Healthcare management strategies: interdisciplinary team factors

被引:11
作者
Andreatta, Pamela [1 ]
Marzano, David [1 ]
机构
[1] Univ Michigan, Sch Med, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA
关键词
competencies; interdisciplinary teams; obstetrics and gynecology; performance evaluation; quality and safety; PATIENT SAFETY; OBSTETRIC EMERGENCIES; QUALITY IMPROVEMENT; SIMULATED EMERGENCY; PERFORMANCE; PROGRAM; SURGERY; WOMEN; LABOR; COMMUNICATION;
D O I
10.1097/GCO.0b013e328359f007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of review Interdisciplinary team factors are significant contributors to clinical performance and associated patient outcomes. Quality of care and patient safety initiatives identify human factors associated with team performance as a prime improvement area for clinical patient care. Recent findings The majority of references to interdisciplinary teams in obstetrics and gynecology in the literature recommends the use of multidisciplinary approaches when managing complex medical cases. The reviewed literature suggests that interdisciplinary team development is important for achieving optimally efficient and effective performance; however, few reports provide specific recommendations for how to optimally achieve these objectives in the process of providing interdisciplinary care to patients. The absence of these recommendations presents a significant challenge for those tasked with improving team performance in the workplace. The prescribed team development programs cited in the review are principally built around communication strategies and simulation-based training mechanisms. Few reports provide descriptions of optimal team-based competencies in the various contexts of obstetric and gynecology teams. However, team-based evaluation strategies and empirical data documenting the transfer of team training to applied clinical care are increasing in number and quality. Summary Our findings suggest that research toward determining team factors that promote optimal performance in applied clinical practice requires definition of specific competencies for the variable teams serving obstetrics and gynecology.
引用
收藏
页码:445 / 452
页数:8
相关论文
共 94 条
[1]   Heart failure in pregnancy: an overview [J].
Ahmad, W. A. Wan ;
Khanom, M. ;
Yaakob, Z. H. .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2011, 65 (08) :848-851
[2]   Management of placenta praevia and accreta [J].
Allahdin, S. ;
Voigt, S. ;
Htwe, T. T. .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2011, 31 (01) :1-6
[3]   Two-Provider Technique for Bimanual Uterine Compression to Control Postpartum Hemorrhage [J].
Andreatta, Pamela ;
Perosky, Joseph ;
Johnson, Timothy R. B. .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2012, 57 (04) :371-375
[4]   Interdisciplinary team training identifies discrepancies in institutional policies and practices [J].
Andreatta, Pamela ;
Frankel, Jennifer ;
Smith, Sara Boblick ;
Bullough, Alexandra ;
Marzano, David .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2011, 205 (04) :298-301
[5]   Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates [J].
Andreatta, Pamela ;
Saxton, Ernest ;
Thompson, Maureen ;
Annich, Gail .
PEDIATRIC CRITICAL CARE MEDICINE, 2011, 12 (01) :33-38
[6]   A typology for health care teams [J].
Andreatta, Pamela B. .
HEALTH CARE MANAGEMENT REVIEW, 2010, 35 (04) :345-354
[8]  
[Anonymous], 2011, OBST ANESTH DIG, DOI DOI 10.1097/01.AOA.0000397113.95428.CB
[9]  
Baker DP, 2003, MED TEAMWORK PATIENT
[10]  
Bauer ME, 2012, ANESTH ANALG