Publications
66 results found
Soukup T, Murtagh G, Lamb BW, et al., 2021, Degrees of multidisciplinarity underpinning care planning for patients with cancer in weekly multidisciplinary team meetings: conversation analysis, Journal of Multidisciplinary Healthcare, Vol: 14, Pages: 411-424, ISSN: 1178-2390
Purpose: Despite an increase in research on multidisciplinary team (MDT) meetings, the implementation of MDT-driven decision-making, ie, its fidelity, remains unstudied. We report fidelity using an observational protocol measuring degree to which MDTs in their weekly meetings in the UK adhere to 1) the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and 2) cancer guidelines on the composition and characteristics of their weekly meetings produced by the UK’s Department of Health, UK’s National Cancer Action Team, Cancer Research UK, World Health Organization, and The Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales.Patients and Methods: This is a prospective cross-sectional observational study of MDT meetings in the UK. Breast, colorectal, and gynecological cancer MDTs across three hospitals in the UK were video recorded over 12 weekly meetings, respectively, encompassing 822 case-reviews. A cross-section of 24 case-reviews was analysed with the main outcomes being adherence to the ‘Orientation-Discussion-Decision-Implementation’ framework, and the cancer guidelines.Results: Eight percent of case-reviews in the MDT meetings involved all five core disciplines including surgeons, oncologists, radiologists, histopathologists, and specialist cancer nurses, and 38% included four. The majority of case-reviews (54%) were between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT meeting were actually reviewed, 4% of them either bypassed the orientation (case presentation), and 8% did not articulate the final decision to the entire team.Conclusion: We found that, despite being a set policy, cancer case-reviews in MDT meetings are not entirely MDT-driven, with more than half of the case-reviews not adhering to the cancer guideli
Soukup T, Lamb BW, Shah NJ, et al., 2020, Relationships Between Communication, Time Pressure, Workload, Task Complexity, Logistical Issues and Group Composition in Transdisciplinary Teams: A Prospective Observational Study Across 822 Cancer Cases, FRONTIERS IN COMMUNICATION, Vol: 5
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- Citations: 4
Lamb BW, Miah S, Stewart GD, et al., 2020, Development and validation of a short version of the Metric for the Observation of Decision-making in multidisciplinary tumor boards: MODe-Lite
<p>Background: Evidence-based tools are necessary for scientifically improving the way cancer multidisciplinary tumor boards (MTBs) work. Such tools are available but can be difficult to use. We sought to develop a robust observational assessment tool for use by healthcare professionals to improve how MTBs work in everyday practice.Participants and methods: We conducted a retrospective cross-sectional observational study in the United Kingdom between September 2015 and July 2016. Three tumor boards from three teaching hospitals were recruited with 44 members overall. Six weekly meetings (146 consecutive cases) were video recorded and scored using the validated MODe tool. Data were subjected to reliability and validity analysis in the current study for the purposes of developing a shorter version of MODe.Results: In phase 1, a reduction in the original items of MODe was achieved through two focus group meetings with expert assessors based on previous research. Twelve original items were reduced to six domains and have received full agreement by the assessors. In Phase 2, the six domains were subjected to item reliability, convergent validation, and internal consistency testing against MODe-Lite global score, MODe global score, and the individual items of MODe. Significant positive correlations were evidenced across the six domains (p&lt;0.01), providing indication of good reliability and validity. In phase 3, feasibility and high inter-assessor reliability in the use of the tool by two clinical assessors was achieved. A final set of 6 domains, measuring clinical input, holistic input, clinical collaboration, pathology, radiology and management plan were integrated into MODe-Lite.Conclusions: MODe-Lite is an evidence-based tool that can be used by healthcare professionals in everyday practice. It can give cancer MTBs insight into the way they work to facilitate improvements in practice.</p>
Soukup T, Lamb BW, Morbi A, et al., 2020, A multicentre cross-sectional observational study of cancer multidisciplinary teams: Analysis of team decision making, Cancer Medicine, Vol: 9, Pages: 7083-7099, ISSN: 2045-7634
