Deborah DiazGranados

Virginia Commonwealth University | VCU · Department of Psychology

Motivation: Medical curricula improvement is an ongoing process to keep material relevant and improve the student's learning experience to better prepare them for patient care. Many programs utilize end-of-year evaluations, but these frequently have low response rates and lack actionable feedback. We hypothesized that student reflections written d...

The NIH's Clinical and Translational Science Awards (CTSA) consortium aims to accelerate translational processes that move discoveries from bench to bedside . The COVID‐19 pandemic presented unmatched challenges and applications for CTSA hubs nationwide . Our study used bibliometrics to assess features of COVID‐19 publications supported by the nati...

To understand how translational science efforts lead to outcomes, it is common to examine publications as a key step in the translational process. The National Institutes of Health's Clinical and Translational Science Awards (CTSA) program aims to accelerate that process by providing support to investigators. Although it is challenging to measure t...

Since the last publication a decade ago, accident numbers in the aviation field have been on a steady decline. Much of the previous research had focused on crew resource management (CRM) practices and team training. Since then, there has been a greater focus on looking at safety through the lens of multiteam systems, not just focusing on the pilots...

Introduction: Telerounding is slated to become an important avenue for future healthcare practice. As utilization of telerounding is increasing, a review of the literature is necessary to distill themes and identify critical considerations for the implementation of telerounding. We provide evidence of the utility of telerounding and considerations...

Objective We developed a conceptual framework of Team Self-Maintenance (TSM) within long-duration space exploration (LDSE), which we define as the process of monitoring, adjusting, and maintaining the psychological well-being of a team in the absence of external support. Background Specific to LDSE and isolated, confined, and extreme (ICE) environ...

Introduction The Great CTSA Team Science Contest (GTSC) was developed to discover how Clinical and Translational Science Award (CTSA) hubs promote and support team science [1]. The purpose of this study was a secondary qualitative analysis of the GTSC submissions to better understand the diversity of team science initiatives across the CTSA consort...

Background: Simulation-based training (SBT) is often evaluated based on the transfer of specific knowledge and skills. In contrast, the degree to which reflective practice is inculcated by SBT is rarely considered. Because reflection is a pillar of adult learning theories, we sought to examine the degree to which participation in SBT was associate...

The quality of health services depends, in large part, on patients’ or clients’ interactions with healthcare practitioners, interactions among healthcare practitioners, and interactions between healthcare practitioners and their environment. These interactions among healthcare practitioners (sometimes inclusive of clients and families) are termed i...

IMPACT: This paper reveals the myriad techniques that CTSA hubs use to support, promote and expand team science including many ways to involve the community, students, scholars and other multidisciplinary scientists. OBJECTIVES/GOALS: The Great CTSA Team Science Contest (GTSC) was developed in the NCATS Workgroup on Institutional Readiness for Team...

The rate at which the coronavirus disease (COVID-19) spread required a rapid response across many, if not all, industries. Academic medical centers had to rapidly evaluate, prioritize, and coordinate the multiple requests for clinical trial participation. This involved redirecting resources and developing a collaborative system for assessment, deci...

Moving from the role of resident into that of a young attending is one of the most anticipated transitions in a medical trainee’s career path. Radiation oncology residency training is typically apprentice-style focused in the outpatient setting, which carries additional unique challenges. Twenty-seven junior attendings at academic institutions with...

Translational scientists create, advance, and translate knowledge as a result of research, learning, and application. Translational teams are composed of dynamic and diverse interprofessional and cross-disciplinary members that generate new knowledge to address a shared translational objective. The objective involves advancing an interventional pro...

Reflective writing is used by medical educators to identify challenges and promote inter-professional skills. These non-medical skills are central to leadership and career development, and are clinically relevant and vital to a trainees success as a practicing physician. However, identification of actionable feedback from reflective writings can be...

Background: The continued need for improved teamwork in all areas of health care is widely recognized. The present article reports on the application of a hackathon to the teamwork problems specifically associated with ad hoc team formation in rapid response teams. Purposes: Hackathons-problem-solving events pioneered in computer science-are on...

The transition from the pre-clinical to clinical phase in undergraduate medical education is a key moment in a physician’s education where the idealized world of medicine confronts the practical realities of care1,2. For example, although improving patient safety and interprofessional teamwork are key national initiatives, students in our pre-clini...

Introduction Advancing understanding of human health promotion and disease prevention and treatment often requires teamwork. To evaluate academic medical institutions’ support for team science in the context of researchers’ career development, we measured the value placed on team science and specificity of guidance provided for documenting team sci...

