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Table 6 Summary of specific team behaviors related to teamwork skills documented from the case review and discussion for procurement and transplantation cases

From: Integrating team resource management program into staff training improves staff’s perception and patient safety in organ procurement and transplantation: the experience in a university-affiliated medical center in Taiwan

Dimension/Skill Description of the team behavior found during reviews
Leadership  
  Briefing The procurement leader physicians called the procurement coordinators and laboratory staff for their readiness before beginning the actual procurement process.
  Huddle The procurement leader physician confirmed the goal of action and planned the expected process with the members.
  Debriefing The procurement team discussed after completion of the procedure, stressing on unexpected conditions.
Situation Monitoring  
  Situation monitoring Staff members were trained to upload updated patient clinical data and laboratory results into the platform.
  Situation awareness Institutional patient data platform to update the progress during procurement and transplantation. This improved the situation awareness of the on-duty team members.
  Shared mental model Procurement staff, laboratory staff and procurement leaders updated for the process during organ donation.
Mutual Support  
  “I’M SAFE” Monitor the working hours to avoid working for more than 12 hours for each shift.
Communication  
  Hand off (“ISBAR”) Procurement member communicated each other with a structured form (ISBAR), which was later incorporated into the case records.
  Call-out Laboratory member called team members to confirm the information been received by the whole team.
  Critical test result (i.e., positive HIV) confirmed informed to all team members until the whole process stopped.
  Time-out Structured time-out checklist used during organ donation and transplantation, stressed on correct laboratory results.