From stable teamwork to dynamic teaming in the ambulatory care diagnostic process.

IF 2.2 Q2 MEDICINE, GENERAL & INTERNAL
Diagnosis Pub Date : 2024-10-21 DOI:10.1515/dx-2024-0108
Scott I Tannenbaum, Eric J Thomas, Sigall K Bell, Eduardo Salas
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引用次数: 0

Abstract

Dynamic teaming is required whenever people must coordinate with one another in a fluid context, particularly when the fundamental structures of a team, such as membership, priorities, tasks, modes of communication, and location are in near-constant flux. This is certainly the case in the contemporary ambulatory care diagnostic process, where circumstances and conditions require a shifting cast of individuals to coordinate dynamically to ensure patient safety. This article offers an updated perspective on dynamic teaming commonly required during the ambulatory diagnostic process. Drawing upon team science, it clarifies the characteristics of dynamic diagnostic teams, identifies common risk points in the teaming process and the practical implications of these risks, considers the role of providers and patients in averting adverse outcomes, and provides a case example of the challenges of dynamic teaming during the diagnostic process. Based on this, future research needs are offered as well as clinical practice recommendations related to team characteristics and breakdowns, team member knowledge/cognitions, teaming dynamics, and the patient as a team member.

在非住院医疗诊断过程中,从稳定的团队合作到动态的团队合作。
每当人们必须在不断变化的环境中相互协调时,尤其是当团队的基本结构,如成员、优先级、任务、沟通模式和地点几乎处于不断变化之中时,就需要动态团队合作。在现代非住院医疗诊断过程中,情况和条件要求不断变化的人员进行动态协调,以确保患者安全。这篇文章从一个最新的角度阐述了门诊诊断过程中通常需要的动态团队合作。文章以团队科学为基础,阐明了动态诊断团队的特点,确定了团队合作过程中的常见风险点以及这些风险的实际影响,考虑了医疗服务提供者和患者在避免不良后果方面的作用,并提供了一个案例,说明了动态团队合作在诊断过程中面临的挑战。在此基础上,提出了未来的研究需求以及临床实践建议,这些建议涉及团队特征和崩溃、团队成员的知识/认知、团队动态以及作为团队成员的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Diagnosis
Diagnosis MEDICINE, GENERAL & INTERNAL-
CiteScore
7.20
自引率
5.70%
发文量
41
期刊介绍: Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.  Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error
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