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Mayo teamwork

Anna T Mayo, Anita Williams Woolley
Teams offer the potential to achieve more than any person could achieve working alone; yet, particularly in teams that span professional boundaries, it is critical to capitalize on the variety of knowledge, skills, and abilities available. This article reviews research from the field of organizational behavior to shed light on what makes for a collectively intelligent team. In doing so, we highlight the importance of moving beyond simply including smart people on a team to thinking about how those people can effectively coordinate and collaborate...
September 1, 2016: AMA Journal of Ethics
Aimee K Gardner, Matthew Kosemund, Joseph Martinez
INTRODUCTION: Situational awareness (SA) describes a team's ability to perceive environmental elements, comprehend their meaning, and anticipate future events. Although SA is consistently described as a critical competency among surgical teams, there is a dearth of research identifying efficacious methods to assess and develop SA in such settings. The aim of this study was to investigate the feasibility of implementing an objective tool that has been used to measure SA in other intense and dynamic environments -the Situation Awareness Global Assessment Technique (SAGAT)-and to examine its ability to predict surgical trainee team performance...
August 8, 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Jeffrey Braithwaite, Robyn Clay-Williams, Elia Vecellio, Danielle Marks, Tamara Hooper, Mary Westbrook, Johanna Westbrook, Brette Blakely, Kristiana Ludlow
OBJECTIVES: To examine the basis of multidisciplinary teamwork. In real-world healthcare settings, clinicians often cluster in profession-based tribal silos, form hierarchies and exhibit stereotypical behaviours. It is not clear whether these social structures are more a product of inherent characteristics of the individuals or groups comprising the professions, or attributable to a greater extent to workplace factors. SETTING: Controlled laboratory environment with well-appointed, quiet rooms and video and audio equipment...
2016: BMJ Open
Luke A Seaburg, Amy T Wang, Colin P West, Darcy A Reed, Andrew J Halvorsen, Gregory Engstler, Amy S Oxentenko, Thomas J Beckman
BACKGROUND: Both research and clinical medicine requires similar attributes of efficiency, diligence and effective teamwork. Furthermore, residents must succeed at scholarship and patient care to be competitive for fellowship training. It is unknown whether research productivity among residents is related to broad measures of clinical achievement. Our goal was to examine associations between the quantity of internal medicine residents' publications and validated measures of their knowledge, skills and multi-source evaluations of performance...
2016: BMC Medical Education
Rafael Miranda, Sean W Glenn, Jonathan A Leighton, Shabana E Pasha, Suryakanth R Gurudu, Harry G Teaford, Lester E Mertz, Howard R Lee, Sylvia A Mamby, Margaret F Johnson, T S Raghu
The emerging changes in healthcare impose significant burdens on integrated outpatient specialty services with respect to setting patient expectations, handling outside medical records; and coordinating specialty appointments scheduling. Moreover, because of the evolution of the electronic health record and its widespread use, it is critical that patient and physician interaction is maintained and clerical tasks are minimized. In the context of increased government regulation, declining reimbursement, and the rise of new payment models, outpatient practices need to be reimagined so that they are more efficient for the patient and the provider...
September 2015: Journal of Healthcare Management / American College of Healthcare Executives
Terin T Sytsma, Elizabeth P Haller, James W Youdas, David A Krause, Nathan J Hellyer, Wojciech Pawlina, Nirusha Lachman
Medicine is increasingly focused on team-based practice as interprofessional cooperation leads to better patient care. Thus, it is necessary to teach teamwork and collaboration with other health care professionals in undergraduate medical education to ensure that trainees entering the workforce are prepared to work in teams. Gross anatomy provides an opportunity to expose students to interprofessional education (IPE) early in their training. The purpose of this study is to describe an IPE experience and report if the experience has lasting influence on the participating students...
July 2015: Anatomical Sciences Education
Gianni R Lorello, Christopher M Hicks, Sana-Ara Ahmed, Zoe Unger, Deven Chandra, Megan A Hayter
INTRODUCTION: Effective trauma resuscitation requires the coordinated efforts of an interdisciplinary team. Mental practice (MP) is defined as the mental rehearsal of activity in the absence of gross muscular movements and has been demonstrated to enhance acquiring technical and procedural skills. The role of MP to promote nontechnical, team-based skills for trauma has yet to be investigated. METHODS: We randomized anaesthesiology, emergency medicine, and surgery residents to two-member teams randomly assigned to either an MP or control group...
