creating high reliability teams in healthcare through in situ simulation training创建高可靠性在医疗团队通过原位模拟训练.pdf

Adm. Sci. 2011, 1, 14-31; doi:10.3390/admsci1010014 OPEN ACCESS administrative sciences ISSN 2076-3387 /journal/admsci Article Creating High Reliability Teams in Healthcare through In situ Simulation Training William Riley 1,*, Elizabeth Lownik 1, Carmen Parrotta 1, Kristi Miller RN 2 and Stan Davis 2 1 University of Minnesota School of Public Health, 420 Delaware Street SE; MMC 129, Minneapolis, MN 55455, USA 2 Fairview Health Services, 201 East Nicollet Boulevard, Burnsville, MN 55337-5714, USA * Author to whom correspondence should be addressed; E-Mail: riley001@. Received: 4 May 2011; in revised form: 20 June 2011 / Accepted: 4 July 2011 / Published: 19 July 2011 Abstract: The importance of teamwork on patient safety in healthcare has been well established. However, the theory and research of healthcare teams are seriously lacking in clinical application. While conventional team theory assumes that teams are stable and leadership is constant, a growing body of evidence indicates that most healthcare teams are unstable and lack constant leadership. For healthcare organizations to reduce error and ensure patient safety, the true nature of healthcare teams must be better understood. This study presents a taxonomy of healthcare teams and the determinants of high reliability in healthcare teams based on a series of studies undertaken over a five-year period (2005–2010).