Improving the quality of handover

"This project demonstrates that replacing an ad-hoc system of handover with a multi-disciplinary, team based approach to handover improves handover quality. In addition it provides a useful guide to introducing a new handover meeting to a department and contains useful lessons on how to combat cultural barriers to change within a department."

Improving the quality of handover by addressing handover culture and introducing a new, multi-disciplinary, team-based handover meeting
H Walton, W Munro
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206069.w2989

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Multi-disciplinary Team Handbook

"This handbook brings together information about multi-disciplinary / integrated teams from a wide range of sources including publications, studies and operational examples for the purpose of providing a stimulus to the system to examine the type or types of teams that need to be in place to deliver integrated healthcare."

MDT Development: Working toward an effective multidisciplinary/multiagency team
NHS England
January 2015

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The impact of a large-scale quality improvement programme on work engagement

"The findings demonstrate how QI activities, like those integral to the Productive Ward programme, appear to positively impact on the work engagement (the vigour, absorption and dedication) of ward-based teams."

The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the ‘Productive Ward’
M White, JSG Wells, T Butterworth
International Journal of Nursing Studies 51(12),  2014, pp.1634–1643

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“No decision about me without me” in the context of cancer multidisciplinary team meetings

"Methods for ensuring that patients are actively integrated into the MDT processes are required to ensure patients have an informed choice regarding engagement, and to ensure recommendations are based on the best available patient-based and clinical evidence."

“No decision about me without me” in the context of cancer multidisciplinary team meetings: a qualitative interview study

C Taylor, J Finnegan-John, JSA Green
BMC Health Services Research 2014, 14:488  doi:10.1186/s12913-014-0488-2

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Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases

"Greater multidisciplinarity is not necessarily associated with more effective decision making. Explicit goals and procedures are also crucial. Decision implementation should be routinely monitored to ensure the equitable provision of care."

Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases: a mixed-methods study
R Raine et al.
BMJ Quality and Safety 2014;23:867-876

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Strategies to improve the efficiency and utility of multidisciplinary team meetings in urology cancer care

"This study is the first to explore which areas of urology MDT working healthcare professionals perceive to be valuable, and how MDT working might be improved in terms of effectiveness and efficiency."

Strategies to improve the efficiency and utility of multidisciplinary team meetings in urology cancer care: a survey study
BW Lamb, RT Jalil, N Sevdalis, C Vincent, JSA Green
BMC Health Services Research 2014, 14:377

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The patient safety culture as perceived by staff before and after introducing a flow-oriented working model

"The aim of the present study was to describe the patient safety culture in an ED at two different hospitals before and after a Quality improvement (QI) project that was aimed to enhance patient safety."

The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles: a repeated cross-sectional study
L Burström, A Letterstål, M Engström, A Berglund, M Enlund
BMC Health Services Research 2014, 14:296

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Behavior change interventions when implementing multi-professional teamwork at an emergency department

"This study highlights how teamwork can be implemented and suggests that clear Direction (i.e. engaged management that is specific regarding both why and how teamwork should be performed, alignment between teamwork and other processes and initiatives) and allocation of resources for ongoing problem-solving and adaptation are important ingredients for effective implementation of teamwork."

Functions of behavior change interventions when implementing multi-professional teamwork at an emergency department: a comparative case study
M Frykman, H Hasson, ÅM Athlin, U von Thiele Schwarz
BMC Health Services Research, 2014, 14: 218

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Speaking up for patient safety by hospital-based health care professionals

"This review focused on health care professionals’ speaking-up behaviour for patient safety and aimed at (1) assessing the effectiveness of speaking up, (2) evaluating the effectiveness of speaking-up training, (3) identifying the factors influencing speaking-up behaviour, and (4) developing a model for speaking-up behaviour."

Speaking up for patient safety by hospital-based health care professionals: a literature review
Ayako Okuyama, Cordula Wagner and Bart Bijnen

BMC Health Services Research, 2014, 14:61 

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Role construction and boundaries in interprofessional primary health care teams

"We found that empowering team members to develop autonomy can enhance collaborative interactions."

Role construction and boundaries in interprofessional primary health care teams: a qualitative study
K MacNaughton, S Chreim, IL Bourgeault
BMC Health Services Research, 2013, 13:486

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