Designing for Effective and Safe Multidisciplinary Primary Care Teamwork: Using the Time of COVID-19 as a Case Study
| Autor: | Lisa Lim, Craig Zimring, Robert J. Stroebel, Jaehoon Lee, Marc R. Matthews, Jennifer R. DuBose |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
healthcare facility design
evidence-based design architecture Situation awareness Health Toxicology and Mutagenesis media_common.quotation_subject health care facilities manpower and services education staff safety Article Patient safety Phone Multidisciplinary approach Health care patient safety Humans media_common Patient Care Team Medical education Teamwork Primary Health Care business.industry SARS-CoV-2 Communication Public Health Environmental and Occupational Health COVID-19 Transparency (behavior) Evidence-based design Medicine teamwork business Psychology |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 16 International Journal of Environmental Research and Public Health, Vol 18, Iss 8758, p 8758 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18168758 |
| Popis: | Effective medical teamwork can improve the effectiveness and experience of care for staff and patients, including safety. Healthcare organizations, and especially primary care clinics, have sought to improve medical teamwork through improved layout and design, moving staff into shared multidisciplinary team rooms. While co-locating staff has been shown to increase communication, successful designs balance four teamwork needs: face-to-face communications situational awareness heads-down work perception of teamness. However, precautions for COVID-19 make it more difficult to conduct face-to-face communications. In this paper we describe a model for understanding how layout affects these four teamwork needs and describe how the perception of teamwork by staff changed after COVID-19 precautions were put in place. Observations, interviews and two standard surveys were conducted in two primary care clinics before COVID-19 and again in 2021 after a year of precautions. In general, staff felt more isolated and found it more difficult to conduct brief consults, though these perceptions varied by role. RNs, who spent more time on the phone, found it convenient to work part time-from home, while medical assistants found it more difficult to find providers in the distanced clinics. These cases suggest some important considerations for future clinic designs, including greater physical transparency that also allow for physical separation and more spaces for informal communication that are distanced from workstations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|