Purpose: The practice of medicine is rarely straightforward. Data used to facilitate medical decision-making may be conflicting, ambiguous, or scarce, and providing optimal care requires balancing clinicians' expertise and available evidence with patients' preferences. To explore uncertainty in decision-making across disciplines, the authors perfo...

Background: In recent years, educational leaders have proposed domains of educational excellence and corresponding metrics to objectively measure contributions of clinician-educators for promotion and tenure (P&T). The purpose of this study was to explore whether P&T committees in United States (US) have incorporated these recommendations into prac...

The Clinical and Translational Science Awards (CTSA) program sponsors an array of innovative, collaborative research. This study uses complementary bibliometric approaches to assess the scope, influence, and interdisciplinary collaboration of publications supported by single CTSA hubs and those supported by multiple hubs. Authors identified article...

Few industries match the scale of health care. In the United States alone, an estimated 85% of the population has at least 1 health care encounter annually and at least one quarter of these people experience 4 to 9 encounters annually. A single visit requires collaboration among a multidisciplinary group of clinicians, administrative staff, patient...

Organizations regularly make significant investments to ensure their teams will thrive, through interventions intended to support their effectiveness. Such team development interventions (TDIs) have demonstrated their value from both a practical and empirical view, through enabling teams to minimize errors and maximize expertise and thereby advance...

Increasing interprofessional practice is seen as a path to improved quality, decreased cost, and enhanced patient experience. However, little is known about how context shapes interprofessional work and how interventions should be crafted to account for a specific setting of interprofessional practice. To better understand, how the work of interpro...

Problem: Although interprofessional practice is important for improving healthcare delivery, there is little evidence describing interprofessional education (IPE) outcomes beyond changes in attitudes and knowledge of prelicensure learners. More rigorous evaluation of early IPE is needed to determine its impact on teaching interprofessional collabo...

This chapter provides a critical literature review of the research on team-based interventions. It focuses on theory and research to provide an elaborate understanding of team development interventions. The chapter highlights some of the most prevalent team development interventions and their effectiveness on team outcomes, processes, and emergent...

Effective interprofessional practice requires interprofessional education that facilitates learners’ achievement of competency in the interprofessional domains. Unfortunately, educators currently have a limited number of tools to identify the level of competency of their learners. Previous investigations by some of the authors described the initial...

Team science research has indicated that trust is a critical variable of teamwork, contributing greatly to a team's performance. Trust has long been examined in health care with research focusing on the development of trust by patients with their health care practitioners. Studies have indicated that trust is linked to patient satisfaction, adheren...

Background Translational research is a key area of focus of the National Institutes of Health (NIH), as demonstrated by the substantial investment in the Clinical and Translational Science Award (CTSA) program. The goal of the CTSA program is to accelerate the translation of discoveries from the bench to the bedside and into communities. Different...

Workforce planning is the talent management business process that identifies and addresses gaps or overlaps between the employable labor pool and the needs of an organization or industry. At an organizational level, this process helps to ensure that an organization has access to talent for its future success. Advances in workforce planning have ena...

Purpose: Today, clinical care is often provided by interprofessional virtual teams-groups of practitioners who work asynchronously and use technology to communicate. Members of such teams must be competent in interprofessional practice and the use of information technology, two targets for health professions education reform. The authors created a...

Shared leadership, where influence is distributed among health professionals, is considered essential for the complex challenges facing healthcare. In this chapter, the concept of shared leadership related to interprofessional practice is discussed. We describe the different types of leaders within healthcare and what team processes support develop...

Teamwork is paramount in many modern day career fields. It is important for HF students and professionals to understand the knowledge, skills, and attitudes requisite for excellent teamwork and to grasp the many hurdles that exist in appropriately measuring its major constructs. Although theories can be imparted didactically, and ideas for measurem...

Purpose The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the transition of a patient through the healthcare system and suggest a possible approach to studying these issues. Design/methodology/approach The approach taken by the autho...

Abstract Linking the outcomes from interprofessional education to improvements in patient care has been hampered by educational assessments that primarily measure the short-term benefits of specific curricular interventions. Competencies, recently published by the Interprofessional Education Collaborative (IPEC), elaborate overarching goals for int...

Developing interprofessional education (IPE) curricula that improve collaborative practice across professions has proven challenging. A theoretical basis for understanding collaborative practice in health care settings is needed to guide the education and evaluation of health professions trainees and practitioners and support the team-based deliver...

Understanding how experts are able to manage the complexity of modern work environments can inform the strategies and tools used to develop and support effective performance. To that end, this chapter provides a comprehensive review of naturalistic decision making (NDM) research for industrial and organizational (I/O) psychologists. The community o...

