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A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.
Schraagen JM, Schouten T, Smit M, et al. BMJ Qual Saf. 2011;20:599-603.

This study used structured observations to identify effective teamwork behaviors and illustrated that high performing teams are more resilient when operations become more challenging. However, patient outcomes may be worse with higher teamwork levels because those cases are more complex.
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