Multidisciplinary in-hospital teams improve patient outcomes: A review.
TLDR
This review should remind hospital administrators of the critical need to keep multidisciplinary teams together, so that they can continue to operate their “well-oiled machines” enhancing the quality/safety of patient care, while enabling “staff” to optimize their performance and enhance their job satisfaction.Abstract:
Background: The use of multidisciplinary in-hospital teams limits adverse events (AE), improves outcomes, and adds to patient and employee satisfaction.
Methods: Acting like "well-oiled machines," multidisciplinary in-hospital teams include "staff" from different levels of the treatment pyramid (e.g. staff including nurses' aids, surgical technicians, nurses, anesthesiologists, attending physicians, and others). Their enhanced teamwork counters the "silo effect" by enhancing communication between the different levels of healthcare workers and thus reduces AE (e.g. morbidity/mortality) while improving patient and healthcare worker satisfaction.
Results: Multiple articles across diverse disciplines incorporate a variety of concepts of "teamwork" for staff covering emergency rooms (ERs), hospital wards, intensive care units (ICUs), and most critically, operating rooms (ORs). Cohesive teamwork improved communication between different levels of healthcare workers, and limited adverse events, improved outcomes, decreased the length of stay (LOS), and yielded greater patient "staff" satisfaction.
Conclusion: Within hospitals, delivering the best medical/surgical care is a "team sport." The goals include: Maximizing patient safety (e.g. limiting AE) and satisfaction, decreasing the LOS, and increasing the quality of outcomes. Added benefits include optimizing healthcare workers' performance, reducing hospital costs/complications, and increasing job satisfaction. This review should remind hospital administrators of the critical need to keep multidisciplinary teams together, so that they can continue to operate their "well-oiled machines" enhancing the quality/safety of patient care, while enabling "staff" to optimize their performance and enhance their job satisfaction.read more
Citations
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References
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Successful strategies for improving operating room efficiency at academic institutions.
TL;DR: Improvements in operating room efficiency were achieved by analyzing operating room data on causes of delays, devising strategies for minimizing the most common delays, and subsequently measuring delay data.
Journal ArticleDOI
Getting a Head Start: High-Fidelity, Simulation-Based Operating Room Team Training of Interprofessional Students
John T. Paige,Deborah D. Garbee,Valeriy Kozmenko,Qingzhao Yu,Lyubov Kozmenko,Tong Yang,Laura Bonanno,William Swartz +7 more
TL;DR: High-fidelity simulation OR interprofessional student team training improves students' team-based attitudes and behaviors and corrects students' tendency to overestimate theirteam-based behaviors.
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Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Alexander F. Arriaga,Atul A. Gawande,Daniel B. Raemer,Daniel B. Jones,Douglas S. Smink,Peter Weinstock,Kathy Dwyer,Stuart R. Lipsitz,Sarah E. Peyre,John Pawlowski,Sharon Muret-Wagstaff,Denise W. Gee,James Gordon,Jeffrey B. Cooper,William R. Berry +14 more
TL;DR: A standardized multicenter team training program involving full operative teams is feasible with high-fidelity simulation and modest compensation for lost time, and the vast majority of the multidisciplinary participants believed the course to have had a meaningful impact on their approach to clinical practice.
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Identification and interference of intraoperative distractions and interruptions in operating rooms.
TL;DR: Observing interruption events in operating rooms and measuring surgical team's intraoperative interference from interruptions during surgery demonstrates the high level of interference in ORs and provides a useful measure for intraoperative workflow disruptions and their interference of OR team functioning.
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Does "ICU psychosis" really exist?
TL;DR: The potential adverse outcomes of delirium are well documented, such as increased mortality, increased length of stay, reduced level of functioning in the elderly, which often leads to placement in a nursing home, and stress response syndrome after hospitalization.