March 2016: CJEM
Randi Ballangrud, Mona Persenius, Birgitta Hedelin, Marie Louise Hall-Lord
BACKGROUND: Effective teamwork has proven to be crucial for providing safe care. The performance of emergencies in general and cardiac arrest situations in particular, has been criticized for primarily focusing on the individual's technical skills and too little on the teams' performance of non-technical skills. The aim of the study was to explore intensive care nurses' team performance in a simulation-based emergency situation by using expert raters' assessments and nurses' self-assessments in relation to different intensive care specialties...
2014: BMC Nursing
Rudy Tedja, Elizabeth Hassebroek, Perliveh Carrera, Lokendra Thakur, Cathy Mielke, Tammie Volkman, Libby Wyborny, Abby Christoffers, Jacquelyn Streiff, Nimpha Abcejo, Vicki Loeslie, Moua Teng
SESSION TITLE: Cost and Quality ImprovementSESSION TYPE: Original Investigation SlidePRESENTED ON: Tuesday, October 28, 2014 at 08:45 AM - 10:00 AMPURPOSE: Catheter-Associated Urinary Tract Infection (CAUTI) as a quality metric has been recognized as labile and subject to wide variation. CAUTI rates in the Respiratory Care Unit (RCU) in the year of 2012 and 2013 have been one of the highest in our institution. We observed inconsistent use of paper checklists among health care providers, varied device utilization ratio (DUR), and knowledge gaps among providers regarding infection control efforts...
October 1, 2014: Chest
Carla Venegas-Borsellino, Akiva Dym, Purnema Madahar, Eliany Mejia, Maneesha Bangar, Mai Colvin, Adam Keene, Lewis Eisen
Education and Teaching in Critical CareSESSION TYPE: Original Investigation SlidePRESENTED ON: Wednesday, October 29, 2014 at 07:30 AM - 08:30 AMPURPOSE: Internal Medicine residents are expected to lead and participate in rapid responses (RR) and cardiac arrests (CA). Advanced Cardiovascular Life Support (ACLS) guidelines stress the importance of effective teamwork and leadership during RR/CA scenarios. These skills are not innate. We hypothesized that simulation training offered during residency can improve residents' teamwork and leadership skills during real RR/CA cases...
October 1, 2014: Chest
Daniela Iosub, David Laniado, Carlos Castillo, Mayo Fuster Morell, Andreas Kaltenbrunner
BACKGROUND: Despite the undisputed role of emotions in teamwork, not much is known about the make-up of emotions in online collaboration. Publicly available repositories of collaboration data, such as Wikipedia editor discussions, now enable the large-scale study of affect and dialogue in peer production. METHODS: We investigate the established Wikipedia community and focus on how emotion and dialogue differ depending on the status, gender, and the communication network of the [Formula: see text] editors who have written at least 100 comments on the English Wikipedia's article talk pages...
2014: PloS One
Margaret W Bultas, Margaret Hassler, Patrick M Ercole, Gail Rea
A pre-test post-test control group design was used to compare the effectiveness of high-fidelity simulation (HFS) with traditional static mannequins as a teaching strategy for pediatric staff nurse education. Thirty-three nurses from a metropolitan pediatric Magnet hospital completed the study that evaluated knowledge retention, skill performance, and team confidence during the American Heart Association's (AHA) Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) course. Written exams, competency and skill performance measures, and the Mayo High Performance Teamwork Scale (MHPTS) were used to compare the outcomes between the two groups...
January 2014: Pediatric Nursing
Martin Stocker, Lynda Menadue, Suzan Kakat, Kumi De Costa, Julie Combes, Winston Banya, Mary Lane, Ajay Desai, Margarita Burmester
BACKGROUND: Teamwork is a critical component during critical events. Assessment is mandatory for remediation and to target training programmes for observed performance gaps. METHODS: The primary purpose was to test the feasibility of team-based self-monitoring of crisis resource management with a validated teamwork assessment tool. A secondary purpose was to assess item-specific reliability and content validity in order to develop a modified context-optimised assessment tool...
