Improving Teamwork: Impact of Structured Interdisciplinary Rounds on a Medical Teaching Unit
Journal of General Internal MedicinePublished 12 April 2010Open access
Kevin J. O’Leary, Diane B. Wayne, Corinne Haviley, Maureen Slade, Jungwha Lee, Mark V. Williams
Citations140
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
SSIDR had a positive effect on nurses’ ratings of collaboration and teamwork on a medical teaching unit and further study is required to assess the impact of SIDR on patient safety measures.
Abstract
SIDR had a positive effect on nurses' ratings of collaboration and teamwork on a medical teaching unit. Further study is required to assess the impact of SIDR on patient safety measures.
Keywords
MedicineHealth Professions
New England Journal of MedicineThe Nature of Adverse Events in Hospitalized Patients
3,750 Citations1991Lucian L. Leape, Troyen A. Brennan +8 more
The high proportion that are due to management errors suggests that many others are potentially preventable now, and reducing the incidence of these events will require identifying their causes and developing methods to prevent error or reduce its effects.
The Medical Journal of AustraliaThe Quality in Australian Health Care Study
2,397 Citations1995R. M. Wilson, W. B. Runciman +4 more
BMC Health Services ResearchThe Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research
1,785 Citations2006J. Bryan Sexton, Robert L. Helmreich +6 more
The Safety Attitudes Questionnaire demonstrated good psychometric properties and healthcare organizations can use the survey to measure caregiver attitudes about six patient safety-related domains, to compare themselves with other organizations, to prompt interventions to improve safety attitudes and to measure the effectiveness of these interventions.
Infection Control and Hospital EpidemiologyJoint Commission on Accreditation of Healthcare Organizations
1,334 Citations1995Carole H. Patterson
Academic MedicineCommunication Failures: An Insidious Contributor to Medical Mishaps
1,021 Citations2004Kathleen M. Sutcliffe, Elizabeth Lewton +1 more
The occurrence of everyday medical mishaps in this study is associated with faulty communication; but, poor communication is not simply the result of poor transmission or exchange of information.
Critical Care MedicineA look into the nature and causes of human errors in the intensive care unit
838 Citations1995Yoel Donchin, Daniel Gopher +6 more
Critical Care MedicineDiscrepant attitudes about teamwork among critical care nurses and physicians*
767 Citations2003Eric J. Thomas, J. Bryan Sexton +1 more
Critical care physicians and nurses have discrepant attitudes about the teamwork they experience with each other, this discrepancy includes suboptimal conflict resolution and interpersonal communication skills.
Journal of the American College of SurgeonsOperating Room Teamwork among Physicians and Nurses: Teamwork in the Eye of the Beholder
666 Citations2006Martin A. Makary, J. Bryan Sexton +5 more
Considerable discrepancies in perceptions of teamwork exist in the operating room, with physicians rating the teamwork of others as good, but at the same time, nurses perceive teamwork as mediocre.
Journal of Critical CareImproving communication in the ICU using daily goals
661 Citations2003Peter J. Pronovost, Sean M. Berenholtz +4 more
Implementing the daily goals form resulted in a significant improvement in the percent of residents and nurses who understood the goals of care for the day and a reduction in ICU LOS.
Critical Care MedicineAssociation between nurse-physician collaboration and patient outcomes in three intensive care units
647 Citations1999Judith Gedney Baggs, Madeline H. Schmitt +5 more
There was a perfect rank order correlation between unit-level organizational collaboration and patient outcomes across the three units, and medical ICU nurses' reports of collaboration were associated positively with patient outcomes.
AJN American Journal of NursingNurse-Physician Relationships: Impact on Nurse Satisfaction and Retention
467 Citations2002Alan H. Rosenstein
Analysis of the first 1,200 responses from nurses, physicians, and hospital executives suggests that daily interactions between nurses and physicians strongly influence nurses' morale, and the quality of nurse-physician relationships must be addressed as facilities seek to improve nurse recruitment and retention.
Annals of Internal MedicineEffects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists
344 Citations2002David Meltzer, Willard G. Manning +5 more
This observational study suggests that patients cared for by hospitalists had shorter hospital stays, lower costs, and lower short-term mortality compared with patients care for by nonhospitalists, suggesting that hospitalists' skills improve with additional clinical experience.
American Journal of Critical CareThe Link Between Teamwork and Patients’ Outcomes in Intensive Care Units
326 Citations2003Susan A. Wheelan, Christian N. Burchill +1 more
The evidence is sufficient to warrant the implementation of strategies designed to improve the level of teamwork and collaboration among staff members in intensive care units.
American Journal of Critical CareEffect of a Multidisciplinary Intervention on Communication and Collaboration Among Physicians and Nurses
298 Citations2005Sondra Vazirani, Ron D. Hays +2 more
The multidisciplinary intervention resulted in better communication and collaboration among the participants and the largest effect was among the residents.
AnesthesiologyTeamwork in the Operating Room
292 Citations2006J. Bryan Sexton, Martin A. Makary +8 more
Rigorous assessment of teamwork climate is possible using this psychometrically sound teamwork climate scale and initial benchmarks allow others to compare their teamwork climate to national means, in an effort to focus more on what excellent surgical teams do well.
Journal of the American College of SurgeonsRisk-Adjusted Morbidity in Teaching Hospitals Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions
278 Citations2007Daniel L. Davenport, William G. Henderson +3 more
Survey-based teamwork, safety climate, and working conditions scales are not confirmed to measure organizational factors that influence risk-adjusted surgical outcomes, suggesting the importance of doctors' coordination and decision-making roles on surgical teams in providing high-quality and safe care.
