Managing Diversity in High-Reliability Teams in the Emergency Department

2020 ◽  
Vol 2020 (1) ◽  
pp. 20366
Author(s):  
Grace Williams ◽  
Gemma Irving ◽  
April L. Wright ◽  
Stuart Anthony Middleton
Keyword(s):  
Emergency Department ◽  
High Reliability ◽  
Managing Diversity ◽  
High Reliability Teams

Transactive Responsibility Systems and High Reliability Teams: A Tentative Formulation

2002 ◽  
Vol 46 (16) ◽  
pp. 1428-1432 ◽  
Author(s):  
Yan Xiao ◽  
Jacqueline Moss ◽  
Colin F. Mackenzie ◽  
F. Jacob Seagull ◽  
Samer Faraj
Keyword(s):  
High Risk ◽  
High Reliability ◽  
Work Environments ◽  
Laboratory Studies ◽  
Team Interaction ◽  
System A ◽  
Potential Impact ◽  
Responsibility System ◽  
Conflicting Goals ◽  
High Reliability Teams

Understanding how teams perform successfully in high-risk settings can provide us with insights into the processes by which safety is created. Building upon previous field and laboratory studies, we propose a tentative formulation of a concept, transactive responsibility system, to account for the intricate, complex responsibility system emerged in team interaction. With a transactive responsibility system, a team can deal with the challenges of conflicting goals of training and performing and rapidly changing work environments found in many settings. A set of measurement proposals is made to illustrate the potential practical use of the concept. Potential impact on training is speculated.

A time to trust? The buffering effect of trust and its temporal variations in the context of high-reliability teams

2018 ◽  
Vol 39 (9) ◽  
pp. 1099-1112 ◽  
Author(s):  
Michael J. Burtscher ◽  
Bertolt Meyer ◽  
Klaus Jonas ◽  
Sebastian Feese ◽  
Gerhard Tröster
Keyword(s):  
High Reliability ◽  
Temporal Variations ◽  
Buffering Effect ◽  
High Reliability Teams

scholarly journals Reliability and factor structure of brief emergency department patient satisfaction scale

2015 ◽  
Vol 11 (2) ◽  
Author(s):  
Maryam Atari ◽  
Saeed Akbari-Zardkhaneh ◽  
Mohammad Atari
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Factor Structure ◽  
Private Hospital ◽  
High Reliability ◽  
Emergency Department Patient ◽  
General Factor ◽  
Satisfaction Scale ◽  
Private Hospitals ◽  
Original Solution

Patient satisfaction (PS) is an important factor for both patients and healthcare professionals. Psychometrically sound assessment of PS is of absolute importance for quality improvement purposes particularly in private hospitals. One of the PS instruments with high reliability and validity is the Brief Emergency Department Patient Satisfaction Scale (BEPSS). This study aimed to investigate the factor structure of BEPSS in a private hospital. A total of 270 emergency patients from a private hospital filled the questionnaires. Confirmatory factor analysis was used to investigate the factor structure of BEPSS. General-factor and five-factor models of the instrument were compared. Internal consistency of the scale was evaluated using Cronbach’s alpha coefficients. The five-factor solution of the BEPSS had higher indices of fit and was psychometrically more appropriate. The factor structure was consistent with the original solution. All subscales were internally consistent. Cronbach’s alphas ranged between 0.59 and 0.88 for the five subscales. As a result, BEPSS is a valid and reliable instrument in order to be used in private hospitals and clinics. It may serve as a regular PS evaluation tool, which assesses five domains of PS in emergency rooms or for research purposes.

scholarly journals Developing an emergency medicine handoff tool: an electronic Delphi approach

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Khaled Alrajhi ◽  
Abdulmohsen Alsaawi
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
High Reliability ◽  
Standardize Patient ◽  
Emergency Department Physician ◽  
Emergency Physicians ◽  
Patient Identification ◽  
Consulting Services ◽  
Delphi Approach ◽  
Increased Risk

Abstract Background Handoffs at the end of clinical shifts occur with high frequencies in the emergency department setting and they pose an increased risk to patients. There is a need to standardize handoff practices. This study aimed to use an electronic Delphi method to identify the core elements essential for an emergency department physician to physician handoff and propose a framework for implementation. Methods An electronic Delphi-style study with a national panel of board-certified emergency physicians in Saudi Arabia. The panel was conducted over four rounds. The first to identify elements relevant to the end of shift handoff and categorize them into domains, while the remaining three to score and debate individual elements. Results Twenty-five board-certified emergency physicians from various cities and practice settings were enrolled. All panelists completed the entire Delphi process. Thirty-two elements were identified and classified into 4 domains. The top five rated handoff elements were patient identification, chief complaint history, clinical stability, working diagnosis, and consulting services involved. Panel scores showed convergence as rounds progressed and the final list of elements had a high-reliability score (Cronbach’s alpha 0.93). Conclusions This study yielded an itemized and ranked list of elements that are easy to implement and could be used to standardize patient handoffs by emergency physicians. While this study was conducted on an emergency medicine panel, the methods used may be adapted to develop standardized handoff frameworks that serve different disciplines or practice settings.

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