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Team dynamics after implementation of guidelines for anaesthesia for children with CHD

Peggy Vogt1,2, Julie Libby3, Justin B Long1,2

  • 1Division of Pediatric Cardiac Anesthesiology, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Cardiology in the Young
|October 4, 2024
PubMed

Insights

New guidelines for pediatric cardiac patients undergoing noncardiac surgery were implemented. While practice behaviors changed quickly, improving team dynamics and workplace culture requires sustained effort.

Area of Science:

  • Anesthesiology
  • Pediatric Cardiac Surgery
  • Healthcare Management

Background:

  • Establishing clear guidelines for anesthesiology team involvement in non-cardiac surgery for pediatric cardiac patients is crucial.
  • Assessing the impact of new guidelines on inter-team dynamics and workplace culture is essential for successful implementation.

Purpose of the Study:

  • To evaluate the effectiveness of newly implemented guidelines regarding anesthesiology team care for pediatric cardiac patients during noncardiac surgery.
  • To assess changes in inter-team dynamics and workplace culture following guideline implementation.

Main Methods:

  • A survey was conducted at a single institution to gather data on inter-team dynamics.
  • The study focused on the period after the implementation of new care guidelines.

Main Results:

  • Practice behaviors among anesthesiology teams adapted rapidly following guideline implementation.
  • A significant lag was observed in the sustained change of team dynamics and overall workplace culture.

Conclusions:

  • While practice behaviors can be modified quickly, achieving lasting improvements in team dynamics and workplace culture necessitates a longer-term perspective.
  • The findings highlight the importance of ongoing support and reinforcement to embed guideline changes into institutional culture.

Keywords:
anesthesia for non-cardiac surgerycongenital heart diseasepediatric cardiac anesthesia guidelinesteam dynamics

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