BMJ Quality & SafetyA look into the nature and causes of human errors in the intensive care unit
244 Citations2003Yoel Donchin
A significant number of dangerous human errors occur in the ICU, and applying human factor engineering concepts to the study of the weak points of a specific ICU may help to reduce the number of errors.
BMJ Quality & SafetyTranslating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation
229 Citations2004Eric J. Thomas
This behavioural marker audit form for neonatal resuscitation lists and defines 10 markers that describe specific, observable behaviours seen during the resuscitation of newborn infants that are compared with those developed by other groups.
Annals of Internal MedicineImplementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes
219 Citations2002Andrew D. Auerbach, Robert M. Wachter +4 more
This 2-year cohort study from a community-based urban teaching hospital found that patients cared for by faculty hospitalists rather than community physicians had shorter lengths of stay, lower costs, and better in-hospital and 1- and 2-month survival rates.
Medical CareA Firm Trial of Interdisciplinary Rounds on the Inpatient Medical Wards
195 Citations1998Catherine Curley, J. Edward McEachern +1 more
This study involving more patients shows both cost and LOS decreases with the use of interdisciplinary teams, and previous studies of interciplinary teams have failed to show statistically significant cost savings.
JONA The Journal of Nursing AdministrationThe Effect of a Multidisciplinary Hospitalist/Physician and Advanced Practice Nurse Collaboration on Hospital Costs
181 Citations2006Marie J. Cowan, Martin F. Shapiro +5 more
Comparing nurse practitioner/physician management of hospital care, multidisciplinary team-based planning, expedited discharge, and assessment after discharge to usual management reduced LOS and improved hospital profit without altering readmissions or mortality.
American Journal of Critical CareImproving Nurse-Physician Communication and Satisfaction in the Intensive Care Unit With a Daily Goals Worksheet
137 Citations2006Mangala Narasimhan, Lewis Eisen +3 more
Nurses' and physicians' perceptions of their understanding of the goals of care and of communication between them were improved and stays in the unit were shortened when the worksheet was used.
Journal of General Internal MedicineUse of Multidisciplinary Rounds to Simultaneously Improve Quality Outcomes, Enhance Resident Education, and Shorten Length of Stay
127 Citations2007Stephen O’Mahony, Eric Michael Mazur +3 more
Resident-centered MDR is an effective process using no additional resources that simultaneously improves quality of care while enhancing resident education and is associated with shortened length of stay.
BMJ Quality & SafetyTeamwork on inpatient medical units: assessing attitudes and barriers
122 Citations2010Kevin J. O’Leary, Cory Ritter +4 more
In a general medical inpatient setting, discrepancies among nurses and physicians existed in ratings of collaboration and barriers to teamwork.
BMJ Quality & SafetySafety Climate Survey: reliability of results from a multicenter ICU survey
103 Citations2005Michelle E. Kho
Of the three instruments, theSCSu and SCSc appear to be measuring one construct and are sufficiently reliable, and managers perceived a significantly more positive safety climate than other staff, as measured by the SCSu andSCSc.
Archives of Internal MedicineHospitalist Care and Length of Stay in Patients Requiring Complex Discharge Planning and Close Clinical Monitoring
88 Citations2007William N. Southern
Teaching hospitalist care was associated with shorter LOS in patients requiring close clinical monitoring and complex discharge planning, without adversely affecting readmission or mortality rates.
Journal of General Internal MedicineImpact of Localizing Physicians to Hospital Units on Nurse—Physician Communication and Agreement on the Plan of Care
83 Citations2009Kevin J. O’Leary, Diane B. Wayne +7 more
Although nurses and physicians were able to identify one another and communicated more frequently after localizing physicians to specific patient care units, there was little impact on nurse-physician agreement on the plan of care.
BMJ Quality & SafetyPatterns of nurse-physician communication and agreement on the plan of care
80 Citations2010Kevin J. O’Leary, Julian Thompson +8 more
Nurses and physicians did not reliably communicate with one another and were often not in agreement on the plan of care for hospitalised medical patients.
AJN American Journal of NursingOriginal Research: 'It Depends': Medical Residents' Perspectives on Working with Nurses
54 Citations2009Dana Beth Weinberg, Dianne Cooney Miner +1 more
Given the strong doubts some residents expressed about nurses' cooperativeness and competence, the nursing profession should consider strengthening nursing education and clearly delineating nurses' roles and competencies.
Journal of Public Health Management and PracticeEffects of Interdisciplinary Rounds on Length of Stay in a Telemetry Unit
52 Citations2004Dorothea Wild, Haq Nawaz +2 more
The importance of rigorous testing of strategies to enhance the quality or reduce the costs of inpatient care is emphasized, and a potential benefit of IRs in other settings cannot be ruled out.
BMJ Quality & SafetyTranslating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation
43 Citations2004Eric J. Thomas
Health Services Management ResearchThe influence of teamwork culture on physician and nurse resignation rates in hospitals
41 Citations2008David C. Mohr, James Burgess +1 more
It is suggested that developing and emphasizing a teamwork culture may facilitate greater retention of health-care employees, especially nurses.
Munich Personal RePEc Archive (Ludwig Maximilian University of Munich)Can We Talk? Priorities for Patient Care Differed Among Health Care Providers
29 Citations2005Bradley Evanoff, Patricia Potter +4 more
Assessment of communication and consensus regarding patient care goals between members of the health care team caring for the same patient on a given day found poor communication and collaboration can result in medical errors and poor quality of care.
Jumpseating in the Operating Room
19 Citations1998Bryan Sexton, Stephan Märsch +5 more
The aim of this study was to assess the quality of communication between surgical and anesthesia teams in a teaching hospital.