Building effective critical care teams

Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team endeavor, methods to maximize teamwork should be learned and mastered by critical care team members, and especially leaders.

[1]  Ethan R. Burris,et al.  Leadership Behavior and Employee Voice: Is the Door Really Open? , 2007 .

[2]  Amy C. Edmondson,et al.  Psychological Safety: A Foundation for Speaking Up, Collaboration, and Experimentation , 2011 .

[3]  Yan Xiao,et al.  Team leadership and coordination in trauma resuscitation , 2003 .

[4]  Franziska Tschan,et al.  Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: a prospective randomised simulator-based trial , 2009, BMC emergency medicine.

[5]  William A. Kahn.  Psychological Conditions of Personal Engagement and Disengagement at Work , 1990 .

[6]  Naina Gupta,et al.  Transactive memory theory and teams: Past, present, and future. , 2012 .

[7]  A. Edmondson.  Managing the Risk of Learning: Psychological Safety in Work Teams , 2008 .

[8]  J. Stoker,et al.  Advances in Interdisciplinary Studies of Work Teams , 1997 .

[9]  R. Moreland.  Transactive memory: Learning who knows what in work groups and organizations. , 1999 .

[10]  E. Salas,et al.  Theories of Team Cognition: Cross-Disciplinary Perspectives , 2013 .

[11]  Michael A. West,et al.  International handbook of organizational teamwork and cooperative working , 2008 .

[12]  Aleda V. Roth,et al.  The Influence of Psychological Safety and Confidence in Knowledge on Employee Knowledge Sharing , 2009, Manuf. Serv. Oper. Manag..

[13]  John M. Levine,et al.  Encyclopedia of group processes and intergroup relations , 2010 .

[14]  T. Tyler,et al.  A Relational Model of Authority in Groups , 1992 .

[15]  C. Holzmueller,et al.  Variation in caregiver perceptions of teamwork climate in labor and delivery units , 2006, Journal of Perinatology.

[16]  E. Michinov,et al.  Influence of transactive memory on perceived performance, job satisfaction and identification in anaesthesia teams. , 2008, British journal of anaesthesia.

[17]  A. Hollingshead,et al.  Team science and critical care. , 2011, American journal of respiratory and critical care medicine.

[18]  A. Edmondson.  Psychological Safety and Learning Behavior in Work Teams , 1999 .

[19]  Anita L. Tucker,et al.  Implementing New Practices: An Empirical Study of Organizational Learning in Hospital Intensive Care Units , 2007, Manag. Sci..

[20]  A. Edmondson.  Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error , 1996 .

[21]  Jonathon R B Halbesleben,et al.  The role of continuous quality improvement and psychological safety in predicting work-arounds , 2008, Health care management review.

[22]  Douglas R. May,et al.  Improving work environments in health care: Test of a theoretical framework , 2009, Health care management review.

[23]  Robert Hogan,et al.  What we know about Leadership , 2005 .

[24]  Kim S. Cameron,et al.  The Oxford handbook of positive organizational scholarship , 2011 .

[25]  M. Makary,et al.  Teamwork in the Operating Room: Frontline Perspectives among Hospitals and Operating Room Personnel , 2006, Anesthesiology.

[26]  Sara Singer,et al.  Relationship of safety climate and safety performance in hospitals. , 2007, Health services research.

[27]  Kyle Lewis.  Measuring transactive memory systems in the field: scale development and validation. , 2003, The Journal of applied psychology.

[28]  Joseph. Grenny,et al.  The Seven Crucial Conversations for Healthcare , 2005 .

[29]  K. M. Bartol,et al.  Empowering Leadership in Management Teams: Effects on Knowledge Sharing, Efficacy, And Performance , 2006 .

[30]  Naina Gupta,et al.  Differentiated Versus Integrated Transactive Memory Effectiveness: It Depends on the Task , 2010 .

[31]  Andrea B. Hollingshead,et al.  Potential Benefits of Communication in Transactive Memory Systems , 2003 .

[32]  L. Jones,et al.  The relation between leadership style and empowerment on job satisfaction of nurses. , 1997, The Journal of nursing administration.

[33]  Anita L. Tucker,et al.  Deliberate Learning to Improve Performance in Dynamic Service Settings: Evidence from Hospital Intensive Care Units , 2011, Organ. Sci..

[34]  Jesse B. Hall,et al.  Effects of a medical intensivist on patient care in a community teaching hospital. , 1997, Mayo Clinic proceedings.

[35]  Jonathan A. Rhoades,et al.  The empowering leadership questionnaire: the construction and validation of a new scale for measuring leader behaviors , 2000 .

[36]  Andrea B. Hollingshead,et al.  Transactive Memory Systems in Organizations: Matching Tasks, Expertise, and People , 2004, Organ. Sci..

[37]  D. Wegner.  A Computer Network Model of Human Transactive Memory , 1995 .

[38]  J Hogan,et al.  What we know about leadership. Effectiveness and personality. , 1994, The American psychologist.

[39]  Anita L. Tucker.  An Empirical Study of System Improvement by Frontline Employees in Hospital Units , 2007, Manuf. Serv. Oper. Manag..

[40]  S M Shortell,et al.  The Performance of Intensive Care Units: Does Good Management Make a Difference? , 1994, Medical care.

[41]  A. Hollingshead.  Cognitive interdependence and convergent expectations in transactive memory. , 2001, Journal of personality and social psychology.

[42]  Ingrid M. Nembhard,et al.  Making It Safe: The Effects of Leader Inclusiveness and Professional Status on Psychological Safety and Improvement Efforts in Health Care Teams , 2006 .

[43]  Norbert K. Semmer,et al.  Explicit Reasoning, Confirmation Bias, and Illusory Transactive Memory , 2009 .

[44]  J Bryan Sexton,et al.  Discrepant attitudes about teamwork among critical care nurses and physicians* , 2003, Critical care medicine.