Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes

Fein, Erich C. and Mackie, Benjamin and Chernyak-Hai, Lily and O'Quinn, C. Richard V. and Ahmed, Ezaz (2016) Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Australian Critical Care, 29 (2). pp. 104-109. ISSN 1036-7314


Effective team decision making has the potential to improve the quality of health care outcomes. MedicalEmergency Teams (METs), a specific type of team led by either critical care nurses or physicians, mustrespond to and improve the outcomes of deteriorating patients. METs routinely make decisions underconditions of uncertainty and suboptimal care outcomes still occur. In response, the development and useof Shared Mental Models (SMMs), which have been shown to promote higher team performance understress, may enhance patient outcomes. This discussion paper specifically focuses on the developmentand use of SMMs in the context of METs. Within this process, the psychological mechanisms promotingenhanced team performance are examined and the utility of this model is discussed through the narrativeof six habits applied to MET interactions.A two stage, reciprocal model of both nonanalytic decision making within the acute care environmentand analytic decision making during reflective action learning was developed. These habits are exploredwithin the context of a MET, illustrating how applying SMMs and action learning processes may enhanceteam-based problem solving under stress. Based on this model, we make recommendations to enhanceMET decision making under stress. It is suggested that the corresponding habits embedded within thismodel could be imparted to MET members and tested by health care researchers to assess the effi-cacy of this integrated decision making approach in respect to enhanced team performance and patientoutcomes.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2015 Published by Elsevier Ltd. on behalf of Australian College of Critical Care Nurses Ltd.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery
Date Deposited: 21 Jun 2016 04:46
Last Modified: 11 Jul 2016 03:50
Uncontrolled Keywords: action learning; clinical judgement; decision making; critical care; knowledge structures; medical emergency teams; patient safety; reflection; cognitive schema; shared mental models
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
17 Psychology and Cognitive Sciences > 1701 Psychology > 170107 Industrial and Organisational Psychology
Identification Number or DOI: 10.1016/j.aucc.2015.07.006

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