File(s) not publicly available

Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes

journal contribution
posted on 06.12.2017, 00:00 by Erich FeinErich Fein, B Mackie, L Chernyak-Hai, C O’Quinn, Ezaz AhmedEzaz Ahmed
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 sub optimal 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 non-analytic 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.

History

Volume

29

Issue

2

Start Page

104

End Page

109

Number of Pages

6

eISSN

1878-1721

ISSN

1036-7314

Location

USA

Publisher

Elsevier

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Griffith University; Netanyah Academic College; School of Business and Law (2013- ); TBA Research Institute; University of Queensland; University of Southern Queensland;

Era Eligible

Yes

Journal

Australian critical care.