Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

Jennifer M Weller; Ravi Mahajan; Kathryn Fahey-Williams; Craig S Webster

Review

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

April 10, 2024

Weller JM, Mahajan R, Fahey-Williams K, et al. Br J Anaesth. 2024;132(4):771-778.

View more articles from the same authors.

Situational awareness refers to the ability to perceive, understand, and respond to a situation. This article discusses how components of effective teamwork (e.g., communication, psychological safety) foster team situation awareness, which can improve team functioning and promote patient safety.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.

August 23, 2023

Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.

February 23, 2022

A systematic review of simulation for multidisciplinary team training in operating rooms.

February 13, 2013

Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.

August 15, 2012

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

A team disclosure of error educational activity: objective outcomes.

June 5, 2019

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis.

October 13, 2021

Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis.

January 24, 2024

Threats to safety during sedation outside of the operating room and the death of Michael Jackson.

April 20, 2016

Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies.

April 24, 2019

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

The iatrogenic-harm cost equation and new technology.

September 7, 2005

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

Effect of clinical decision-support systems: a systematic review.

July 18, 2012

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

Using inpatient hospital discharge data to monitor patient safety events.

May 8, 2013

Patient safety: helping medical students understand error in healthcare.

August 22, 2007

Description and yield of current quality and safety review in selected US academic emergency departments.

August 30, 2017

Effectiveness of acute care remote triage systems: a systematic review.

February 5, 2020

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems.

March 8, 2006

Apparent cause analysis: a safety tool.

May 20, 2020

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?

February 8, 2017

Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry.

September 16, 2015

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."

July 30, 2014

Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.

August 19, 2009

Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network.

April 3, 2013

Reported medication events in a paediatric emergency research network: sharing to improve patient safety.

November 28, 2012

Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.

August 1, 2018

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

Journal Article

Study

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

March 29, 2023

Nurse sensemaking for responding to patient and family safety concerns.

March 17, 2021

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Using Lean to improve medication administration safety: in search of the "perfect dose."

May 1, 2013

Factors associated with potentially missed diagnosis of appendicitis in the emergency department.

April 8, 2020

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?

May 11, 2022

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.

January 31, 2024

Improving the quality and safety of patient care in cardiac anesthesia.

December 10, 2014

Information transfer in multidisciplinary operating room teams: a simulation-based observational study.

May 18, 2016

Read-back improves information transfer in simulated clinical crises.

September 17, 2014

Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.

February 5, 2014

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Readiness of US general surgery residents for independent practice.

October 4, 2017

Opioid abuse and poisoning: trends in inpatient and emergency department discharges.

November 1, 2017

Improving the safety of medication administration using an interactive CD-ROM program.

January 11, 2006

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis.

August 9, 2023

Family safety reporting in hospitalized children with medical complexity.

July 20, 2022

Family safety reporting in medically complex children: parent, staff, and leader perspectives.

July 6, 2022

A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.

October 25, 2023

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.

June 21, 2023

Applying Lean methods to improve quality and safety in surgical sterile instrument processing.

March 13, 2013

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Advancing the science of patient safety.

May 25, 2011

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

Radiologic safety events within a pediatric emergency medicine network.

June 7, 2017

Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.

September 4, 2019

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.

February 19, 2014

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system.

June 20, 2007

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.

May 10, 2023

Near misses and unsafe conditions reported in a Pediatric Emergency Research Network.

September 23, 2015

Association of surgeon-patient sex concordance with postoperative outcomes,

December 22, 2021

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.

March 12, 2014

Potentially preventable 30-day hospital readmissions at a children's hospital.

August 10, 2016

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system.

October 17, 2018

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

August 13, 2008

A national profile of patient safety in U.S. hospitals.

March 6, 2005

Increasing demands for quality measurement.

November 27, 2013

A new infusion syringe label system designed to reduce task complexity during drug preparation.

June 27, 2007

The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.

November 2, 2005

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Patient safety in the operating room—part 1 and part 2.

November 21, 2012

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.

February 25, 2009

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

Anaesthetists' management of oxygen pipeline failure: room for improvement.

January 31, 2007

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials.

July 27, 2016

10,000 good catches: increasing safety event reporting in a pediatric health care system.

June 27, 2018

PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.

September 28, 2016

Toward learning from patient safety reporting systems.

January 10, 2007

Characteristics associated with postdischarge medication errors.

August 6, 2014

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.

May 15, 2019

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.

April 17, 2019

Electronic medical record availability and primary care depression treatment.

September 26, 2012

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.

July 12, 2017

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.

November 2, 2016

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

January 7, 2009

Teamwork on inpatient medical units: assessing attitudes and barriers.

May 5, 2010

Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.

June 21, 2006

Related Resources

Patient Safety Innovations

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

April 10, 2024

Operating room organization and surgical performance: a systematic review.

March 20, 2024

Creating a just culture in the perioperative setting.

March 13, 2024

Time for prefilled syringes - everywhere.

March 13, 2024

Debriefing to improve interprofessional teamwork in the operating room: a systematic review.

March 6, 2024

WebM&M Cases

Airway Obstruction during Anterior Cervical Spine Surgery

February 28, 2024

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.

February 21, 2024

TeamSTEPPS Master Training Course.

June 11, 2024 - June 13, 2024

Taking up the challenge to improve name and role recognition in the operating room.

February 7, 2024

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.

January 31, 2024

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.

January 17, 2024

Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review.

November 15, 2023

Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.

November 8, 2023

Building cultures of high reliability: lessons from the high reliability organization paradigm.

November 1, 2023

Achieving a successful patient safety program with implementation of a harm reduction strategy.

October 25, 2023

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.

October 11, 2023

Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study.

October 4, 2023

Fire safety in the operating room.

October 1, 2023

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.

September 27, 2023

Anesthesia Risk Alert program: a proactive safety initiative.

August 30, 2023

2022 John M. Eisenberg Patient Safety and Quality Awards.

August 30, 2023

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.

August 23, 2023

Guidelines on Human Factors in Critical Situations 2023.

August 9, 2023

The things we carry: the scope and impact of second victim syndrome.

August 2, 2023

Incivility in healthcare: the impact of poor communication.

August 2, 2023

Improving Patient Safety Culture – A Practical Guide.

August 2, 2023

Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study.

July 26, 2023

WebM&M Cases

Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.

June 28, 2023

Non–operating room anesthesia challenges.

June 21, 2023

See More About The Topic

Psychological and Social Complications

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site