What is it about?
Teamwork is foundational in creating safe, effective and efficient patient care. This review clarifies the role of the physical environment as a part of a larger system impacting clinician teamwork. We provide a clear framework and concrete examples of how these systems components work together to support teamwork components (e.g., communication, collaboration) across healthcare settings.
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Why is it important?
Much of the research on the role of the physical environment and healthcare outcomes, focuses exclusively on the impact of the built components. Our review is the first to test and clarify existing systems components and theories (e.g., SEIPS) around team-related outcomes using Salas' Big Five Teamwork Components. Our Ecosystem of Clinician Teamwork (ECT) Framework outlined here provides the foundation for future studies to be more integrative in their understanding and measurement of the physical environments relationship to clinical ecosystems, and for design and planning teams to be more integrative in their thinking around creating systemic change to improve clinical outcomes.
Perspectives
To address the systemic problems, such as those identified in 1999’s “To Err is Human,” requires a systemic approach. It is our hope that this review serves to help health care leaders, facility planners, and clinicians to advocate for more thoughtful bundled approaches to improving clinician teamwork.
Erin Hsieh
Read the Original
This page is a summary of: A Systems Framework for Understanding the Environment’s Relation to Clinical Teamwork: A Systematic Literature Review of Empirical Studies, Environment and Behavior, December 2018, SAGE Publications,
DOI: 10.1177/0013916518815535.
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