Communication and leadership in emergency situations: Systematic literature review and recommendations for practice

Martins, José Carlos Amado; Sousa, Ana Catarina; Abrantes, Ana Rita Diogo; Pinto, Catarina Sofia da Silva; Gomes, Cristiana Isabel de Almeida; Martins, Daniel José Oliveira; Coutinho, Verónica Rita Dias; Baptista, Rui Carlos Negrão; Oliveira, Lourival José de; Fernandes, Maria Isabel Domingues

doi:10.5430/cns.v6n2p55

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…To improve patient outcomes in the pre-hospital setting, ECPs must demonstrate competence regarding both effective leadership and clinical leadership skills (Martins et al 2018 ). To this end, ECPs who participated in this study recognised ‘poor leadership and management practices’ as factors that could contribute to errors during pre-hospital emergency care.…”

Section: Discussionmentioning

confidence: 99%

Human errors and factors that influence patient safety in the pre-hospital emergency care setting: Perspectives of South African emergency care practitioners

Rowland

Adefuye

2022

Health SA Gesondheid

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Background: Delivering pre-hospital emergency care has the potential to be hazardous. Despite this, little is known about the factors that precipitate human errors and influence patient safety in the pre-hospital care setting, in contrast to in-hospital care. Similarly, limited report on patient safety and human error issues in the pre-hospital emergency care setting exist in South Africa.Aim: This study investigated the perspectives of emergency care personnel (ECP) in South Africa on the types of human errors and factors that precipitate human errors that influence patient safety in the pre-hospital emergency care setting in South Africa.Setting: This study was conducted in the pre-hospital emergency care environment in South Africa.Methods: This research was designed as an exploratory study that made use of a semi-structured questionnaire administered to 2,000 emergency care personnel.Results: A response rate of 76% was obtained. According to the participants, errors relating to poor judgement, poor skill or knowledge, fatigue, and communication, and individual error are common during pre-hospital care. Inadequate equipment, environmental factors, and personal safety concerns were reported as some of the factors that influence patient safety in the pre-hospital emergency care setting.Conclusion: Implementation of strategies that enhances education and training, clinical skill development, teamwork skills, fatigue management, and leadership skills can help prevent some of the errors identified in this study.Contribution: This study identifies the types of human errors, and factors that precipitate human errors that influence patient safety in the pre-hospital emergency care setting in South Africa.

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Section: Discussionmentioning

confidence: 99%

Human errors and factors that influence patient safety in the pre-hospital emergency care setting: Perspectives of South African emergency care practitioners

Rowland

Adefuye

2022

Health SA Gesondheid

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“…The use of simulations in medical education has recently been added as a standard to the European Resuscitation Guidelines from 2021 ( 8 ). Similarly, the WHO ( 9 ) also said that health professionals’ education and training institutions should use simulations.…”

Section: Education With Simulations In Primary Carementioning

confidence: 99%

Interprofessional Education with Simulations in Primary Care

KLEMENC-KETIŠ,

ZAFOŠNIK

2024

Slovenian Journal of Public Health

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The introduction of interprofessional primary care (IPC) as a model of collaborative patient care is increasingly vital in the context of complex healthcare systems and the growing needs of patients. Its benefits include improved patient outcomes, enhanced efficiency, and reduced costs. However, the successful implementation of IPC faces challenges due to the differences in training and backgrounds among healthcare professionals, emphasising the importance of effective teamwork and collaborative education. Educational approaches utilising simulations have gained prominence, particularly in addressing the challenges of interprofessional primary care. Notably, simulations facilitate team learning, enhancing team management and confidence, which ultimately leads to improved performance in real-life scenarios. They also contribute to patient safety by providing comprehensive training and creating a safe environment for professionals to practice and refine their skills without risking real patient harm. Moreover, simulations promote psychological safety, allowing healthcare workers to manage stress effectively and prepare for critical situations. Ethical considerations are met through simulation-based education, ensuring patient confidentiality, and creating a standardised and just learning environment for all students. Simulations contribute to promoting equity in medical education by providing equal access to high-quality training opportunities for all healthcare professionals. In conclusion, successful IPC implementation requires a comprehensive approach that includes interprofessional education and the integration of simulations as an essential component of the curriculum at all levels of healthcare education. This approach fosters effective communication, teamwork, and confidence among primary care teams, ultimately leading to improved patient care and outcomes.

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“…While the teamwork literature indicates a clearly designated leader is necessary during critical events [ 6 , 8 , 9 ], there is a paucity of research on methods to clearly identify a leader during an emergency. In most cases, guidance regarding the leadership designation suggests that the leader will verbally declare leadership during a critical event [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

The red hat — designating leadership using visual and verbal cues: a mixed-methods study

Krase,

Broski,

Tarver

et al. 2024

Adv Simul

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Background During a critical event in the labor and delivery operating room, it is crucial for team members responding to the situation to be aware of the designated leaders. Visual and verbal cues have been utilized to designate leadership in various healthcare settings; however, previous research has indicated mixed results using visual cues for role designation. Methods The purpose of this study was to explore the use of the red surgical hat as a visual cue of leadership during obstetric emergency simulation training. We used a mixed-methods design to analyze simulation-based education video and debriefing transcripts. Results There was a statistically significant difference in the proportion of participants who declared leadership vs. those who donned the red hat. Participants were more likely to visually declare leadership utilizing a red surgical bouffant hat than to verbally declare leadership. Most participants indicated that observing the red hat to detect leadership in the operating room was more effective than when leaders used a verbal declaration to inform others who was leading. Conclusions Our findings suggest that utilizing a visual cue of leadership with the red surgical bouffant hat improves participant perceptions of communication of the surgical team during an obstetrical critical event in a simulation environment.

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Communication and leadership in emergency situations: Systematic literature review and recommendations for practice

Cited by 7 publications

References 32 publications

Human errors and factors that influence patient safety in the pre-hospital emergency care setting: Perspectives of South African emergency care practitioners

Human errors and factors that influence patient safety in the pre-hospital emergency care setting: Perspectives of South African emergency care practitioners

Interprofessional Education with Simulations in Primary Care

The red hat — designating leadership using visual and verbal cues: a mixed-methods study

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