BackgroundMultidisciplinary teams (MDT) formulate expert informed treatment recommendations for people with cancer. We set out to examine how the factors proposed by the functional perspective of group decision making (DM), that is, interaction process, internal factors (factors emanating from within the group such as group size), external circumstances (factors coming from the outside of the team), and case‐complexity affect the quality of MDT decision making.MethodsThis was a cross‐sectional observational study. Three cancer MDTs were recruited with 44 members overall and 30 of their weekly meetings filmed. Validated observational instruments were used to measure quality of DM, interactions, and complexity of 822 case discussions.ResultsThe full regression model with the variables proposed by the functional perspective was significant, R2 = 0.52, F(20, 801) = 43.47, P < .001, adjusted R2 = 0.51. Positive predictors of DM quality were asking questions (P = .001), providing answers (P = .001), team size (P = .007), gender balance (P = .003), and clinical complexity (P = .001), while negative socioemotional reactions (P = .007), gender imbalance (P = .003), logistical issues (P = .001), time‐workload pressures (P = .002), and time spent in the meeting (P = .001) were negative predictors. Second half of the meetings also saw significant decrease in the DM quality (P = .001), interactions (P = .001), group size (P = .003), and clinical complexity (P = .001), and an increase in negative socioemotional reactions (P = .001) and time‐workload pressures (P = .001).DiscussionTo the best of our knowledge, this is the first study to attempt to assess the factors proposed by the functional perspective in cancer MDTs. One novel finding is the effect of sociocognitive factors on team DM quality, while another is the cognitive‐catch 22 effect: while the case discussions are significantly simpler in the second half of the meeting, there is significantly less time left to discuss
Soukup T, Morbi A, Lamb BW, et al., 2020, A measure of case complexity for streamlining workflow in multidisciplinary tumor boards: Mixed methods development and early validation of the MeDiC tool, Cancer Medicine, Vol: 9, Pages: 5143-5154, ISSN: 2045-7634
Background and ObjectiveThere is increasing emphasis in cancer care globally for care to be reviewed and managed by multidisciplinary teams (ie, in tumor boards). Evidence and recommendations suggest that the complexity of each patient case needs to be considered as care is planned; however, no tool currently exists for cancer teams to do so. We report the development and early validation of such a tool.MethodsWe used a mixed‐methods approach involving psychometric evaluation and expert review to develop the Measure of case‐Discussion Complexity (MeDiC) between May 2014 and November 2016. The study ran in six phases and included ethnographic interviews, observations, surveys, feasibility and reliability testing, expert consensus, and multiple expert‐team reviews.ResultsPhase‐1 : case complexity factors identified through literature review and expert interviews; Phase‐2 : 51 factors subjected to iterative review and content validation by nine cancer teams across four England Trusts with nine further items identified; Phase 3 : 60 items subjected to expert review distilled to the most relevant; Phase 4 : item weighing and further content validation through a national UK survey; Phases 5 and 6 : excellent interassessor reliability between clinical and nonclinical observers, and adequate validity on 903 video case discussions achieved. A final set of 27 factors, measuring clinical and logistical complexities were integrated into MeDiC.ConclusionsMeDiC is an evidence‐based and expert‐driven tool that gauges the complexity of cancer cases. MeDiC may be used as a clinical quality assurance and screening tool for tumor board consideration through case selection and prioritization.
Pallari E, Soukup T, Kyriacou A, et al., 2020, Assessing the European impact of alcohol misuse and illicit drug dependence research: clinical practice guidelines and evidence-base policy, EVIDENCE-BASED MENTAL HEALTH, Vol: 23, Pages: 67-76, ISSN: 1362-0347
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- Citations: 4
Soukup T, Lamb BW, Sevdalis N, et al., 2020, Streamlining cancer multidisciplinary team meetings: challenges and solutions, BRITISH JOURNAL OF HOSPITAL MEDICINE, Vol: 81, ISSN: 1750-8460
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- Citations: 19
Soukup T, Hull L, Smith EL, et al., 2019, Effectiveness-implementation hybrid type 2 trial evaluating two psychoeducational programmes for severe hypoglycaemia in type 1 diabetes: implementation study protocol, BMJ OPEN, Vol: 9, ISSN: 2044-6055
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- Citations: 7
Soukup T, Lamb BW, Weigl M, et al., 2019, An Integrated Literature Review of Time-on-Task Effects With a Pragmatic Framework for Understanding and Improving Decision-Making in Multidisciplinary Oncology Team Meetings, FRONTIERS IN PSYCHOLOGY, Vol: 10, ISSN: 1664-1078
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- Citations: 17
Soukup T, Gandamihardja TAK, McInerney S, et al., 2019, Do multidisciplinary cancer care teams suffer decision-making fatigue: an observational, longitudinal team improvement study, BMJ OPEN, Vol: 9, ISSN: 2044-6055
