Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes
Article
Fein, Erich C., Mackie, Benjamin, Chernyak-Hai, Lily, O'Quinn, C. Richard V. and Ahmed, Ezaz. 2016. "Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes." Australian Critical Care. 29 (2), pp. 104-109. https://doi.org/10.1016/j.aucc.2015.07.006
| Article Title | Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes |
|---|---|
| ERA Journal ID | 14054 |
| Article Category | Article |
| Authors | Fein, Erich C. (Author), Mackie, Benjamin (Author), Chernyak-Hai, Lily (Author), O'Quinn, C. Richard V. (Author) and Ahmed, Ezaz (Author) |
| Journal Title | Australian Critical Care |
| Journal Citation | 29 (2), pp. 104-109 |
| Number of Pages | 6 |
| Year | 2016 |
| Place of Publication | United States |
| ISSN | 1036-7314 |
| 1878-1721 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.aucc.2015.07.006 |
| Web Address (URL) | http://www.sciencedirect.com/science/article/pii/S1036731415000818 |
| Abstract | Effective team decision making has the potential to improve the quality of health care outcomes. MedicalEmergency Teams (METs), a specific type of team led by either critical care nurses or physicians, mustrespond to and improve the outcomes of deteriorating patients. METs routinely make decisions underconditions of uncertainty and suboptimal care outcomes still occur. In response, the development and useof Shared Mental Models (SMMs), which have been shown to promote higher team performance understress, may enhance patient outcomes. This discussion paper specifically focuses on the developmentand use of SMMs in the context of METs. Within this process, the psychological mechanisms promotingenhanced team performance are examined and the utility of this model is discussed through the narrativeof six habits applied to MET interactions.A two stage, reciprocal model of both nonanalytic decision making within the acute care environmentand analytic decision making during reflective action learning was developed. These habits are exploredwithin the context of a MET, illustrating how applying SMMs and action learning processes may enhanceteam-based problem solving under stress. Based on this model, we make recommendations to enhanceMET decision making under stress. It is suggested that the corresponding habits embedded within thismodel could be imparted to MET members and tested by health care researchers to assess the effi-cacy of this integrated decision making approach in respect to enhanced team performance and patientoutcomes. |
| Keywords | action learning; clinical judgement; decision making; critical care; knowledge structures; medical emergency teams; patient safety; reflection; cognitive schema; shared mental models |
| ANZSRC Field of Research 2020 | 420501. Acute care |
| 520104. Industrial and organisational psychology (incl. human factors) | |
| Public Notes | © 2015 Published by Elsevier Ltd. on behalf of Australian College of Critical Care Nurses Ltd. |
| Byline Affiliations | School of Psychology and Counselling |
| School of Health, Nursing and Midwifery | |
| Netanya Academic College, Israel | |
| University of Queensland | |
| Central Queensland University | |
| Institution of Origin | University of Southern Queensland |
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