Examining the Successful Outcomes of Multidisciplinary Teamwork in a Code Situation using the Shared Mental Model Framework

Abstract

In complex health care situations, teamwork becomes immensely integral to favorable patient outcomes. This study examines an unusual prolonged resuscitation case to understand elements that contributed to the successful outcome of this patient. Through use of the Shared Mental Model Framework (SMMF), we highlighted the importance of multidisciplinary teamwork during resuscitation efforts by analyzing team members’ perceptions through surveys. An 11-item open-ended questionnaire was administered to clinicians (N=9) involved in the resuscitation effort. A case analysis technique was used to identify four key themes that contributed to the success of this resuscitation effort: (1) clear goals are essential to the team’s functioning; (2) strong and effective communication solidified longitudinally among team members; (3) provider’s expertise was paramount to the case’s success; and (4) resources readily available helped manage the team’s cohesiveness. Identifying key teamwork elements in successful resuscitation efforts further informs the valuable need for team cohesiveness in health care.