Pediatric emergency medicine trisk 0103 0103
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Preventable harm to patients in our healthcare system may exceed 250,000
deaths annually. The fragmented nature of healthcare delivery is a common
contributor to medical error. Communication failures at shift change or
patient transition are high-risk interactions which include important patient
information and may lead to miscommunication, delays in care or even
inappropriate treatment. Hierarchy within the medical system can further
inhibit open communication which could prevent error. As stated above, no
single individual can assure that a patient receives the highest quality of
care possible nor can they protect that patient from potential harm
associated with complex bedside care. Currently, despite high need for
strong teams, healthcare does not implement evidenced-based practices for
supporting teams and coordinating care or provide the necessary resources.
There is a growing body of evidence that links teamwork to the quality
(degree to which patients receive the treatment consistent with current
guidelines and professional knowledge), safety of care (risk of preventable
harm), and the patient’s experience (self-reported outcomes)—all of which
are necessary for optimal clinical outcomes. Patients receiving care with
poor teamwork are almost five times more likely to die or experience a
complication. Patients receiving care from higher performing teams report
being more satisfied. Patients also report lower levels of postoperative pain
with more rapid recovery and decreased hospital length of stay. Teamwork
creates a more positive, engaging, and resilient work environment. Thus,
effective, strong interdisciplinary teamwork offers an opportunity to
increase quality, decrease harm significantly, and improve the experience of
the patients and members of the healthcare team.
What Is a Team?
A team is defined as a set of two or more people who interact dynamically
and work toward a common, valued goal. Team members have specific
assigned roles or functions to perform. In the ED, the team performs timesensitive tasks in a dynamic environment by coordinating their efforts to
meet these common goals. For example, care of the patient with suspected
sepsis requires nurses with advanced IV skills, respiratory therapists to
assist with respiratory support, pharmacists to assist with medications and
infusions, etc.; importantly although each member has a specific role, all
