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Selected Works of Joseph R. Keebler
Contribution to Book
Understanding Multiteam Systems in Emergency Care: One Case at a Time
Pushing the Boundaries: Multiteam Systems in Research and Practice (2014)
  • Joseph R. Keebler, Embry-Riddle Aeronautical University - Daytona Beach
  • Elizabeth H. Lazzara, Wichita State University
  • Paul Misasi
Link
Abstract
Purpose - Although adverse events are less studied in the prehospital setting, the evidence is beginning to paint an alarming picture. Consequently, improvements in Emergency Medical Services (EMS) demand a paradigm shift regarding the way care is conceptualized. The chapter aims to (1) support the dialogue on near-misses and adverse events as a learning opportunity and (2) to provide insights on applications of multiteam systems (MTSs). Approach - To offer discussion on near-misses and adverse events and knowledge on how MTSs are applicable to emergency medical care, we review and dissect a complex patient case. Findings - Throughout this case discussion, we uncover seven pertinent issues specific to this particular MTS: (1) misunderstanding with number of patients and their locations, (2a) lack of context to build a mental model, (2b) no time or resources to think, (3) expertise-facilitated diagnosis, (4) lack of communication contributing to a medication error, (5) treatment plan selection, (6) extended time on scene, and (7) organizational culture impacting treatment plan decisions. Originality/value - By dissecting a patient case within the prehospital setting, we can highlight the value in engaging in dialogue regarding near-misses and adverse events. Further, we can demonstrate the need to expand the focus from simply teams to MTSs.
Keywords
  • Multiteam systems,
  • Prehospital medicine,
  • Emergency medical services,
  • Case study,
  • Teamwork,
  • Teams
Disciplines
Publication Date
2014
Editor
Marissa L. Shuffler, Ramon Rico, and Eduardo Salas
Publisher
Emerald Group Publishing Limited
Series
Research on Managing Groups and Teams
ISBN
978-1-78350-314-8
DOI
https://doi.org/10.1108/S1534-085620140000016007
Citation Information
Joseph R. Keebler, Elizabeth H. Lazzara and Paul Misasi. "Understanding Multiteam Systems in Emergency Care: One Case at a Time" Bingley, West YorkshirePushing the Boundaries: Multiteam Systems in Research and Practice Vol. 16 (2014) p. 157 - 184
Available at: http://works.bepress.com/joseph_r_keebler/33/