Browsing by Author "Lazzara, Elizabeth H."
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item 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, EduardoInterprofessional 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.Item The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety(Wolters Kluwer Health, Inc., 2022) Lazzara, Elizabeth H.; Salisbury, Mary; Hughes, Ashley M.; Rogers, Jordan E.; King, Heidi B.; Salas, EduardoSince the 20th century, health care institutions have used morbidity and mortality conferences (MMCs) as a forum to discuss complicated cases and fatalities to capitalize on lessons learned. Medical technology, health care processes, and the teams who provide care have evolved over time, but the format of the MMC has remained relatively unchanged. The present article outlines 5 key areas for improvement within the MMC along with prescriptive and actionable recommendations for mitigating these challenges. This work incorporates the contributions of numerous researchers and practitioners from the educational, training, debrief, and health care fields. With the best practices and lessons learned from various domains in mind, we recommend optimizing the MMC by (1) encouraging a culture that leverages expertise from multiple sources, (2) allocating ample time for innovative thinking, (3) using a global approach that considers individual, team, and system-level factors, (4) leveraging learnings from errors as well as near misses, and (5) promoting communication, innovative thinking, and actionable planning. The 5 evidence-based recommendations herein serve to ensure that MMCs are structured learning events that promote, encourage, and support safe, reliable care. Furthermore, the outlined recommendations seek to capitalize upon the MMC’s opportunity to engage early discovery as well as proactive risk assessment and action-oriented solutions.