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- Citations: 23
Soukup T, Morbi A, Lamb BW, et al., 2019, A measure of case complexity for cancer multidisciplinary teams: Development and early validation of the MeDiC tool
<p>Background and Objective. There is increasing emphasis in cancer care globally for care to be reviewed and managed by multidisciplinary teams (i.e., in tumor boards). Evidence and recommendations suggest that the complexity of each patient case needs to be considered as care is planned, however no tool currently exists for cancer teams to do so. We report the development and early validation of such a tool.Methods. We used a mixed-methods approach involving psychometric evaluation and expert review to develop the Measure of case-Discussion Complexity (MeDiC) between May 2014 and November 2016. The study ran in 6 phases and included ethnographic interviews, observations, surveys, feasibility and reliability testing, expert consensus, and multiple expert-team reviews.Results. Phase-1: case complexity factors identified through literature review and expert interviews; Phase-2: 51 factors subjected to iterative review and content validation by 9 cancer teams across 4 England Trusts with 9 further items identified; Phase 3: 60-items subjected to expert review distilled to the most relevant; Phase 4: item weighing and further content validation through a national UK survey. Phases 5 and 6: excellent inter-assessor reliability between clinical and non-clinical observers, and adequate validity on 903 video case-discussions achieved. A final set of 27 factors, measuring clinical and logistical complexities were integrated into MeDiC.Conclusions. MeDiC is an evidence-based and expert-driven tool that gauges the complexity of cancer cases. MeDiC may be used as a clinical quality assurance and screening tool for tumor board consideration through case selection and prioritization.</p>
Soukup T, Gandamihardja T, Sevdalis N, et al., 2019, Do multidisciplinary cancer care teams suffer decision-making fatigue? An observational, longitudinal team improvement study
<p>Objective: The objective of this study was to examine effectiveness of co-designed quality-improving interventions with a multidisciplinary team (MDT) with high workload and prolonged meetings to ascertain: (1) presence and impact of decision-making (DM) fatigue on team performance in the weekly MDT meeting, and (2) impact of a short meeting break as a countermeasure of DM fatigue.Design and interventions: This is a longitudinal multiphase study with a co-designed intervention bundle assessed within team audit and feedback cycles. The interventions comprised short meeting breaks, as well as change of room layout and appointing a meeting chair.Setting and participants: A breast cancer MDT with 15 members was recruited between 2013 and 2015 from a teaching hospital of the London (UK) metropolitan area. Measures: A validated observational tool (Metric for the Observation of Decision-making, MDT-MODe) was used by trained raters to assess quality of DM during 1,335 patient-reviews. The tool scores quality of information and team contributions to reviews by individual disciplines (Likert-based scores), which represent our two primary outcome measures. Results: Data were analysed using multivariate analysis of variance. DM fatigue was present in the MDT meetings: quality of information (M=16.36 to M=15.10) and contribution scores (M=27.67 to M=21.52) declined from 1st to 2nd half of meetings at baseline. Of the improvement bundle, we found breaks reduced the effect of fatigue: following introduction of breaks (but not other interventions) information quality remained stable between 1st and 2nd half of meetings (M=16.00 to M=15.94), and contributions to team DM improved overall (M=17.66 to M=19.85). Conclusion: Quality of cancer team DM is affected by fatigue due to sequential case-review over often prolonged periods of time. This detrimental effect can be reversed by introducing a break in the middle of the meeting. The study offers a methodology based on ‘
Soukup T, Lamb BW, Green J, et al., 2019, Cognitive catch-22: Observational assessment of decision-making, interactions and team dynamics across two equal temporal halves of multidisciplinary oncology team meetings
