Skip to main content

Teamwork, Leadership, and Continuous Improvement

  • 946 Accesses

Abstract

In this chapter, we describe the enhanced TeamSTEPPS® curriculum as fundament to creating a “culture of continuous improvement” in nuclear medicine. This evidence-based and modular teamwork system is deployed in concordance with a novel medical leadership development program. It provides a comprehensive and practical approach to improve performance and patient safety within nuclear medicine departments, hence across numerous multidisciplinary patient journeys that are influenced by effective (nuclear) medical imaging. The stepped approach of implementing and sustaining a shift towards a just and blame-free culture of multidisciplinary teamwork is described.

Keywords

  • Emotional Intelligence
  • Clinical Governance
  • Nuclear Medicine Department
  • Team Climate
  • Leadership Competency

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-319-33531-5_19
  • Chapter length: 17 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   84.99
Price excludes VAT (USA)
  • ISBN: 978-3-319-33531-5
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   109.99
Price excludes VAT (USA)
Hardcover Book
USD   159.99
Price excludes VAT (USA)
Fig. 19.1
Fig. 19.2
Fig. 19.3

Notes

  1. 1.

    Informal exchange of experiences among master trainers during plenary discussion at the 2014 National TeamSTEPPS Conference (Minneapolis/St Pauls, Minnesota, USA) (Keijser 2014).

  2. 2.

    See footnote 1.

  3. 3.

    TeamSTEPPS is a registered trademark of the US Department of Defense, Falls Church, VA, and the Agency for Healthcare Research and Quality (an agency of the US Department of Health and Human Services), Rockville, MD.

References

  • Aukes LC, Geertsma J, Cohen-Schotanus J, Zwierstra RP, Slaets JP. The development of a scale to measure personal reflection in medical practice and education. Med Teach. 2007;29(2–3):177–82.

    CrossRef  PubMed  Google Scholar 

  • Baker DP, Gustafson S, Beaubien JM, Salas E, Barach P. Medical teamwork and patient safety: the evidence-based relation. Washington, DC: American Institutes for Research; 2003.

    Google Scholar 

  • Baker D, Day R, Salas E. Teamwork as an essential component of high-reliability organizations. Health Serv Res. 2006;41(4 Pt 2):1576–98.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  • Baker DP, Krokos KJ, Amodeo AM. TeamSTEPPS teamwork attitudes questionnaire (T-TAQ) manual. Washington, DC: American Institutes for Research; 2008.

    Google Scholar 

  • Beach TA, Karen G, Dam HQ, Manzone TA. Ensuring safe and quality medication use in nuclear medicine: a collaborative team achieves compliance with medication management standards. J Nucl Med Technol. 2012;40:1–10.

    CrossRef  PubMed  Google Scholar 

  • Blumenthal DM, Bernard K, Bohnen J, Bohmer R. Addressing the leadership gap in medicine: Residents’ need for systematic leadership development training. Acad Med. 2012;87(4):513–22.

    CrossRef  PubMed  Google Scholar 

  • Borrill CS, Carletta J, Carter AJ, et al. The effectiveness of health care teams in the National Health Service. Aston Centre for Health Service Organisational Research, University of Aston, Human Communications Research Centre, Universities of Glasgow and Edinburgh, Psychological Therapies Research Centre, University of Leeds. 2001.

    Google Scholar 

  • Bridges DR, Davidson RA, Odegard PG, Maki IV, Tomkowiak J. Interprofessional collaboration: three best practice models of interprofessional education. Med Educ Online. 2011;16:10.

    CrossRef  PubMed Central  Google Scholar 

  • Chesluk BJ, Bernabeo E, Hess B, Lynn LA, Reddy S, Holmboe ES. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff. 2012;31(11):2485–92.

    CrossRef  Google Scholar 

  • Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am Med Qual. 2007;22(3):214–7.

    CrossRef  Google Scholar 

  • Clark J. Medical leadership and engagement: no longer an optional extra. J Health Organ Manag. 2012;26(4–5):437–43.

    CrossRef  PubMed  Google Scholar 

  • Cooke RA, Lafferty JC, Rousseau DM. Thinking and behavioral styles: consistency between self-descriptions and descriptions by others. Educ Psychol Meas. 1987;47:815–23.

    CrossRef  Google Scholar 

  • Degeling P, Maxwell S, Iedema R, Hunter D. Making clinical governance work. British Medical Journal. 2004;329:679–82.

    Google Scholar 

  • Denis JL, et al. Exploring the dynamics of physician engagement and leadership for health system improvement. Canadian foundation for healthcare improvement. 2013. (See: http://www.cfhi-fcass.ca). Site view: 30 Oct 2014.

  • Dickson G, Tholl B, editors. Bringing leadership to life in health: LEADS in a caring environment. Berlin: Springer; 2014.

    Google Scholar 

  • EANM. European association of nuclear medicine. Technologist Committee and Technologist Education Subcommittee. Vienna, Austria. 2006. www.eanm.org.

  • EFQM (European Foundation for Quality Management). 2014. http://www.efqm.org/. Site view: 30 Oct 2014.

