Paeds Vivas · professional-practice-and-evidence
Leadership and interprofessional team management — branching viva
Viva on leading and managing an interprofessional team in child health: leadership styles, building a high-performing team, shared mental models, closed-loop communication, psychological safety, crew resource management, TeamSTEPPS and SBAR, structured handover, conflict and the evidence for team training and interprofessional collaboration.
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Opening (candidate)
My first job is to take the role of team leader out loud, before anything else. I would declare "I am taking the role of team leader", stand back far enough to see the whole bed space, and allocate roles by name and task — airway, compressions, drugs, scribe. I would use closed-loop communication for every dose, build a shared mental model in a structured pause each minute, and flatten the authority gradient so the most junior voice can stop a preventable error. After the event I would debrief. Beyond this single arrest, my job as a consultant is to build a team that performs like this even when I am not standing in it — through role clarity, psychological safety, TeamSTEPPS tools, structured I-PASS handover, and simulation-based crew resource management training with reinforcement. [4] [11] [14]
References8ShowHide
- [2]Leonard M, Graham S, Bonacum D The human factor: the critical importance of effective teamwork and communication in providing safe care. Quality & safety in health care, 2004.PMID 15465961
- [3]Salas E, DiazGranados D, Klein C, Burke CS Does team training improve team performance? A meta-analysis. Human factors, 2008.PMID 19292013
- [4]Manser T Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta anaesthesiologica Scandinavica, 2009.PMID 19032571
- [5]Zwarenstein M, Goldman J, Reeves S Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. The Cochrane database of systematic reviews, 2009.PMID 19588316
- [11]Cheng A, Donoghue A, Gilfoyle E, Eppich W Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatric critical care medicine, 2012.PMID 21499181
- [13]Starmer AJ, Spector ND, Srivastava R, West DC Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
- [14]Al-Sawai A Leadership of healthcare professionals: where do we stand? Oman medical journal, 2013.PMID 23904925
- [15]Berghout MA, Fabbricotti IN, Buljac-Samardžić M, et al. Medical leaders or masters? A systematic review of medical leadership in hospital settings. PloS one, 2017.PMID 28910335