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Understanding adaptive teamwork in health care: Progress and future directions

Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose,...

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Detalles Bibliográficos
Autores principales: Anderson, Janet E, Lavelle, Mary, Reedy, Gabriel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182291/
https://www.ncbi.nlm.nih.gov/pubmed/33327787
http://dx.doi.org/10.1177/1355819620978436
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author Anderson, Janet E
Lavelle, Mary
Reedy, Gabriel
author_facet Anderson, Janet E
Lavelle, Mary
Reedy, Gabriel
author_sort Anderson, Janet E
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description Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose, and most patient care depends on the ability of different professionals to coordinate their actions. Research in this area has narrowly defined health care teams, focused mainly on a small range of settings and activities and addressed a limited range of research questions. We argue that a new approach to teamwork research is needed and make three recommendations. First, the temporal and dynamic features of teamwork should be studied to understand how teamwork unfolds sequentially. Second, contextual influences should be integrated into study designs, including the organization of work, tasks, patients, organisational structures, and health care system factors. Finally, exploratory, rather than confirmatory, research designs are needed to analyse the complex patterns of social interaction inherent in health care work, to build our theoretical understanding of health care teams and their work, and ultimately to develop effective interventions to support better teamwork for the benefit of patients.
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spelling pubmed-81822912021-06-21 Understanding adaptive teamwork in health care: Progress and future directions Anderson, Janet E Lavelle, Mary Reedy, Gabriel J Health Serv Res Policy Concepts/Methods Article Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose, and most patient care depends on the ability of different professionals to coordinate their actions. Research in this area has narrowly defined health care teams, focused mainly on a small range of settings and activities and addressed a limited range of research questions. We argue that a new approach to teamwork research is needed and make three recommendations. First, the temporal and dynamic features of teamwork should be studied to understand how teamwork unfolds sequentially. Second, contextual influences should be integrated into study designs, including the organization of work, tasks, patients, organisational structures, and health care system factors. Finally, exploratory, rather than confirmatory, research designs are needed to analyse the complex patterns of social interaction inherent in health care work, to build our theoretical understanding of health care teams and their work, and ultimately to develop effective interventions to support better teamwork for the benefit of patients. SAGE Publications 2020-12-16 2021-07 /pmc/articles/PMC8182291/ /pubmed/33327787 http://dx.doi.org/10.1177/1355819620978436 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Concepts/Methods Article
Anderson, Janet E
Lavelle, Mary
Reedy, Gabriel
Understanding adaptive teamwork in health care: Progress and future directions
title Understanding adaptive teamwork in health care: Progress and future directions
title_full Understanding adaptive teamwork in health care: Progress and future directions
title_fullStr Understanding adaptive teamwork in health care: Progress and future directions
title_full_unstemmed Understanding adaptive teamwork in health care: Progress and future directions
title_short Understanding adaptive teamwork in health care: Progress and future directions
title_sort understanding adaptive teamwork in health care: progress and future directions
topic Concepts/Methods Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182291/
https://www.ncbi.nlm.nih.gov/pubmed/33327787
http://dx.doi.org/10.1177/1355819620978436
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