Improving Team Performance for Public Health Preparedness

Peck, Megan; Scullard, Mickey; Hedberg, Craig W.; Moilanen, Emily; Radi, Deborah; Riley, William J.; Bowen, Paige Anderson; Petersen-Kroeber, Cheryl; Stenberg, Louise; Olson, Debra K

doi:10.1017/dmp.2016.65

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Periodic revision and training of emergency procedures are essential, especially when evaluating responses to rare events. 5 Modalities of clinical training include lectures, virtual training, and simulation. 6,7 Especially, in-situ simulation provides the additional opportunity to test procedures and improve the evacuation process.…”

Section: Introductionmentioning

confidence: 99%

Using Standardized Checklists Increase the Completion Rate of Critical Actions in an Evacuation from the Operating Room: A Randomized Controlled Simulation Study

Acar

Mehta

Rich

et al. 2019

Prehosp. Disaster med.

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Introduction:Hospital evacuations of patients with special needs are extremely challenging, and it is difficult to train hospital workers for this rare event.Hypothesis/Problem:Researchers developed an in-situ simulation study investigating the effect of standardized checklists on the evacuation of a patient under general anesthesia from the operating room (OR) and hypothesized that checklists would improve the completion rate of critical actions and decrease evacuation time.Methods:A vertical evacuation of the high-fidelity manikin (SimMan3G; Laerdal Inc.; Norway) was performed and participants were asked to lead the team and evacuate the manikin to the ground floor after a mock fire alarm. Participants were randomized to two groups: one was given an evacuation checklist (checklist group [CG]) and the other was not (non-checklist group [NCG]). A total of 19 scenarios were run with 28 participants.Results:Mean scenario time, preparation phase of evacuation, and time to transport the manikin down the stairs did not differ significantly between groups (P = .369, .462, and .935, respectively). The CG group showed significantly better performance of critical actions, including securing the airway, taking additional drug supplies, and taking additional equipment supplies (P = .047, .001, and .001, respectively). In the post-evacuation surveys, 27 out of 28 participants agreed that checklists would improve the evacuation process in a real event.Conclusion:Standardized checklists increase the completion rate of pre-defined critical actions in evacuations out of the OR, which likely improves patient safety. Checklist use did not have a significant effect on total evacuation time.

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Section: Introductionmentioning

confidence: 99%

Using Standardized Checklists Increase the Completion Rate of Critical Actions in an Evacuation from the Operating Room: A Randomized Controlled Simulation Study

Acar

Mehta

Rich

et al. 2019

Prehosp. Disaster med.

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Performance in Command and Control: Results From a Scoping Review

Drews,

Fiedrich

2024

Eur J Secur Res

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Command and control are critical components of emergency management when disaster strikes. Command posts act as a support system within the command chain for leaders, and the performance of these teams is essential for the successful operation. This paper presents the findings of a scoping review on the performance of command posts, identifying six performance factors: scenario, resilience, situational awareness, decision making, team structures and teamwork, and operational execution. Furthermore, this paper presents objective indicators for performance measurement in three dimensions: process, effectiveness, and efficiency. Additionally, it provides insights and methodologies for evaluating command post exercises.

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Factors Influencing Team and Task Performance in Intensive Care Teams in a Simulated Scenario

et al. 2020

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Introduction Healthcare teams and their performance in a complex environment such as that of intensive care units (ICUs) are influenced by several factors. This study investigates the relationship between team background characteristics and team as well as task performance. Methods This study included 105 professionals (26 teams), working at the ICUs of 2 hospitals in Northern Sweden. The team-based simulation training sessions were video recorded, and thereafter, team performance and task performance were analyzed based on ratings of the TEAM instrument and the ABCDE checklist. Results The final analyses showed that a higher age was significantly associated with better total team performance (β = 0.35, P = 0.04), teamwork (β = 0.04, P = 0.04), and task management (β = 0.04, P = 0.05) and with a higher overall rating for global team performance (β = 0.09, P = 0.02). The same pattern was found for the association between age and task performance (β = 0.02, P = 0.04). In addition, prior team training without video-facilitated reflection was significantly associated with better task performance (β = 0.35, P = 0.04). On the other hand, prior team training in communication was significantly associated with worse (β = −1.30, P = 0.02) leadership performance. Conclusions This study reveals that a higher age is important for better team performance when caring for a severely ill patient in a simulation setting in the ICU. In addition, prior team training had a positive impact on task performance. Therefore, on a team level, this study indicates that age and, to some extent, prior team training without video-facilitated reflection have an impact on team performance in the care of critically ill patients.

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Improving Team Performance for Public Health Preparedness

Cited by 3 publications

References 10 publications

Using Standardized Checklists Increase the Completion Rate of Critical Actions in an Evacuation from the Operating Room: A Randomized Controlled Simulation Study

Using Standardized Checklists Increase the Completion Rate of Critical Actions in an Evacuation from the Operating Room: A Randomized Controlled Simulation Study

Performance in Command and Control: Results From a Scoping Review

Factors Influencing Team and Task Performance in Intensive Care Teams in a Simulated Scenario

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