Perioperative accountable care teams: Improving surgical team efficiency and work satisfaction through interprofessional collaboration

Marrone, Stephen R.

doi:10.1177/1750458918788975

Cited by 10 publications

(29 citation statements)

References 16 publications

(13 reference statements)

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“…However, SSATs reported less than a third of the time spent in patient care was collaborative with another HCP or athletic trainer. Current literature has shown that HCPs have benefitted from IPCP through increased efficiency and better patient care, [4][5][6] and because SSATs report low IPCP, there is the potential for SSATs to not access the benefits of IPCP while SSATs' patient loads increase. 14 The low reported IPCP frequency is likely from the many challenges and drawbacks that SSATs experience in their practice setting.…”

Section: Discussionmentioning

confidence: 99%

“…In nursing and medicine, IPCP has been shown to improve patient outcomes and health care efficiency. [4][5][6] Among primary care teams, frequent informal communication has been vital for effective IPCP. 7 Collaboration allows teams to offer more comprehensive care, 8 and often patients experience greater levels of satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…SSATs that have been credentialed for less than 1 year experience a sense of isolation and little support, likely because they do not have other HCPs in proximity. 13 The growing demand for SSATs 13,14 and the benefits of IPCP demonstrated in other health care disciplines [4][5][6]…”

Section: Introductionmentioning

confidence: 99%

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Interprofessional and Collaborative Practices of Athletic Trainers in the Secondary School Setting

Meskimen

Kirby

Drescher

et al. 2022

Athletic Training Education Journal

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Context Interprofessional and collaborative practice (IPCP) is thought to improve comprehensive patient care but is often hindered by a lack of knowledge about the scope of training of other providers, inadequate communication, and structural barriers. The secondary school setting may pose unique challenges to IPCP. Objective To investigate the perceptions and practices of secondary school athletic trainers (SSATs) regarding IPCP. Design and Setting Cross-sectional, Web-based survey. Patients or Other Participants Secondary school athletic trainers (N = 379, age = 35 ± 11 years, experience = 12 ± 10 years). Intervention(s) We used a modified version of the Clinician Perspectives of Interprofessional Collaborative Practice Survey, a validated survey consisting of 6 sections representing 6 different constructs (48 items) and 4 open-ended response questions focused on perceived challenges, resources, drawbacks, and benefits relative to IPCP. Main Outcomes Measure(s) We calculated descriptive statistics, including a composite mean, to characterize the scores on each construct. We analyzed the open-ended, qualitative data using general inductive coding and used multiple analysts and auditing to establish trustworthiness. Results We contacted 4666 SSATs to complete the survey. We had 507 (10.9%) SSATs respond, and 379 (74.8%) completed the survey in its entirety. Secondary school athletic trainers agreed with or marked that statements were either always true or sometimes true for all constructs. Three main themes emerged from the open-ended data: (1) communication, (2) infrastructure, and (3) learning. Communication was deemed critical, and having access to shared information improved collaboration. Secondary school athletic trainers were often responsible for initiating communication. A strong infrastructure that enhanced access to other providers, incorporated parents, and improved efficiency helped support IPCP. Interprofessional and collaborative practice resulted in learning between providers, including roles and responsibilities, which yielded stronger trust and respect. Interprofessional and collaborative practice resulted in idea sharing and potentially improved patient outcomes. Conclusions Although SSATs described regular use of IPCP in practice, barriers exist that diminish IPCP including communication, infrastructure, and learning between professions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Interprofessional and Collaborative Practices of Athletic Trainers in the Secondary School Setting

Meskimen

Kirby

Drescher

et al. 2022

Athletic Training Education Journal

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“…Interprofessional collaboration occurs "when multiple health workers from different professional backgrounds work together with patients, families, caregivers and communities to deliver the highest quality of care" (1). In its ideal form, interprofessional collaboration provides a synergistic relationship between professionals who communicate effectively and align around common goals related to patient care (2).…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, few hospitals have begun to formally develop and implement structures and processes to further promote interprofessional collaboration and leadership at the microsystem level (e.g., unit, service) with the goal to improve care quality, efficiency, and patient and provider experience (2,5,6). Termed by some as the Accountable Care Team (ACT) model, recent publications have described common core components that define an ACT.…”

Section: Introductionmentioning

confidence: 99%

Accountable care team membership and distress: is accountable care team membership associated with lower distress during a crisis?