Use of simulation-based training is fast becoming a vital source of experiential learning in medical education. Although simulation is a common tool for undergraduate and graduate medical education curricula, the utilization of simulation in continuing medical education (CME) is still an area of growth. As more CME programs turn to simulation to ad...

Competency-based assessment and an emphasis on obtaining higher-level outcomes that reflect physicians' ability to demonstrate their skills has created a need for more advanced assessment practices. Simulation-based assessments provide medical education planners with tools to better evaluate the 6 Accreditation Council for Graduate Medical Educatio...

As teams have become an increasingly necessary component of organizational structure, organizations have turned to team development interventions in hopes of facilitating performance gains in their teams. However, it is critical to understand that team development interventions are not “one size fits all.” This review provides a close examination o...

The term collaboration has been used throughout a variety of research disciplines to describe multiple types of interaction; yet, a unified, comprehensive definition of the construct remains elusive. This lack of clarity regarding the distinctions and commonalities between collabora-tion and other interaction concepts has resulted in conceptual con...

This chapter aims to provide an update to Foushee and Helmreich's (1988) analysis on group interaction and flight crew performance, as much has changed in flight crew performance in the past 20 years. Furthermore, it aims to push the agenda for advancing one's understanding of aviation crews, their training, and the factors that influence their per...

As the U.S. health care system enters a new era, the importance of team-based care approaches grows. How is the health care community ensuring that providers and administrators are equipped with the knowledge, skills, and attitudes (KSAs) foundational for effective teamwork? Are these KSAs transferring into daily practice? This review summarizes th...

This article provides a qualitative review of the published literature dealing with the design, implementation, and evaluation of simulation-based team training (SBTT) in healthcare with the purpose of providing synthesis of the present state of the science to guide practice and future research. A systematic literature review was conducted and prod...

The current panel brings together a variety of expertise to bear on two critical questions: (1) How is the science of Human Factors challenging healthcare to move patient safety forward and (2) How will this role evolve given recent calls and mandates for healthcare reform? Specifically panelists will discuss issues related to healthcare informatic...

There has been a growing popular fascination with how experts make rapid and effective decisions. This interest has been paralleled in various scientific research communities. Across these disciplinary boundaries, researchers have found that intuition plays a critical role in expert decision making. Therefore, an understanding of how experts develo...

Este artículo proporciona una breve revisión de la literatura sobre entrenamiento, rubro que representa uno de los mayores gastos de una organización empresarial. El resultado de nuestra revisión sugiere que se ha realizado un gran avance que nos ayuda a entender el diseño, el desarrollo y el impacto del entrenamiento. En este documento presentamos...

Medical care is a team effort, especially as patient cases are more complex. Communication, cooperation, and coordination are vital to effective care, especially in complex service lines such as the operating room (OR). Team training, specifically the TeamSTEPPS training program, has been touted as one methodology for optimizing teamwork among prov...

FEATURE AT A GLANCE: The prevalence of teamwork training programs in health care is growing, and simulation-based training (SBT) is an important component of these interventions. SBT can be a powerful tool for building teamwork competencies in a safe and realistic environment when effectively integrated into a comprehensive training curriculum. Thu...

This research reports the results of a comprehensive investigation into the effectiveness of team building. The article serves to update and extend Salas, Rozell, Mullen, and Driskell's (1999) team-building meta-analysis by assessing a larger database and examining a broader set of outcomes. Our study considers the impact of four specific team-buil...

This research effort leveraged the science of training to guide a taxonomic integration and a series of meta-analyses to gauge the effectiveness and boundary conditions of team training interventions for enhancing team outcomes. Disparate effect sizes across primary studies have made it difficult to determine the true strength of the relationships...

Los equipos constituyen una parte crítica de las organizaciones actuales. En este artículo proporcionamos una revisión de los temas importantes que se encuentran en la literatura acerca de los equipos. Se examinan los componentes necesarios del trabajo de equipo y los mecanismos de coordinación que promueve la efectividad. Se incluye una discusión...

Teamwork is integral to a working environment conducive to patient safety and care. Team training is one methodology designed to equip team members with the competencies necessary for optimizing teamwork. There is evidence of team training's effectiveness in highly complex and dynamic work environments, such as aviation and health care. However, mo...

Meta-analytic procedures were used to examine data from 83 field studies of the Productivity Measurement and Enhancement System (ProMES). The article expands the evidence on effectiveness of the intervention, examines where it has been successful, and explores moderators related to its success. Four research questions were explored and results indi...