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Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Int J Surg. 2022;98:106210.
Non-technical skills such as communication, teamwork, decision-making, and situational awareness are responsible for a significant proportion of surgical errors. The COVID-19 pandemic increased the stress in the operating room, associated with increased risk of exposure and shortage of resources. This study compared pre- and post-COVID direct observations during live operations and found that non-technical skills were equivalent; there was a small, but statistically significant, improvement in teamwork and cooperation skills.
Sands K, Blanchard J, Grubbs K, et al. Jt Comm J Qual Patient Saf. 2021;47:327-332.
This article describes the development of the Universal Protection Framework, which builds upon traditional infection prevention practices and consists of four domains (infection prevention, access control, distancing, and patient flow) supported by communication and education. The framework was implemented in one large health system with high levels of compliance, particularly for handling of personal protective equipment (PPE), cohorting of COVID-19 patients, facility access controls and employee exposure monitoring.
Thompson R, Kusy M. Nurs Adm Q. 2021;45:135-141.
Effective leadership is essential to team performance and organizational safety. This article discusses the role of team leaders on team performance during the COVID-19 pandemic. The authors review common mistakes made during the pandemic (such as broken trust or ignoring disruptive behaviors) and lessons learned to help build strong, cohesive teams.

In this PSNet Annual Perspective, we review key findings related to improvement strategies when communicating with patients and different structured communication techniques to improve communication across providers. Lessons learned from innovative approaches explored under COVID-19 that could be considered as usual care resumes are also discussed.

Elbeddini A, Almasalkhi S, Prabaharan T, et al. J Pharm Policy Pract. 2021;14:10.
Medication reconciliation can improve patient safety, but prior research has documented challenges with implementation. Researchers conducted a gap analysis to inform the development of standardized medication reconciliation framework for use across multiple healthcare settings to reduce harm, including during the COVID-19 pandemic. Five key components were identified: (1) pharmacy-led medication reconciliation team, (2) patient education and involvement, (3) complete and accurate medication history, (4) admission and discharge reconciliation, and (5) interprofessional communication.

AHA Team Training.
 

The COVID-19 crisis requires cooperation and coordination of organizations and providers to address the persistent challenges presented by the pandemic. This on-demand video collection reinforces core TeamSTEPPS; methods that enhance clinician teamwork and communication skills to manage care safety during times of crisis. 

La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for Quality in Health Care; 2021.

The COVID-19 pandemic is a rapidly evolving situation that requires a system orientation to diagnosis, management and post-acute care to keep clinicians, patients, families and communities safe. This set of recommendations is anchored on a human factors approach to provide overarching direction to design systems and approaches to respond to the virus. The recommendations focus on team communication and organizational culture; the diagnostic process; patient and family engagement to reduce spread; hospital, pediatric, and maternity processes and treatments; triage decision ethics; discharge communications; home isolation; psychological safety of staff and patients, and; outcome measures. An appendix covers drug interactions and adverse effects for medications used to treat this patient population. The freely-available full text document will be updated appropriately as Italy continues to respond, learn and amend its approach during the outbreak.
Britton CR, Hayman G, Stroud N. J Perioper Pract. 2021;31:44-50.
The COVID-19 pandemic has highlighted the crucial role that team and human factors play in healthcare delivery. This article describes the impact of a human factors education and training program focused on non-technical skills and teamwork (the ONSeT project) – on operating room teams during the pandemic. Results indicate that the project improved team functioning and team leader responsiveness.
Mazzola SM, Grous C. AORN J. 2020;112:397-405.
This article describes strategies implemented by one hospital to help ensure patient and staff member safety during the COVID-19 pandemic, including use of personal protective equipment, decontamination efforts, mass temperature screenings, universal preprocedure testing, procedure prioritization, and modified workflows, as well as mental health support for front line clinicians and staff.
Boserup B, McKenney M, Elkbuli A. Am J Emerg Med. 2020;38:1732-1736.
Using data from the CDC’s National Center for Immunization and Respiratory Diseases, this study assessed changes in Emergency Department (ED) visits due to COVID-19. The average number of ED visits during a four-week period at the height of the pandemic was significantly less than in the four weeks prior to the pandemic. Patient education efforts should focus on the importance of prompt medical intervention for acute conditions (such as stroke or heart attack) and telehealth services for non-acute conditions.    
Sasangohar F, Moats J, Mehta R, et al. Hum Factors. 2020;62:1061-1068.
This article discusses the role of human factors and ergonomics in disaster management and mitigating challenges associated with the COVID-19 pandemic. Key points highlighted include the use of systems approaches, improving system-wide communication and coordination, reconceptualizing expertise development, implementing agile training methods, mitigating occupational hazards, and improving procedures for disaster management tasks.
Natale JAE, Boehmer J, Blumberg DA, et al. J Interprof Care. 2020;34:682-686.
This article describes COVID-19-related surge planning in an academic medical center encompassing a children’s hospital. The article describes interdisciplinary and interprofessional teamwork to identify innovative approaches to COVID-19 response, and highlights the importance of leadership, broad inclusion, transparent decision-making and continuous communication.
Anderson N, Thompson K, Andrews J, et al. J Med Radiat Sci. 2020;67:243-248.
This article describes the delivery of radiation therapy services during the COVID-19 pandemic at one cancer center in Australia, and the risk mitigation strategies used to enhance continuity of care while minimizing the risk of infection among patients and healthcare workers. 

The International Society for Quality in Health Care. March - May 2020.

The COVID-19 pandemic is a worldwide crisis that requires organizations, governments, and individuals to draw from the collective experience and rapidly improve practice. This series of webinars discuss a variety of foci to share experience from the field. Topics covered include human factors engineering, clinician support, and communication.

Circle Up for COVID-19 Training. Center for Medical Simulation.

Communication strategies are important for engaging staff in behaviors that support effective teamwork. This website highlights a process that involves briefings, supportive conversations, and debriefings as a communication structure for use during COVID-19 care episodes and other complex interactions.