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Teamwork as a Clinical Competency in Pediatric Cardiology: A Measurement-Feedback-Simulation Framework for Improving
Colin J McMahon1,2, Joseph Rossano3
1Department of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin 12, Ireland. cmcmahon992004@yahoo.com.
Pediatric Cardiology
|May 25, 2026
Summary
Improving teamwork in pediatric cardiology enhances patient safety and clinical outcomes. A new framework (Measurement-Feedback-Simulation) helps measure and develop teamwork as a key clinical skill for better congenital heart disease care.
Area of Science:
- Healthcare Systems Research
- Organizational Science
- Pediatric Cardiology
Background:
- Pediatric and congenital heart disease care is complex, requiring coordinated multidisciplinary teams.
- Despite advances, patient outcome variability persists, linked to team performance and organizational culture.
Purpose of the Study:
- To examine the role of team-based care in pediatric cardiology.
- To identify factors influencing team performance and patient outcomes.
- To propose a framework for improving teamwork.
Main Methods:
- Review of evidence from pediatric cardiology, healthcare systems research, and organizational science.
- Focus on multidisciplinary decision-making, team dynamics, leadership, and culture.
- Proposal of a Measurement-Feedback-Simulation (MFS) framework.
Main Results:
- Effective teamwork improves patient safety, clinical outcomes, and staff well-being.
- Multidisciplinary forums, empowered nursing, and psychological safety are crucial for high performance.
- Cognitive biases and organizational context can impact clinical decision-making.
Conclusions:
- Optimizing decision-making and fostering supportive cultures are key to improving outcomes.
- Investing in team development is essential for pediatric cardiology.
- The MFS framework offers a practical approach to enhance teamwork as a clinical competency.
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