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Improving Team Performance for Public Health Preparedness

Published online by Cambridge University Press:  11 August 2016

Megan Peck*
Affiliation:
University of Minnesota School of Public Health, Minneapolis, Minnesota
Mickey Scullard
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Craig Hedberg
Affiliation:
University of Minnesota School of Public Health, Minneapolis, Minnesota
Emily Moilanen
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Deborah Radi
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
William Riley
Affiliation:
Arizona State University School for the Science of Health Care, Phoenix, Arizona.
Paige Anderson Bowen
Affiliation:
Arizona State University School for the Science of Health Care, Phoenix, Arizona.
Cheryl Petersen-Kroeber
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Louise Stenberg
Affiliation:
University of Minnesota School of Public Health, Minneapolis, Minnesota
Debra K. Olson
Affiliation:
University of Minnesota School of Public Health, Minneapolis, Minnesota
*
Correspondence and reprint requests to Megan Peck, University of Minnesota School of Public Health, 420 Delaware St SE, Minneapolis, MN 55455 (e-mail: megpeck@umn.edu).

Abstract

Objective

Between May 2010 and September 2011, the University of Minnesota School of Public Health partnered with the Minnesota Department of Health (MDH) to assess the effect of exercises on team performance during public health emergency response.

Methods

Participants were divided into 3 research teams exposed to various levels of intervention. Groups consisted of a control group that was given standard MDH training exercises, a didactic group exposed to team dynamics and communication training, and a treatment group that received the didactic training in addition to a post-exercise facilitated debriefing. To assess differences in team performance, teams engaged in 15 functional exercises.

Results

Differences in team performance across the 3 groups were identified, although there was no trend in team performance over time for any of the groups. Groups demonstrated fluctuation in team performance during the study period. Attitudinal surveys demonstrated an increase in workplace satisfaction and confidence in training among all groups throughout the study period.

Conclusions

Findings from this research support that a critical link exists between training type and team performance during public health emergency response. This research supports that intentional teamwork training for emergency response workers is essential for effective public health emergency response. (Disaster Med Public Health Preparedness. 2017;11:7–10)

Type
Brief Reports
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Hunziker, S. Human factors in resuscitation: lessons learned from simulator studies. J Emerg Trauma Shock. 2010;3(4):389-394.Google Scholar
2. Manser, T. Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-151. http://dx.doi.org/10.1111/j.1399-6576.2008.01717.x.Google Scholar
3. Baker, DP. Teamwork as an essential component of high‐reliability organizations. Health Serv Res. 2006;41(4p2):1576. 10.1111/j.1475-6773.2006.00566.x.Google Scholar
4. Mazzocco, K, Petitti, DB, Fong, KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-685. http://dx.doi.org/10.1016/j.amjsurg.2008.03.002.Google Scholar
5. Thomas, EJ, Sexton, JB, Lasky, RE, et al. Teamwork and quality during neonatal care in the delivery room. J Perinatol. 2006;26(3):163-169. http://dx.doi.org/10.1038/sj.jp.7211451.Google Scholar
6. Nielsen, PE, Goldman, MB, Mann, S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gynecol. 2007;109(1):48-55. http://dx.doi.org/10.1097/01.AOG.0000250900.53126.c2.Google Scholar
7. Shapiro, MJ, Morey, JC, Small, SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13(6):417-421. http://dx.doi.org/10.1136/qshc.2003.005447.Google Scholar
8. Wayne, DB, Didwania, A, Feinglass, J, et al. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest. 2008;133(1):56-61. http://dx.doi.org/10.1378/chest.07-0131.CrossRefGoogle ScholarPubMed
9. Hospital Survey on Patient Safety Culture. Agency for Healthcare Research and Quality website. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html. Accessed September 2010.Google Scholar