<p>BackgroundMultidisciplinary team meetings are designed to bring diverse range of healthcare professionals together to discuss patients with cancer and formulate expert informed treatment recommendations; their decision-making (DM) was found variable, however. ObjectiveWe set out to examine how the factors proposed by functional perspective of group DM i.e. the quality of DM, interactions, internal factors (factors emanating from within the group such as group size) and external circumstances (factors coming from the outside of the team, such as time-workload pressure) fare between two equal temporal halves of the multidisciplinary oncology meetings. Design This was a prospective cross-sectional observational study. Setting and participantsThree cancer multidisciplinary teams were recruited with 44 members overall. Thirty weekly meetings were filmed over 3 months respectively. MeasuresThree validated observational instruments were used to measure quality of DM, interactions and discussion complexity for 822 individual patient discussions.ResultsThere was a significant difference between 1st and 2nd half of meetings, F(11,809)=21.56, p&lt;.001; Hotelling’s Trace=0.29. partial η2=.23, with a reduced quality of DM (p=.001) and interactions (p=.001), group size (p=.003), and clinical complexity (p=.001), and increased negative reactions (p=.001) and time-workload pressure (p=.001). ConclusionWhile patient-discussions are significantly simpler in the 2nd half of the meeting, there is significantly less time left to discuss the remaining patients as the teams are rapidly attempting to close the time-workload gap and reach a treatment recommendation for all patients put forward for the meeting. Arguably this further adds to the cognitive taxation in the teams with implications for quality and safety.</p>
Soukup T, Murtagh G, Lamb BW, et al., 2019, Gaps and overlaps in healthcare team communication: analysis of speech
<p>Studying groups in their natural contexts can help build understanding of complex organisational behaviours. Guided by the principles of conversation analysis, we discuss some of the dynamics of multidisciplinary teams in cancer care by examining the communication practices used to negotiate levels of participation in their routine work meetings, while considering patient safety implications.Breast, colorectal and gynaecological cancer teams were videoed over 12-weekly meetings encompassing 822 patient-reviews with a cross-section transcribed using Jefferson notation. A low frequency of gaps between speakers (3%) and high frequency of overlaps (24%) and no-gaps-no-overlaps (73%) was found, pointing to fast turn-transitions, secured predominantly with raised pitch and vocalizations. Securing one’s turn to speak in a multi-speaker fast-paced work group setting, such as cancer meetings, can be challenging due to systemic reduction in turn-taking opportunities, hence unequal participation. This may hinder effective communication and open up opportunity for error; an important patient safety implication.</p>
Soukup T, Murtagh G, Lamb BW, et al., 2019, How multidisciplinary are multidisciplinary case reviews in cancer care? Feasibility analysis of a theory-driven team decision-making fidelity framework
<p>Background Multidisciplinary teams (MDTs) are a standard cancer care policy in many countries worldwide. Despite an increase in research in a recent decade on MDTs and their care planning meetings, the implementation of MDT-driven decision-making (fidelity) remains unstudied. We report a feasibility evaluation of a novel method for assessing cancer MDT decision-making fidelity. We used an observational protocol to assess (1) the degree to which MDTs adhere to the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and (2) the degree of multidisciplinarity underpinning individual case reviews in the meetings. MethodsThis is a prospective observational study. Breast, colorectal and gynaecological cancer MDTs in the Greater London and Derbyshire (United Kingdom) areas were video recorded over 12-weekly meetings encompassing 822 case reviews. Data were coded and analysed using frequency counts.Results Eight interaction formats during case reviews were identified. case reviews were not always multi-disciplinary: only 8% of overall reviews involved all five clinical disciplines present, and 38% included four of five. The majority of case reviews (i.e. 54%) took place between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT review were actually reviewed, a small percentage of them (4%) either bypassed the orientation (case presentation) and went straight into discussing the patient, or they did not articulate the final decision to the entire team (8%). Conclusions Assessing fidelity of MDT decision-making at the point of their weekly meetings is feasible. We found that despite being a set policy, case reviews are not entirely MDT-driven. We discuss implications in relation to the current eco-political climate, and the quality and safety of care. Our findings are in line with
Gandamihardja TAK, Soukup T, McInerney S, et al., 2019, Analysing Breast Cancer Multidisciplinary Patient Management: A Prospective Observational Evaluation of Team Clinical Decision-Making, WORLD JOURNAL OF SURGERY, Vol: 43, Pages: 559-566, ISSN: 0364-2313
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- Citations: 14
Sadler E, Khadjesari Z, Ziemann A, et al., 2018, Case management for integrated care of frail older people in community settings, Cochrane Database of Systematic Reviews, Vol: 8, Pages: 1-15, ISSN: 1469-493X
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effectiveness of case management for integrated care of frail older people compared to usual care.
