Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes.
Effective team decision making has the potential to improve the quality of health care outcomes. Medical Emergency Teams (METs), a specific type of team led by either critical care nurses or physicians, must respond to and improve the outcomes of deteriorating patients. METs routinely make decisions...
| Publicado en: | Australian Critical Care Vol. 29; no. 2; pp. 104 - 110 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
May2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116325174&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116325174 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10367314 GZL jtl: Australian Critical Care issn: 10367314 maglogo: N pubinfo: dt: May2016 vid: 29 iid: 2 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 116325174 10.1016/j.aucc.2015.07.006 116325174 ppf: 104 ppct: 6 formats: tig: atl: Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. aug: au: Fein, Erich C. Mackie, Benjamin Chernyak-Hai, Lily O’Quinn, C. Richard V. Ahmed, Ezaz affil: School of Psychology and Counselling, University of Southern Queensland, Toowoomba, Australia sug: subj: Rapid Response Team Stress, Occupational Decision Making Job Performance Outcomes (Health Care) Quality of Health Care Quality Improvement ab: Effective team decision making has the potential to improve the quality of health care outcomes. Medical Emergency Teams (METs), a specific type of team led by either critical care nurses or physicians, must respond to and improve the outcomes of deteriorating patients. METs routinely make decisions under conditions of uncertainty and suboptimal care outcomes still occur. In response, the development and use of Shared Mental Models (SMMs), which have been shown to promote higher team performance under stress, may enhance patient outcomes. This discussion paper specifically focuses on the development and use of SMMs in the context of METs. Within this process, the psychological mechanisms promoting enhanced team performance are examined and the utility of this model is discussed through the narrative of six habits applied to MET interactions. A two stage, reciprocal model of both nonanalytic decision making within the acute care environment and analytic decision making during reflective action learning was developed. These habits are explored within the context of a MET, illustrating how applying SMMs and action learning processes may enhance team-based problem solving under stress. Based on this model, we make recommendations to enhance MET decision making under stress. It is suggested that the corresponding habits embedded within this model could be imparted to MET members and tested by health care researchers to assess the efficacy of this integrated decision making approach in respect to enhanced team performance and patient outcomes. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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