Meese¹,

Dobbins²,

Colón-López³

et al. 2022

J Hosp Manag Health Policy

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Background: Hospitals have begun to formally develop and implement structures and processes to further promote interprofessional collaboration and leadership at the microsystem level (unit, service) with the goal to improve care quality, efficiency, and patient and provider experiences. Termed by some as the Accountable Care Team (ACT) model, the core components to date have included: (I) a designated physician-nursemanager leadership dyad, (II) cohorting of patients and team members to the unit as much as possible, (III) daily interprofessional team care planning rounds, (IV) proactive assessment of patient experience, and (V)access to unit-level data for performance improvement. The purpose of this paper is to describe an expanded model of the ACT intervention and understand whether ACT membership was associated with reduced distress during a major crisis, particularly the COVID-19 pandemic.Methods: This cross-sectional survey study was conducted within a large academic medical center in the Southeast United States, which is in the process of implementing ACT interventions across 32 units. A total of 1,130 respondents took the survey with a response rate of 18 percent.Results: ACT members had a greater sense of community at work, felt greater support from the organization, and were less likely to report social isolation and loneliness as a major stressor. However, ACT members were also more likely to report heavy workload and long hours, and increased job demands as major stressors than non-members. ACT members were also more likely to be female, and to indicate childcare as a major stressor. Multivariate regression models indicated no statistically significant association between ACT membership and overall distress scores. Conclusions:Early results suggest that there may be benefits to ACT membership, but these benefits may be counteracted by additional work demands. Organizations must ensure adequate time and resources are allotted for those participating in ACT models.

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Why can’t we improve turnover time? A systematic review

Cohen,

Kanji,

Zamudio

et al. 2023

World j. surg.

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BackgroundDespite substantial efforts to reduce operating room (OR) turnover time (TOT), delays remain a frustration to physicians, staff, and hospital leadership. These efforts have employed many systems and human factor‐based approaches with variable results. A deeper dive into methodologies and their applicability could lead to successful and sustained change. The aim of this study was to conduct a systematic review to evaluate relevant research focused on improving OR TOT and clearly defining measures of successful intervention.Material and MethodsA systematic review of OR TOT interventions implemented between 1980 through October 2022 was performed using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) methodology. Research databases included: 1) PubMed; 2) Web of Science; and 3) OVID Medline.ResultsA total of 38 articles were appropriate for analysis. Most employed a pre/post intervention approach (29, 76.3%), the remaining utilized a control/intervention approach. Nine intervention methods were identified: the majority included a process redesign bundle (24, 63%), followed by overlapping induction, dedicated unit/team/space feedback, financial incentives, team training, education, practice guidelines, and redefinition of roles/responsibilities. Studies were further categorized into one of two groups: (1) those that utilized predetermined interventions based on anecdotal experience or prior literature (18, 47.4%) and (2) those that conducted a prospective analysis on baseline data to inform intervention development (20, 52.6%).DiscussionThere are significant variability in the methodologies utilized to improve OR TOT; however, the most effective solutions involved process redesign bundles developed from a prospective investigation of the clinical work‐system.

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Perioperative accountable care teams: Improving surgical team efficiency and work satisfaction through interprofessional collaboration

Cited by 10 publications

References 16 publications

Interprofessional and Collaborative Practices of Athletic Trainers in the Secondary School Setting

Interprofessional and Collaborative Practices of Athletic Trainers in the Secondary School Setting

Accountable care team membership and distress: is accountable care team membership associated with lower distress during a crisis?

Why can’t we improve turnover time? A systematic review

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