Open AccessInnovation in Healthcare Team Feedback
Author(s) -
Christine Plaza,
Leslie Beard,
Anthony Di Fonzo,
Michael Di Tommaso,
Yaman Mujawaz,
Marcel Serra-Julià,
Dante Morra
Publication year - 2011
Publication title -
healthcare quarterly
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1929-6347
DOI - 10.12927/hcq.2013.22382
Subject(s) - teamwork , autonomy , health care , team learning , psychological safety , process (computing) , knowledge management , best practice , perception , team effectiveness , psychology , medical education , computer science , medicine , cooperative learning , teaching method , pedagogy , open learning , management , neuroscience , political science , law , economics , operating system , economic growth
Healthcare delivery is evolving from individual, autonomous practice to collaborative team practice. However, barriers such as professional autonomy, time constraints and the perception of error as failure preclude learning behaviours that can facilitate organizational learning and improvement. Although experimentation, engaging in questions and feedback, discussing errors and reflecting on results can facilitate learning and promote effective performance, the cultural barriers within healthcare can prevent or inhibit this type of behaviour among teams. At the University Health Network's Centre for Innovation in Complex Care, we realize the need for a tool that facilitates learning behaviour and is sensitive to the risk-averse nature of the clinical environment. The vehicle for the Team Feedback Tool is a web-based application called Rypple (www.rypple.com), which allows team members to provide anonymous, rapid-fire feedback on team processes and performance. Rypple facilitates communication, elicits feedback and provokes discussion. The process enables follow-up face-to-face team discussions and encourages teams to create actionable solutions for incremental changes to enhance team health and performance. The Team Feedback Tool was implemented and piloted in general internal medicine at the University Health Network's Toronto General Hospital from early May 2009 to July 2009 to address the issues of teamwork and learning behaviour in the clinical environment. This article explores the opportunities and barriers associated with the implementation of the Team Feedback Tool.