Examining the Successful Outcomes of Multidisciplinary Teamwork in a Code Situation using the Shared Mental Model Framework

摘要

In complex health care situations, teamwork becomes immensely integral to favorable patient outcomes.This study examines an unusual prolonged resuscitation case to understand elements that contributed to thesuccessful outcome of this patient. Through use of the Shared Mental Model Framework (SMMF), wehighlighted the importance of multidisciplinary teamwork during resuscitation efforts by analyzing teammembers’ perceptions through surveys. An 11-item open-ended questionnaire was administered toclinicians (N=9) involved in the resuscitation effort. A case analysis technique was used to identify fourkey themes that contributed to the success of this resuscitation effort: (1) clear goals are essential to theteam’s functioning; (2) strong and effective communication solidified longitudinally among team members;(3) provider’s expertise was paramount to the case’s success; and (4) resources readily available helpedmanage the team’s cohesiveness. Identifying key teamwork elements in successful resuscitation effortsfurther informs the valuable need for team cohesiveness in health care.