Pediatric emergency medicine trisk 0102 0102
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CHAPTER 4 ■ MULTIDISCIPLINARY
TEAMWORK
JANE LAVELLE, DEBRA A. POTTS, TRACY A. WALKER, JAMES C. WON, JACQUELINE
T. NOLL
INTRODUCTION
Emergency departments (EDs) must provide efficient, comprehensive care
to patients with emergent and nonemergent conditions who arrive in an
unpredictable manner 24 hours daily. The environment of the ED is one of
organized chaos; there is a high cognitive load, a high density of decision
making and technical/diagnostic evaluations and reevaluations occurring in
an atmosphere with constant interruptions. The environment of the ED is
composed of the physical space, the care processes, and the people; the
people are the most important component.
With the explosion of medical knowledge and technology resulting in
complex patients and care processes, the complexity of decision making
and the execution of tasks have correspondingly increased. Rather than
placing this entire burden on individuals, there has been a shift in emphasis
to teams and to the importance of performance in teams, with a focus on
understanding effective coordination and collaboration facilitating this
performance. Teams offer the ability to achieve more than any single person
can achieve—they offer a variety of knowledge to make decisions, solve
problems, generate ideas, and complete tasks more effectively and
efficiently. Patients with growing medical complexity require a healthcare
team to optimize their experience and outcome. This is even more critical
for the ED where teamwork occurs in uncertain, time-pressured situations.
Thus, the environment, care processes, and leadership must support a
culture which allows for the development of strong interdisciplinary teams
with shared awareness, goals, knowledge, and strong communication skills
including the ability to resolve conflict in the moment.
WHY TEAMWORK IS IMPORTANT TO QUALITY AND
SAFETY
