Do team processes really have an effect on clinical performance? A systematic literature review
Open accessAbstract
There is a growing literature on the relationship between team processes and clinical performance. The purpose of this review is to summarize these articles and examine the impact of team process behaviours on clinical performance. We conducted a literature search in five major databases. Inclusion criteria were: English peer-reviewed papers published between January 2001 and May 2012, which showed or tried to show (i) a statistical relationship of a team process variable and clinical performance or (ii) an improvement of a performance variable through a team process intervention. Study quality was assessed using predefined quality indicators. For every study, we calculated the relevant effect sizes. We included 28 studies in the review, seven of which were intervention studies. Every study reported at least one significant relationship between team processes or an intervention and performance. Also, some non-significant effects were reported. Most of the reported effect sizes were large or medium. The study quality ranged from medium to high. The studies are highly diverse regarding the specific team process behaviours investigated and also regarding the methods used. However, they suggest that team process behaviours do influence clinical performance and that training results in increased performance. Future research should rely on existing theoretical frameworks, valid, and reliable methods to assess processes such as teamwork or coordination and focus on the development of adequate tools to assess process performance, linking them with outcomes in the clinical setting.
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Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs.
“Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs [2, 4–9].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [9]
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“In addition, interprofessional activities and training of teams were mentioned as important [3] as competence in a complex clinical setting is a collective phenomenon [4, 5].”
Background
- Authors
- Schmutz, J., & Manser, T.
- Affiliations
- University of Fribourg (CH)
- Corresponding author
- Schmutz, J.
- Venue
- British Journal of Anaesthesia
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 110
- Issue
- 4
- Pages
- 529-544
- ISSN
- 0007-0912 (ISSN-L)
- OpenAlex
- W2138709149
- Cited by
- 366
- References
- 81
- Citations by year
- 2026: 15 · 2025: 13 · 2024: 20 · 2023: 21 · 2022: 41 · 2021: 23 · 2020: 36 · 2019: 48 · 2018: 28 · 2017: 21 · 2016: 40 · 2015: 25 · 2014: 25 · 2013: 9
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- British Journal of Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- reroDoc Digital Library (acceptedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- ETH Zürich Research Collection
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Swiss National Science Foundation (PP00P1_128616)
- Topics
- Social Sciences › Psychology › Social Psychology › Team Dynamics and Performance
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- team processes, clinical performance, teamwork, anesthesia, coordination, effect size
- MeSH terms
- Behavior, Clinical Competence, Communication, Data Collection, Data Interpretation, Statistical, Leadership, Patient Care Team, Research Design, Treatment Outcome
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