify moments when team interactions were breaking down, and reasons why those breakdowns were happening.
Highlights
Adverse patient events such as the one described in this scenario happen all too often in healthcare settings
In this report the Institute of Medicine (IOM) asserts that missed and delayed diagnoses account for delays in treatment and directly impact patient morbidity and mortality.(Balogh, 2015) a recent BMJ article estimates that medical errors is the third most common cause of death in the United States.(Makary and Daniel, 2016) despite nearly two decades of awareness, and deliberate actions directed towards improving patient safety, data demonstrate that human factors continue to be a significant cause of preventable healthcare errors and a tragic loss of life.(Commission, 2015)
The Teamwork Model we present synthesizes into one model the major characteristics required for successful teamwork and adds to these characteristics an individual competence characteristic
Summary
Adverse patient events such as the one described in this scenario happen all too often in healthcare settings. The Pseudo Team is a group of affiliated individuals that lacks characteristics (KSA’s) from the Individual Interaction Domain This group may be high functioning, operate within the organizational structure, but it lacks trust, inter-team member communication, and a collective orientation to the objective. Based on the Teamwork Model we can identify the team’s functioning as a Blind Team and so can better understand how the team failed to perform as a successful collaborative IHT. With these insights, remediation can be appropriately directed ensuring that this error will not affect another patient in the future
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