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Developing expert medical teams: toward an evidence-based approach.
Acad Emerg Med. 2008 Nov; 15(11):1025-36.AE

Abstract

Current health care literature cites communication breakdown and teamwork failures as primary threats to patient safety. The unique, dynamic environment of the emergency department (ED) and the complexity of patient care necessitate the development of strong interdisciplinary team skills among emergency personnel. As part of the 2008 Academic Emergency Medicine Consensus Conference on "The Science of Simulation in Healthcare," our workshop group identified key theory and evidence-based recommendations for the design and implementation of team training programs. The authors then conducted an extensive review of the team training literature within the domains of organizational psychology, aviation, military, management, and health care. This review, in combination with the workshop session, formed the basis for recommendations and need for further research in six key areas: 1) developing and refining core competencies for emergency medicine (EM) teams; 2) leadership training for emergency physicians (EPs); 3) conducting comprehensive needs analyses at the organizational, personnel, and task levels; 4) development of training platforms to maximize knowledge transfer; 5) debriefing and provision of feedback; and 6) proper implementation of simulation technology. The authors believe that these six areas should form an EM team training research platform to advance the EM literature, while leveraging the unique team structures present in EM to expand team training theory and research.

Authors+Show Affiliations

Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA. fernanre@comcast.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18785937

Citation

Fernandez, Rosemarie, et al. "Developing Expert Medical Teams: Toward an Evidence-based Approach." Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, vol. 15, no. 11, 2008, pp. 1025-36.
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36.
Fernandez, R., Vozenilek, J. A., Hegarty, C. B., Motola, I., Reznek, M., Phrampus, P. E., & Kozlowski, S. W. (2008). Developing expert medical teams: toward an evidence-based approach. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 15(11), 1025-36. https://doi.org/10.1111/j.1553-2712.2008.00232.x
Fernandez R, et al. Developing Expert Medical Teams: Toward an Evidence-based Approach. Acad Emerg Med. 2008;15(11):1025-36. PubMed PMID: 18785937.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Developing expert medical teams: toward an evidence-based approach. AU - Fernandez,Rosemarie, AU - Vozenilek,John A, AU - Hegarty,Cullen B, AU - Motola,Ivette, AU - Reznek,Martin, AU - Phrampus,Paul E, AU - Kozlowski,Steve W J, PY - 2008/9/13/pubmed PY - 2009/2/20/medline PY - 2008/9/13/entrez SP - 1025 EP - 36 JF - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine JO - Acad Emerg Med VL - 15 IS - 11 N2 - Current health care literature cites communication breakdown and teamwork failures as primary threats to patient safety. The unique, dynamic environment of the emergency department (ED) and the complexity of patient care necessitate the development of strong interdisciplinary team skills among emergency personnel. As part of the 2008 Academic Emergency Medicine Consensus Conference on "The Science of Simulation in Healthcare," our workshop group identified key theory and evidence-based recommendations for the design and implementation of team training programs. The authors then conducted an extensive review of the team training literature within the domains of organizational psychology, aviation, military, management, and health care. This review, in combination with the workshop session, formed the basis for recommendations and need for further research in six key areas: 1) developing and refining core competencies for emergency medicine (EM) teams; 2) leadership training for emergency physicians (EPs); 3) conducting comprehensive needs analyses at the organizational, personnel, and task levels; 4) development of training platforms to maximize knowledge transfer; 5) debriefing and provision of feedback; and 6) proper implementation of simulation technology. The authors believe that these six areas should form an EM team training research platform to advance the EM literature, while leveraging the unique team structures present in EM to expand team training theory and research. SN - 1553-2712 UR - https://www.unboundmedicine.com/medline/citation/18785937/Developing_expert_medical_teams:_toward_an_evidence_based_approach_ L2 - https://doi.org/10.1111/j.1553-2712.2008.00232.x DB - PRIME DP - Unbound Medicine ER -