2013: BMC Emergency Medicine
Linda Searle Leach, Ann M Mayo
BACKGROUND: Multidisciplinary rapid response teams focus on patients' emergent needs and manage critical situations to prevent avoidable deaths. Although research has focused primarily on outcomes, studies of the actual team effectiveness within the teams from multiple perspectives have been limited. OBJECTIVE: To describe effectiveness of rapid response teams in a large teaching hospital in California that had been using such teams for 5 years. METHODS: The grounded-theory method was used to discover if substantive theory might emerge from interview and/or observational data...
May 2013: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Christopher M Wittich, Wojciech Pawlina, Richard L Drake, Jason H Szostek, Darcy A Reed, Nirusha Lachman, Jennifer M McBride, Jayawant N Mandrekar, Thomas J Beckman
Improving professional attitudes and behaviors requires critical self reflection. Research on reflection is necessary to understand professionalism among medical students. The aims of this prospective validation study at the Mayo Medical School and Cleveland Clinic Lerner College of Medicine were: (1) to develop and validate a new instrument for measuring reflection on professionalism, and (2) determine whether learner variables are associated with reflection on the gross anatomy experience. An instrument for assessing reflections on gross anatomy, which was comprised of 12 items structured on five-point scales, was developed...
July 2013: Anatomical Sciences Education
Nicholas Hamilton, Bradley D Freeman, Julie Woodhouse, Clare Ridley, David Murray, Mary E Klingensmith
INTRODUCTION: Trauma resuscitations require a coordinated response from a diverse group of health care providers. Currently, there are no widely accepted methods of assessing team effectiveness in this setting. Simulation affords a method to assess team effectiveness. The purpose of this study was to use a simulation setting to develop a specialized assessment instrument for team response in trauma resuscitation. METHODS: We developed our assessment instrument using clinical simulation...
December 2009: Journal of Graduate Medical Education
Gary L Geis, Brian Pio, Tiffany L Pendergrass, Michael R Moyer, Mary D Patterson
INTRODUCTION: : Our institution recently opened a satellite hospital including a pediatric emergency department. The staffing model at this facility does not include residents or subspecialists, a substantial difference from our main hospital. Our previous work and published reports demonstrate that simulation can identify latent safety threats (LSTs) in both new and established settings. Using simulation, our objective was to define optimal staff roles, refine scope of practice, and identify LSTs before facility opening...
June 2011: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Diane E Holland, Michele A Hemann
BACKGROUND: Improving the quality of patient coordination in the transition from hospital to home is a high-priority health care concern. The Centers for Medicare & Medicaid Services (CMS) Hospital Conditions of Participation in the Medicare Program require that hospitals have a discharge planning (DP) process in effect that applies to all patients. The impact of a practice change in DP practice on the quality of care coordination at discharge was evaluated from patients' perspectives...
January 2011: Joint Commission Journal on Quality and Patient Safety
Cherri Hobgood, Gwen Sherwood, Karen Frush, David Hollar, Laura Maynard, Beverly Foster, Susan Sawning, Donald Woodyard, Carol Durham, Melanie Wright, Jeffrey Taekman
OBJECTIVES: The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects of each method on the acquisition of student teamwork knowledge, skills, and attitudes. METHODS: The authors recruited 203 senior nursing students and 235 fourth-year medical students (total N = 438) from two major universities for a 1-day interdisciplinary teamwork training course. All participants received a didactic lecture and then were randomly assigned to one of four educational methods didactic (control), audience response didactic, role play and human patient simulation...
December 2010: Quality & Safety in Health Care
Steven S Hamilton, Brandon J Yuan, Nirusha Lachman, Nathan J Hellyer, David A Krause, John H Hollman, James W Youdas, Wojciech Pawlina
Interprofessional education (IPE) in clinical practice is believed to improve outcomes in health care delivery. Integrating teaching and learning objectives through cross discipline student interaction in basic sciences has the potential to initiate interprofessional collaboration at the early stages of health care education. Student attitudes and effectiveness of IPE in the context of a combined gross anatomy course for first-year students in Doctor of Physical Therapy (DPT) and Doctor of Medicine (MD) degrees curricula were evaluated...
November 2008: Anatomical Sciences Education
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