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. 2006 Aug;41(4 Pt 2):1576-98.
doi: 10.1111/j.1475-6773.2006.00566.x.

Teamwork as an essential component of high-reliability organizations

David P Baker  1 , Rachel Day, Eduardo Salas
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Teamwork as an essential component of high-reliability organizations

David P Baker et al. Health Serv Res. 2006 Aug.

Abstract

Organizations are increasingly becoming dynamic and unstable. This evolution has given rise to greater reliance on teams and increased complexity in terms of team composition, skills required, and degree of risk involved. High-reliability organizations (HROs) are those that exist in such hazardous environments where the consequences of errors are high, but the occurrence of error is extremely low. In this article, we argue that teamwork is an essential component of achieving high reliability particularly in health care organizations. We describe the fundamental characteristics of teams, review strategies in team training, demonstrate the criticality of teamwork in HROs and finally, identify specific challenges the health care community must address to improve teamwork and enhance reliability.

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References

    1. Adams K A, Goodwin G F, Searcy C A, Norris D G, Oppler S H. Technical Report Commissioned by the Association of American Medical Colleges. Washington, DC: American Institutes for Research; 2001. Development of a Performance Model of the Medical Education Process.
    1. Alonso A, Baker D, Day R, Holtzman A, King H, Toomey L, Salas E. Reducing Medical Error in the Military Health System: How Can Team Training Help. Human Resource Management Review. 2006 in press.
    1. Baker D P, Beaubien J M, Holtzman A K. DoD Medical Team Training Programs: An Independent Case Study Analysis. Washington, DC: American Institutes for Research; 2003.
    1. Baker D P, Gustafson S, Beaubien J M, Salas E, Barach P. Medical Teamwork and Patient Safety: The Evidence-Based Relation. Washington, DC: American Institutes for Research; 2003.
    1. Bandow D. Time to Create Sound Teamwork. Journal for Quality and Participation. 2001;41:41–7.

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