J Am Med Inform Assoc - An integrative framework for sensor-based measurement of teamwork in healthcare.

Tópicos

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Resumo

There is a strong link between teamwork and patient safety. Emerging evidence supports the efficacy of teamwork improvement interventions. However, the availability of reliable, valid, and practical measurement tools and strategies is commonly cited as a barrier to long-term sustainment and spread of these teamwork interventions. This article describes the potential value of sensor-based technology as a methodology to measure and evaluate teamwork in healthcare. The article summarizes the teamwork literature within healthcare, including team improvement interventions and measurement. Current applications of sensor-based measurement of teamwork are reviewed to assess the feasibility of employing this approach in healthcare. The article concludes with a discussion highlighting current application needs and gaps and relevant analytical techniques to overcome the challenges to implementation. Compelling studies exist documenting the feasibility of capturing a broad array of team input, process, and output variables with sensor-based methods. Implications of this research are summarized in a framework for development of multi-method team performance measurement systems. Sensor-based measurement within healthcare can unobtrusively capture information related to social networks, conversational patterns, physical activity, and an array of other meaningful information without having to directly observe or periodically survey clinicians. However, trust and privacy concerns present challenges that need to be overcome through engagement of end users in healthcare. Initial evidence exists to support the feasibility of sensor-based measurement to drive feedback and learning across individual, team, unit, and organizational levels. Future research is needed to refine methods, technologies, theory, and analytical strategies.

Resumo Limpo

strong link teamwork patient safeti emerg evid support efficaci teamwork improv intervent howev avail reliabl valid practic measur tool strategi common cite barrier longterm sustain spread teamwork intervent articl describ potenti valu sensorbas technolog methodolog measur evalu teamwork healthcar articl summar teamwork literatur within healthcar includ team improv intervent measur current applic sensorbas measur teamwork review assess feasibl employ approach healthcar articl conclud discuss highlight current applic need gap relev analyt techniqu overcom challeng implement compel studi exist document feasibl captur broad array team input process output variabl sensorbas method implic research summar framework develop multimethod team perform measur system sensorbas measur within healthcar can unobtrus captur inform relat social network convers pattern physic activ array meaning inform without direct observ period survey clinician howev trust privaci concern present challeng need overcom engag end user healthcar initi evid exist support feasibl sensorbas measur drive feedback learn across individu team unit organiz level futur research need refin method technolog theori analyt strategi

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