Improving Healthcare Team Communication

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Communications research in aviation is widely regarded by many in the healthcare community as the 'gold standard' to emulate. Yet healthcare and aviation differ in many ways, as do the vital communications shared among members of clinical teams. Aviation team communication should, then, be understood in terms of what lessons will benefit those who work in healthcare.In "Improving Healthcare Team Communication", renowned experts provide insights from 'sharp end' operator research in high-hazard sectors that shed light on the performance of cognitive tasks including resource availability assessment, allocation, anticipation, prediction, trade-off decisions, speculation and negotiation. The book reports on recent field research to address what is known, and what needs to be learned, about team communication among operators.Students, clinicians and healthcare managers can find answers in it to the questions they face daily. How can healthcare information be better shared? What can we expect from its improvement, and how do we get there? Lessons learned from team communication research and experience in aviation and healthcare will point the way to improved patient safety.

Author(s): Christopher P. Nemeth
Year: 2008

Language: English
Pages: 280

Contents......Page 6
List of Figures......Page 8
List of Tables......Page 10
Notes on Contributors......Page 12
Foreword......Page 18
Preface......Page 20
Acknowledgements......Page 22
1 The Context for Improving Healthcare Team Communication......Page 24
2 The Social Construction of Healthcare Teams......Page 32
PART 1: SOURCES OF TEAM COMMUNICATION......Page 44
3 Improving Healthcare Communication: Lessons from the Flightdeck......Page 46
4 Crew Resource Management (CRM) in the Aviation Industry......Page 70
PART 2: ADVANCES IN TEAM COMMUNICATION......Page 86
5 Safety Event Reporting Systems: Problem Detection in Distributed Systems......Page 88
6 Voice Loops: Engineering Overhearing to Aid Coordination......Page 102
7 Building Shared Situation Awareness in Healthcare Settings......Page 120
PART 3: HEALTHCARE TEAM COMMUNICATION IN THE FIELD......Page 138
8 Factors Affecting Team Communication in the Intensive Care Unit (ICU)......Page 140
9 Between Shifts: Healthcare Communication in the PICU......Page 158
10 Collaborative Cross-checking......Page 178
11 Maintaining Common Ground: An Analysis of Cooperative Communication in the Operating Room......Page 202
PART 4: FUTURE TRENDS......Page 228
12 Communication as a Sign of Adaptation in Socio-technical Systems: The Case of Robotic Surgery......Page 230
13 Telehealth and Healthcare Team Communication......Page 244
14 A Healthcare Team Communication Research Agenda......Page 268
C......Page 274
E......Page 275
H......Page 276
P......Page 277
R......Page 278
T......Page 279
X......Page 280