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## Meet the editors

Dr. Michael S. Firstenberg is a board-certified thoracic surgeon. He is the current Director of Research and Special Projects for the William Novick Global Cardiac Alliance. Previously, he was Chief of Cardiothoracic and Vascular Surgery at the Medical Center of Aurora and Rose Hospitals. He currently holds appointments in the Colleges of Medicine and Graduate Studies at Northeast Ohio Medical University. He attended Case Western

Reserve University Medical School, received his General Surgery training at University Hospitals in Cleveland, and completed fellowships at Ohio State University (Thoracic Surgery) and the Cleveland Clinic (Surgical Heart Failure). He is an active member of the Society of Thoracic Surgeons (STS), the American Association of Thoracic Surgeons (AATS), the American College of Cardiology (ACC), and the American College of Academic International Medicine (ACAIM), for which he is a founding fellow and president-elect. He currently serves on several professional society committees. He is the author of more than 200 peer-reviewed manuscripts, abstracts, and book chapters. He has edited several textbooks on topics ranging from medical leadership, patient safety, endocarditis, and extra-corporeal membrane oxygenation, all of which include topics that he has lectured on worldwide.

Dr. Stanislaw P. Stawicki is Professor of Surgery and Chair, Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pennsylvania. A specialist in General Surgery, Surgical Critical Care, and Neurocritical Care, Dr. Stawicki has co-authored more than 640 scholarly works, including more than twenty books. In addition to national and international medical leadership roles, he is a member of numer-

ous editorial boards. His areas of expertise include blockchain technology, patient safety, academic leadership, mentorship, trauma/critical care, and sonography.

Contents

**Section 1**

*by Maria Joelle*

Record Utilization *by You Chen*

Safety in Spinal Surgery

**Section 2**

'Nice to Have' to 'the Way to Go'

**Preface XI**

Foundations in Teamwork **1**

**Chapter 1 3**

**Chapter 2 15**

**Chapter 3 23**

**Chapter 4 43**

**Chapter 5 55**

Teamwork and Cultures of Safety **75**

**Chapter 6 77**

Introductory Chapter: Teams in Healthcare - A Voyage from

The Impact of the Multidisciplinary Team on the Management of Prosthetic Joint Infection in Trauma and Orthopaedic Surgery

Learning Health-Care Worker Networks from Electronic Health

Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients'

*by Giovanni Barbanti Brodano, Cristiana Griffoni, Alessandro Ricci, Sandra Giannone, Daniela Francesca Ghisi and Alessandro Gasbarrini*

*by Nicholas Taylor, Israel Zighelboim, Farhad Sholevar, Stanislaw P. Stawicki and Michael S. Firstenberg*

*by Nemandra A. Sandiford and Konrad Wronka*

*by Mercè Mach, António C.M. Abrantes and Ceferí Soler*

Teamwork in Healthcare Management

Spiritual Environment Management Tool

## Contents



Preface

high-quality healthcare, as defined by optimal outcomes achieved safely, in a timely and efficient manner, is best delivered by teams working together. The concept of teamwork in healthcare, as emphasized in this text, is critical at all levels – from the bedside of the patient up to all tiers of administrative support. Critical to our understanding of the role of teams is the recognition that there is an inherent advantage of groups working together in increasingly complex settings. Consequently, it must be emphasized that teams must be able to function within a structure that is guided by multi-disciplinary approaches, excellent communication, and a clear focus on high-quality and successful patient outcomes. Important aspects of teams and teamwork in healthcare include the assurance that teams are properly defined with regards to membership, roles, responsibilities, and group objectives that can be measured. Accomplishing such objectives is not always easy – especially since there must be "buy-in" toward the overall structure and function at all levels. Champions,

One of the most significant advances in patient care is the recognition that

typically physicians and their administrative support, are crucial to success.

(e.g., survival, length of stay, costs, patient/family satisfaction, etc.).

topics.

As several chapters in this text emphasize, it is important that teams, once defined, have clear objectives and goals. With individual roles, responsibilities, and accountability defined, an entire group (and interfacing groups) can work together toward achieving common goals by taking full advantage of the strengths of the group working both as individuals and jointly while mitigating potential weakness and deficiencies inherent to more individualistic approaches. Such successes should be objectively measured, shared, and celebrated, focusing on improved outcomes

Many of the concepts discussed in this volume are constantly evolving. Because of this, each chapter serves as a basic foundation to encourage the reader to explore the references and actively engage in discovering (and contributing to) the latest advances in the healthcare "team science." On behalf of the entire editorial team, we would like to thank all the authors for their hard work, dedication, and outstanding contributions to this project. We also appreciate the interest of the readers in providing a forum for discussion of these dynamic, rapidly evolving, and complex

> **Michael S. Firstenberg, MD FACC FAIM** William Novick Global Cardiac Alliance,

**Stanislaw P. Stawicki, MD MBA FACS FAIM**

St. Luke's University Health Network,

United States of America

United States of America
