The role of teamwork and communication in the emergency department: A systematic review

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

“…4,33 We suspect that 1 major reason for this gap is because many of the improvements were directed at refining systems and technologies 11,14 while neglecting human/relational factors. 4,34 Our results highlight the potential role of human interaction in iatrogenic events, indicating that occurrence of even a mild rudeness can have adverse consequences on the diagnostic and procedural performance of NICU team members. Indeed, many of the ratings received by members of the rudeness group were between 2 (poor) and 3 (moderate) (Tables 2 and 3), suggesting that the judges saw evidence of potentially harmful practice.…”

“…However, results from the mediation analyses indicate that aside from any effects that rudeness may have on individual cognitive processing, rudeness exposure may also weaken the very collaborative processes (informationsharing and help-seeking) 36,37 that might otherwise allow teams to compensate for the diminished performance of 1 or more of their members. 4,34 Overall, we found rudeness explained 52% of the variance in diagnostic performance and 43% of the variance in procedural performance. In comparison, recent meta-analyses found that structural factors such as the presence/absence of computerized order entry systems explained just 12.5% of the variance in medication error 38 and chronic sleep loss explained just 23% of the variance in physician clinical performance.…”

Performance Improvement Priorities From the Perspective of Emergency Department Staff in Iran’s Hospitals

“…According to Kilner and Sheppard (2010) (13), Investigation of the correlation between different areas of emergency department performance improvement showed that the relationship between these areas is significant. According to Kilner and Sheppard (2010) (13), the role of communication and teamwork on improving patient and staff satisfaction, reducing clinical errors and improving patient safety is considered important. Hwang and Ahn (2015) (16) found that role of teamwork and communication components in improving health outcomes of emergency department is important and due to population growth and increased demand for services, creation of changes in teamwork education process and good communication should be considered, especially in new staff.…”

Understanding and meeting information needs following unintentional injury: Comparing the accounts of patients, carers and service providers

“…Most studies of post-injury information have focused on issues emerging from poor information provision (15)(16)(17)(18) and links between inadequate information and patient anxiety and mental health (17,19,20) . Less is known about how patient and carer information needs change over time, provision of aftercare, treatment information or congruence between service provider, patient and carer perspectives.…”