Effective Teamwork and Communication Mitigate Task Saturation in Simulated Critical Care Air Transport Team Missions

Davis, Bradley R.; Welch, Katherine O.; Walsh-Hart, Sharon; Hanseman, Dennis J.; Petro, Michael; Gerlach, Travis; Dorlac, Warren C.; Collins, Jocelyn M.; Pritts, Timothy A.

doi:10.7205/milmed-d-13-00240

Cited by 16 publications

(5 citation statements)

References 20 publications

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“…For instance, if an organization undergoes downsizing or restructuring, teams may have to adapt to working harder or longer with fewer people and a broader scope of work. Research from simulations of patient air transport in the military show that task saturation stemming from structural adjustments may be mitigated by effective teamwork (Davis et al 2014). We know little about how such organizational changes impacting team structure or composition may influence safety because the literature currently lacks longitudinal insight to these areas (Bell et al 2018).…”

Section: Team Composition Team Composition Variables Represent Indivi...mentioning

confidence: 99%

Can Teamwork Promote Safety in Organizations?

Salas

Bisbey

Traylor

et al. 2020

Annu. Rev. Organ. Psychol. Organ. Behav.

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In this review, we conceptualize teamwork as the linchpin driving safety performance throughout an organization. Safety is promoted by teams through various mechanisms that interact in a complex and dynamic process. We press pause on this dynamic process to organize a discussion highlighting the critical role played by teamwork factors in the engagement of safe and unsafe behavior, identifying five team-level emergent states that enable effective teamwork and safety: psychological safety, team trust, collective efficacy, shared mental models, and situation awareness. Additionally, we consider foundational conditions that support team-driven safety, the development of safety culture, and the importance of team safety climate in shaping performance. We discuss leveraging teams to generate safety and identify directions for future research investigating the relationship between teamwork and safety. Overall, we submit that researchers and practitioners would benefit from taking a systems perspective of safety by integrating principles of team science to better understand and promote safety in organizations.

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Section: Team Composition Team Composition Variables Represent Indivi...mentioning

confidence: 99%

Can Teamwork Promote Safety in Organizations?

Salas

Bisbey

Traylor

et al. 2020

Annu. Rev. Organ. Psychol. Organ. Behav.

View full text Add to dashboard Cite

show abstract

“…It might be expected that teamwork might suffer when staff are task‐saturated. A study of simulated transfers by Critical Care Air Transport Teams (United States Air Force) (n = 16) showed 45 crisis events, with task saturation occurring in 49% . Teamwork (odds ratio (OR) 1.96) and communication (OR 2.08) were impaired with task saturation.…”

Section: Resultsmentioning

confidence: 99%

Monitoring teamwork: a narrative review

Rütherford

2017

Anaesthesia

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SummaryA narrative review was carried out to identify articles on monitoring of teamwork, with particular relevance to anaesthetists. The papers reviewed showed that team monitoring takes place both implicitly and explicitly in the anaesthetic environment. No single optimal model of teamwork monitoring for all situations was identified. Most of the studies identified were of a pre-intervention, post-intervention design, without randomisation or control group. Information shared during a formal briefing is more likely to be recalled, and provides a basis for a shared team mental model. A number of studies appeared to show that targeted teamwork training has a positive impact on both teamwork and patient safety.

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“…One of the benefits of studies such as ours is that the results can lead to changes in practice in a short period and increase patient safety by mitigating adverse events 19,29 . Although our study is limited in number of simulations, it has helped local stakeholders appreciate the importance of ISSs for both education and quality improvement purposes.…”

Section: Discussionmentioning

confidence: 98%

“…One of the benefits of studies such as ours is that the results can lead to changes in practice in a short period and increase patient safety by mitigating adverse events. 19,29 Although our study is limited in number of simulations, it has helped local stakeholders appreciate the importance of ISSs for both education and quality improvement purposes. Our results were disseminated (meetings to policy and procedure committee, presentations) to participants and local stakeholders and has helped establish the foundation for further ISSs at our institution.…”

Section: Discussionmentioning

confidence: 99%

Utilizing Simulation to Identify Latent Safety Threats During Neonatal Magnetic Resonance Imaging Procedure

et al. 2021

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Introduction: Transfer of infants for magnetic resonance imaging (MRI) from the neonatal intensive care unit (NICU) requires exposure to unfamiliar environments and involve multiple complex human and system interactions, which can compromise patient safety. In situ simulation (ISS) offers an opportunity to identify latent safety threats (LSTs) that may occur during this high-risk procedure. Our primary aim was to use ISS to identify modifiable LSTs during the MRI procedure: involving neonatal transport to/from NICU to the MRI and the MRI scan. Secondarily, we compared the overall performance and needs of specialized versus nonspecialized transport personnel. Methods: In situ simulations of the MRI procedure (transport and scan) were performed for 9 months involving specialized and nonspecialized transport personnel. Two simulation scenarios were used, one involving an intubated infant and one nonintubated infant. After each simulation, participants underwent a standardized debriefing and answered questionnaires on safety threats and team function. The results were then used to identify and implement mitigation strategies. Results: Among 10 simulations completed, 7 were by specialized and 3 by nonspecialized teams. In total, 116 LSTs were identified (22 involving medication, 12 equipment, and 82 resources/system issues). Preprocedure deliberation with anticipation/preparedness for patient deterioration, and the need for clinical checklists and protocols were identified as important requirements. After completion of the project, protocols (ie, sedation), checklists (ie, pretransport), and policies (ie, environmental orientation) were adapted to address the gaps. Conclusions: In situ simulations were able to identify important safety risks during transport of neonatal patients from the NICU to the MRI suite, informing changes in MRI transport policy.

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Effective Teamwork and Communication Mitigate Task Saturation in Simulated Critical Care Air Transport Team Missions

Abstract: Task saturation is observed in simulated CCATT missions. Nontechnical skills correlate with task saturation. Task saturation is associated with worsening physiologic derangements in simulated patients.

Cited by 16 publications

References 20 publications

Can Teamwork Promote Safety in Organizations?

Can Teamwork Promote Safety in Organizations?

Monitoring teamwork: a narrative review

Utilizing Simulation to Identify Latent Safety Threats During Neonatal Magnetic Resonance Imaging Procedure

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