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Individual versus interprofessional team performance in formulating care transition plans: A randomised study of
Timothy W Farrell1,2,3, Katherine P Supiano4, Bob Wong4
1a Division of Geriatrics , University of Utah School of Medicine , Salt Lake City , USA.
Teamwork in healthcare improves overall performance, but not necessarily the quality of care transition plans. Effective team debriefs and instruction are key for high-quality interprofessional care plans.
Area of Science:
- Healthcare education
- Team-based care
- Interprofessional collaboration
Background:
- Healthcare delivery is shifting towards team-based care models.
- Effective management of care transitions is crucial for interprofessional teamwork.
- Evaluating trainee performance in teams is increasingly important.
Purpose of the Study:
- To compare the quality of care transition plans formulated by individuals versus teams.
- To examine the relationship between team process quality and care transition plan quality.
- To investigate the correlation between team process quality and overall team performance.
Main Methods:
- Mixed-methods study with a crossover design.
- Health professions trainees were randomized to work individually and in teams.
- External raters assessed care transition plans, team process, and team performance.
Main Results:
- Care transition plan quality did not differ significantly between individuals and teams (p=0.42).
- Team process quality did not correlate with care transition plan quality (r=-0.172, p=0.659).
- Team process quality significantly correlated with overall team performance (r=0.692, p=0.039).
- Teams with engaged recorders and internal debriefs produced higher-quality plans.
Conclusions:
- High-quality interprofessional care transition plans may necessitate specific team strategies.
- Advance instruction and structured teamwork are important for finalizing care transition plans.
- While teamwork enhances overall performance, specific interventions are needed to improve plan quality.
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