Browsing by Author "Greilich, Philip E."

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    Handoffs and the challenges to implementing teamwork training in the perioperative environment
    (Frontiers Media S.A., 2023) Paquette, Shannon; Kilcullen, Molly; Hoffman, Olivia; Hernandez, Jessica; Mehta, Ankeeta; Salas, Eduardo; Greilich, Philip E.
    Perioperative handoffs are high-risk events for miscommunications and poor care coordination, which cause patient harm. Extensive research and several interventions have sought to overcome the challenges to perioperative handoff quality and safety, but few efforts have focused on teamwork training. Evidence shows that team training decreases surgical morbidity and mortality, and there remains a significant opportunity to implement teamwork training in the perioperative environment. Current perioperative handoff interventions face significant difficulty with adherence which raises concerns about the sustainability of their impact. In this perspective article, we explain why teamwork is critical to safe and reliable perioperative handoffs and discuss implementation challenges to the five core components of teamwork training programs in the perioperative environment. We outline evidence-based best practices imperative for training success and acknowledge the obstacles to implementing those best practices. Explicitly identifying and discussing these obstacles is critical to designing and implementing teamwork training programs fit for the perioperative environment. Teamwork training will equip providers with the foundational teamwork competencies needed to effectively participate in handoffs and utilize handoff interventions. This will improve team effectiveness, adherence to current perioperative handoff interventions, and ultimately, patient safety.
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    Team FIRST framework: Identifying core teamwork competencies critical to interprofessional healthcare curricula
    (Cambridge University Press, 2023) Greilich, Philip E.; Kilcullen, Molly; Paquette, Shannon; Lazzara, Elizabeth H.; Scielzo, Shannon; Hernandez, Jessica; Preble, Richard; Michael, Meghan; Sadighi, Mozhdeh; Tannenbaum, Scott; Phelps, Eleanor; Krumwiede, Kimberly Hoggatt; Sendelbach, Dorothy; Rege, Robert; Salas, Eduardo
    Interprofessional healthcare team function is critical to the effective delivery of patient care. Team members must possess teamwork competencies, as team function impacts patient, staff, team, and healthcare organizational outcomes. There is evidence that team training is beneficial; however, consensus on the optimal training content, methods, and evaluation is lacking. This manuscript will focus on training content. Team science and training research indicates that an effective team training program must be founded upon teamwork competencies. The Team FIRST framework asserts there are 10 teamwork competencies essential for healthcare providers: recognizing criticality of teamwork, creating a psychologically safe environment, structured communication, closed-loop communication, asking clarifying questions, sharing unique information, optimizing team mental models, mutual trust, mutual performance monitoring, and reflection/debriefing. The Team FIRST framework was conceptualized to instill these evidence-based teamwork competencies in healthcare professionals to improve interprofessional collaboration. This framework is founded in validated team science research and serves future efforts to develop and pilot educational strategies that educate healthcare workers on these competencies.