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Cited by 10Team Dynamics and PerformanceInterprofessional Education and CollaborationPatient Safety and Medication Errors

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Optimizing Huddle Engagement Through Leadership and Problem Solving Within Primary Care: Results from a Cluster-Randomized Trial

Open access
Lampman, Michelle A., Chandrasekaran, Aravind, Branda, Megan E., Tumerman, Marc D., Ward, Peter, Staats, Bradley, Johnson, Timothy, Giblon, Rachel, Shah, Nilay D., Rushlow, David R.·2021·Journal of General Internal Medicine
DOI 10.1007/s11606-020-06487-6PMC PMC8342734
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Abstract

Background Leaders play a crucial role in implementing and sustaining changes in clinical practice, yet there is limited evidence on the strategies to engage them in team problem solving and communication. Objective Examine the impact of an intervention focused on facilitating leadership during daily huddles on optimizing team-based care and improving outcomes. Design Cluster-randomized trial using intention-to-treat analysis to measure the effects of the intervention (n = 13 teams) compared with routine practice (n = 16 teams). Participants Twenty-nine primary care clinics affiliated with a large integrated health system in the upper Midwest; representing differing practice types and geographic settings. Intervention Full-day leadership training retreat for team leaders to facilitate of care team huddles. Biweekly coaching calls and two site visits with an assigned coach. Main measures Primary outcomes of team development and function were collected, pre- and post-intervention using surveys. Patient satisfaction and quality outcomes were compared pre- and post-intervention as secondary outcomes. Leadership engagement and adherence to the intervention were also assessed. Key results A total of 279 pre-intervention and 272 post-intervention surveys were completed. We found no impact on team development (- 0.98, 95% CI (- 3.18, 1.22)), improved team credibility (0.18, 95% CI (0.00, 0.35)), but worse psychological safety (- 0.19, 95% CI (- 0.38, 0.00)). No differences were observed in patient satisfaction; however, results were mixed among quality outcomes. Post hoc analysis within the intervention group showed higher adherence to the intervention was associated with improvement in team coordination (0.47, 95% CI (0.18, 0.76)), credibility (0.28, 95% CI (0.02, 0.53)), team learning (0.42, 95% CI (0.10, 0.74)), and knowledge creation (0.74, 95% CI (0.35, 1.13)) compared to teams that were less engaged. Conclusions Results of this evaluation showed that leadership training and facilitation were not associated with better team functioning. Additional components to the intervention tested may be necessary to enhance team functioning. Trial registration Clinicaltrials.gov Identifier NCT03062670. Registration Date: February 23, 2017. URL: https://clinicaltrials.gov/ct2/show/NCT03062670.

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Crossref · 10.1007/s11606-020-06487-6

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Research works printed but not linked: 28

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Metadata

Authors
Lampman, M. A., Chandrasekaran, A., Branda, M. E., Tumerman, M. D., Ward, P., Staats, B., Johnson, T., Giblon, R., Shah, N. D., & Rushlow, D. R.
Affiliations
  • Mayo Clinic (US)
  • The Ohio State University (US)
  • Mayo Clinic Health System (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Lampman, Michelle A.
ORCID
Venue
Journal of General Internal Medicine
Publisher
Springer Science and Business Media LLC
Published
2021-01-26
Volume
36
Issue
8
Pages
2292-2299
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
DOI
10.1007/s11606-020-06487-6
PMC
PMC8342734
OpenAlex
W3122150296
Cited by
10
References
3
Citations by year
2025: 1 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1
FWCI
2.20
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of General Internal Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Centers for Medicare and Medicaid Services (CMS-1L1-15-003)
Topics
  • Social Sciences › Psychology › Social Psychology › Team Dynamics and Performance
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
Keywords
huddles, team leadership, leadership training, team problem solving, team-based care, primary health care teams, psychological safety, team coordination, coaching, patient satisfaction, quality outcomes, team functioning, intervention adherence, knowledge production, team learning, integrated health system, patient experience, patient-centered care
MeSH terms
Humans, Leadership, Patient Care Team, Primary Health Care, Problem Solving, Surveys and Questionnaires

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