Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
America's health care system has become far too complex and costly to continue business as usual. Pervasive inefficiencies, an inability to manage a rapidly deepening clinical knowledge base, and a reward system poorly focused on key patient needs, all hinder improvements in the safety and quality of care and threaten the nation's economic stability and global competitiveness.
Interprofessional Education: Collaboration or Competition? A Tale of Two Experiences
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Interprofessional Education in Gross Anatomy: Experience With First-Year Medical and Physical Therapy Students at Mayo Clinic
Interprofessional education (IPE) in clinical practice is believed to improve outcomes in health care delivery. Integrating teaching and learning objectives through cross discipline student interaction in basic sciences has the potential to initiate interprofessional collaboration at the early stages of health care education.
A method to enhance student teams in palliative care: Piloting the McMaster-Ottawa Team Observed Structured Clinical Encounter
BACKGROUND: The need for palliative and end-of-life care (PEOLC) education in prelicensure education has been identified. PEOLC requires effective collaborative teamwork. The competencies required for effective collaborative teamwork are only now emerging and methods to evaluate them must be developed.
Differences in nurse and surgeon perceptions of teamwork: Implications for use of a briefing checklist in the OR
The quality of teamwork among health care professionals is known to affect patient outcomes. In the OR, surgeons report more favorable perceptions of communication during procedures and of teamwork effectiveness than do nurses. We undertook a quality improvement project in the Veterans Health Administration to confirm reported teamwork differences between perioperative nurses and surgeons and to examine the implications of these differences for improving practice patterns in the OR.
Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate
BACKGROUND: Changing teamwork climate in healthcare through a collective shift in attitudes and values may be a necessary precursor to establishing a positive teamwork culture, where innovations can be more readily embedded and sustained. A complex educational intervention was initiated across an entire UK Trust's surgical provision, and then sustained. Attitudes towards teamwork were measured longitudinally to examine if the intervention produced sustainable results.
Advancing Educational Continuity in Primary Care Residencies: An Opportunity for Patient-Centered Medical Homes
Continuity of care is a core value of patients and primary care physicians, yet in graduate medical education (GME), creating effective clinical teaching environments that emphasize continuity poses challenges. In this Perspective, the authors review three dimensions of continuity for patient care-informational, longitudinal, and interpersonal-and propose analogous dimensions describing continuity for learning that address both residents learning from patient care and supervisors and interprofessional team members supporting residents' competency development.
Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education
To integrate health care professional learners into patient-centered primary care delivery models, the Department of Veterans Affairs has funded five Centers of Excellence in Primary Care Education (CoEPCEs). The main goal of the CoEPCEs is to develop and test innovative structural and curricular models that foster transformation of health care training from profession-specific "silos" to interprofessional, team-based educational and care delivery models in patient-centered primary care settings.
Interprofessional professionalism: Linking professionalism and interprofessional care
Professionalism has typically been defined as a set of non-cognitive characteristics (such as empathy) or as a set of humanistic values and behaviors through which clinicians express a commitment to excellence and compassion (Stern, 2006).
Progress and Promise: Profiles in Interprofessional Health Training to Deliver Patient-Centered Primary Care
The publication highlights how seven programs from California, Illinois, New Mexico, North Carolina, Oklahoma, South Carolina, Texas and Virginia train a variety of health care professionals to work together as teams in patient-centered medical homes.
