Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes

Fein, Erich C., Mackie, Benjamin, Chernyak-Hai, Lily, O'Quinn, C. Richard V. and Ahmed, Ezaz (2015) Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Australian Critical Care, 1-6. doi:10.1016/j.aucc.2015.07.006


Author Fein, Erich C.
Mackie, Benjamin
Chernyak-Hai, Lily
O'Quinn, C. Richard V.
Ahmed, Ezaz
Title Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes
Journal name Australian Critical Care   Check publisher's open access policy
ISSN 1036-7314
1878-1721
Publication date 2015
Sub-type Article (original research)
DOI 10.1016/j.aucc.2015.07.006
Open Access Status Not Open Access
Start page 1
End page 6
Total pages 6
Place of publication Philadelphia, PA, United States
Publisher Elsevier Ireland
Collection year 2016
Language eng
Abstract Effective team decision making has the potential to improve the quality of health care outcomes. Medical Emergency Teams (METs), a specific type of team led by either critical care nurses or physicians, must respond to and improve the outcomes of deteriorating patients. METs routinely make decisions under conditions of uncertainty and suboptimal care outcomes still occur. In response, the development and use of Shared Mental Models (SMMs), which have been shown to promote higher team performance under stress, may enhance patient outcomes. This discussion paper specifically focuses on the development and use of SMMs in the context of METs. Within this process, the psychological mechanisms promoting enhanced team performance are examined and the utility of this model is discussed through the narrative of six habits applied to MET interactions. A two stage, reciprocal model of both nonanalytic decision making within the acute care environment and analytic decision making during reflective action learning was developed. These habits are explored within the context of a MET, illustrating how applying SMMs and action learning processes may enhance team-based problem solving under stress. Based on this model, we make recommendations to enhance MET decision making under stress. It is suggested that the corresponding habits embedded within this model could be imparted to MET members and tested by health care researchers to assess the efficacy of this integrated decision making approach in respect to enhanced team performance and patient outcomes.
Keyword Action learning
Clinical judgement
Cognitive Schema
Critical care
Decision making
Knowledge structures
Medical Emergency Teams
Patient safety
Reflection
Shared Mental Models
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
UQ Business School Publications
 
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