P-28

It is widely known that teamwork is important for patient safety and that, in complex and stressful situations, teamwork sometimes deteriorates with consequences for patient safety (e.g. Krage et al., 2017).

Over the past years, healthcare has started implementing efforts to improve patient safety and teamwork in particular, based on lessons learned from aviation (Burke et al, 2004). One of these lessons is the use of Crew Resource Management (CRM) in which non-technical skills are trained in an integrated approach.

Besides aviation, healthcare can learn from numerous other disciplines in which effective teamwork is of high importance, like sports, military, police and NASA (Driskell, Salas & Driskell, 2017l). How does stress influences the performance of these teams? How do teams and individuals in these teams react to stress? What interventions do they have to maintain a good performance in stressful situations?

Answers to these questions might help to develop educational and training programmes focusing on teamwork in stressful situations, with the objective of reducing medical errors and improving patient safety.

This scoping review provides an overview of a) characteristics of critical moments in which stress deteriorates the performance of a team, b) strategies to cope with stress and possible interventions, and c) it explores perspectives for implementation of these strategies and interventions in healthcare.

References

Burke, C.S., Salas, E., Wilson-Donelly, K., & Priest, H. (2004). How to turn a team of experts into an expert medical team: Guidance from the aviation and military communities. Qual Saf Health Care 13(Suppl 1): i96-i104.

Driskell, T., Salas, E., & Driskell, J.E. (2017). Teams in extreme environments: Alterations in team development and teamwork. Human Resource Management Review, 2017.

Krage, R., Zwaan, L., Tjon Soei Len, L., Kolenbrander, M.W., Van Groeningen, D., Loer, S.A., Wagner, C., & Schober, P. (2017). Relationship between non-technical skills and technical performance during resuscitation: Does stress have an influence? Emerg Med J Nov;34(11):728-733.