  • Godfrey M, Nelson E, Batalden P, et al. Clinical microsystems action guide. Hanover, NH: Trustees of Dartmouth College; 2004. Available at Clinical Microsystems Action Guide. Site view: 30 Oct 2014.

    Google Scholar 

  • Goleman B, McKee A. Primal leadership: realizing the power of emotional intelligence. Boston: Harvard Business Press; 2002.

    Google Scholar 

  • Greaves C, Gilmore J, Bernhardt L, Ross L. Reducing imaging waiting times: enhanced roles and service-redesign. Int J Health Care Qual Assur. 2013;26(3):195–202.

    CrossRef  PubMed  Google Scholar 

  • Harolds J. Selected important characteristics for enlightened medical leaders. J Am Coll Radiol. 2004;1:338–42.

    CrossRef  PubMed  Google Scholar 

  • Harolds JA. Tips for leaders, Part I. Basic principles of leadership. Clin Nucl Med. 2011;36:694–5.

    CrossRef  PubMed  Google Scholar 

  • IAEA. Nuclear security culture: implementing guide. Vienna: International Atomic Energy Agency; 2008. p. 2008.

    Google Scholar 

  • JCI (Joint Commission International). 2014. http://www.jointcommissioninternational.org. Site view: 30 Oct 2014.

  • Keijser WA. Teamwork, leadership & TeamSTEPPS™: A Dutch Culture of Continuous Improvement. Presentation. 2014. National TeamSTEPPS Conference, Minn/StPaul, Minn, USA – June 11–12 2014. http://www.teamsteppsportal.org. Site view: 30 Oct 2014.

  • Keijser WA, van der Schrieck-de Loos EM. 2013. TeamSHOPP: een cultuur continu gericht op verbeteren. IGO Proceedings 2013. (1003–10). [in Dutch].

    Google Scholar 

  • Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manage Rev. 2009;34(4):312–22.

    CrossRef  PubMed  Google Scholar 

  • Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs. San Francisco: Berrett Koehler Publishers; 1994.

    Google Scholar 

  • Kitajima M, Kitagawa Y, Fujii H, Mukai M, Kubo A. Credentialing of nuclear medicine physicians, surgeons, and pathologists as a multidisciplinary team for selective sentinel lymphadenectomy. Cancer Treat Res. 2005;127:253–67.

    CrossRef  PubMed  Google Scholar 

  • Klein Ikkink AJ, Keijser WA, Krooneman-Smits IAM, Mariani M, Scheeren TWL, Struys MMRF, Beens EJ. Multidisciplinary teamwork, leadership and TeamSTEPPS. Towards a Culture of Continuous Improvement. First experiences in cardio-thoracic surgical teams in UMC Groningen. Poster Presentation. International Forum on Quality and Safety in Healthcare. London, United Kingdom, April 2013.

    Google Scholar 

  • Klugman R, Gitkind MJ, Walsh KE. The physician quality officer model: 5 year follow up. Am J Med Qual. 2015;30(5):454–8.

    CrossRef  PubMed  Google Scholar 

  • Kohn LT, Corrigan JM, Donaldson MS. To err is human. Building a safer health system. Washington, DC: National Academy Press; 2000. (Report).

    Google Scholar 

  • Kotter JP, Rathgeber H. Our iceberg is melting: changing and succeeding under any conditions. New York: St Martin’s Press; 2006.

    Google Scholar 

  • Reinertsen JL, Gosfield AG, Rupp W, Whittington JW. Engaging physicians in a shared quality agenda. IHI innovation series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2007.

    Google Scholar 

  • Rohren E. Physician – technologist interactions: the importance of team. Collimator Newsletter. 2012;1(2):1.

    Google Scholar 

  • Salas E, Sims DE, Burke CS. Is there a big 5 in teamwork? Small Group Research. 2005;36(5):555–99.

    Google Scholar 

  • TeamSTEPPS 2.0 Core Curriculum. Agency for healthcare research and quality, Rockville. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/index.html. Site view: 30 Oct 2014.

  • The Royal College of Radiologists and the Society and College of Radiographers. Team working in clinical imaging. London: The Royal College of Radiologists and the Society and College of Radiographers; 2012.

    Google Scholar 

  • Tuttle M, Robbins R, Larson SM, Strauss HW. Challenging cases in thyroid cancer: a multidisciplinary approach. Eur J Nucl Mol Imaging. 2004;31(4):605–12.

    CrossRef  Google Scholar 

  • UK Government. 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/308513/shortageoccupationlistapril14.pdf. Site view: 30 Oct 2014.

  • VWS Veiligheid Management System. 2014. http://www.vmszorg.nl. Site view: 30 Oct 2014.

  • Wong CS, Foo M, Want C, Wong P. The feasibility of training and development of EI: an exploratory study in Singapore, Hong Kong and Taiwan. Intelligence. 2007;35(2):141–50.

    CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wouter A. Keijser MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Keijser, W.A. (2017). Teamwork, Leadership, and Continuous Improvement. In: Glaudemans, A., Medema, J., van Zanten, A., Dierckx, R., Ahaus, C. (eds) Quality in Nuclear Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-33531-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33531-5_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33529-2

  • Online ISBN: 978-3-319-33531-5

  • eBook Packages: MedicineMedicine (R0)