Consider strategies that you could use to enhance teamwork and communication among team members and why you believe these would be effective
The operating room represents the epitome of teamwork. When members become part of the perioperative team, many aspects of group dynamics come into play and members' behaviours are often influenced by the situation and the ways in which information is exchanged. Reflect on a team you have worked with.
What will be an ideal response?
Answer:
Use closed loop communication, i.e. sender gives the message and receiver repeats it back to avoid misunderstandings.
Back-up behaviour, i.e. shift workload among members to achieve balance during periods of high workflow demand.
Team leadership, ability to direct and coordinate activities of other team members, assess team performance, assign tasks, motivate and promote a positive team atmosphere.
Establish a shared mental model, i.e. anticipate and predict each other's needs based on prior knowledge.
Create an atmosphere of mutual trust through information sharing, willingness to admit to mistakes.
Consistency of team—working together with the same team builds trust, understanding of how team members work, communication, respect and confidence.
Team briefings—everyone understands the procedure (shared mental model), possible complications, special equipment required, has opportunity to ask questions.
Opportunity to engage in interdisciplinary teaching (simulations)—useful for developing good teamwork in emergency situations.
Making sure the surgeon/anaesthetist preference lists are up-to-date—ensures that all supplies and equipment are available to enable smooth running of a procedure.
Team debriefing sessions—to review a difficult procedure or one that went particularly well. This provides the opportunity to emphasise the positives and learn what could have been done better without resorting to a blame culture.
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