Jalil R, Soukup T, Akhter W, et al., 2018, Quality of leadership in multidisciplinary cancer tumor boards: development and evaluation of a leadership assessment instrument (ATLAS), WORLD JOURNAL OF UROLOGY, Vol: 36, Pages: 1031-1038, ISSN: 0724-4983
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- Citations: 12
Soukup T, Lamb BW, Arora S, et al., 2018, Corrigendum: Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature [Corrigendum], Journal of Multidisciplinary Healthcare, Vol: 11, Pages: 267-267, ISSN: 1178-2390
Soukup T, Lamb BW, Arora S, et al., 2018, Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature, Journal of Multidisciplinary Healthcare, Vol: 11, Pages: 49-61, ISSN: 1178-2390
In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs – including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don’ts) when setting up MDT-driven cancer care.
Archer SA, Hull L, Soukup T, et al., 2017, Development of a Theoretical Framework of Factors Affecting Patient Safety Incident Reporting: A Theoretical Review of the Literature, BMJ Open, Vol: 7, ISSN: 2044-6055
Objectives The development and implementation of incident reporting systems within healthcare continues to be a fundamental strategy to reduce preventable patient harm and improve the quality and safety of healthcare. We sought to identify factors contributing to patient safety incident reporting.Design To facilitate improvements in incident reporting, a theoretical framework, encompassing factors that act as barriers and enablers ofreporting, was developed. Embase, Ovid MEDLINE(R) and PsycINFO were searched to identify relevant articles published between January 1980 and May 2014. A comprehensive search strategy including MeSH terms and keywords was developed to identify relevant articles. Data were extracted by three independent researchers; to ensure the accuracy of data extraction, all studies eligible for inclusion were rescreened by two reviewers.Results The literature search identified 3049 potentially eligible articles; of these, 110 articles, including >29 726 participants, met the inclusion criteria. In total, 748 barriers were identified (frequency count) across the 110 articles. In comparison, 372 facilitators to incident reporting and 118 negative cases were identified. The top two barriers cited were fear of adverse consequences (161, representing 21.52% of barriers) and process and systems of reporting (110, representing 14.71% of barriers). In comparison, the top two facilitators were organisational (97, representing 26.08% of facilitators) and process and systems of reporting (75, representing 20.16% of facilitators).Conclusion A wide range of factors contributing to engagement in incident reporting exist. Efforts that address the current tendency to under-report must consider the full range of factors in order to develop interventions as well as a strategic policy approach for improvement.
Soukup T, Lamb BW, Sevdalis N, et al., 2017, Undertaking field research, JOURNAL OF CLINICAL UROLOGY, Vol: 10, Pages: 58-61, ISSN: 2051-4158
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- Citations: 4
Soukup-Ascencao T, D'Souza D, D'Souza H, et al., 2016, Parent-child interaction as a dynamic contributor to learning and cognitive development in typical and atypical development, INFANCIA Y APRENDIZAJE, Vol: 39, Pages: 694-726, ISSN: 0210-3702
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- Citations: 7
Soukup T, Lamb BW, Sarkar S, et al., 2016, Predictors of Treatment Decisions in Multidisciplinary Oncology Meetings: A Quantitative Observational Study, Annals of Surgical Oncology, Vol: 23, Pages: 4410-4417, ISSN: 1534-4681
BACKGROUND: In many healthcare systems, treatment recommendations for cancer patients are formulated by multidisciplinary tumor boards (MTBs). Evidence suggests that interdisciplinary contributions to case reviews in the meetings are unequal and information-sharing suboptimal, with biomedical information dominating over information on patient comorbidities and psychosocial factors. This study aimed to evaluate how different elements of the decision process affect the teams' ability to reach a decision on first case review. METHODS: This was an observational quantitative assessment of 1045 case reviews from 2010 to 2014 in cancer MTBs using a validated tool, the Metric for the Observation of Decision-making. This tool allows evaluation of the quality of information presentation (case history, radiological, pathological, and psychosocial information, comorbidities, and patient views), and contribution to discussion by individual core specialties (surgeons, oncologists, radiologists, pathologists, and specialist cancer nurses). The teams' ability to reach a decision was a dichotomous outcome variable (yes/no). RESULTS: Using multiple logistic regression analysis, the significant positive predictors of the teams' ability to reach a decision were patient psychosocial information (odds ratio [OR] 1.35) and the inputs of surgeons (OR 1.62), radiologists (OR 1.48), pathologists (OR 1.23), and oncologists (OR 1.13). The significant negative predictors were patient comorbidity information (OR 0.83) and nursing inputs (OR 0.87). CONCLUSIONS: Multidisciplinary inputs into case reviews and patient psychosocial information stimulate decision making, thereby reinforcing the role of MTBs in cancer care in processing such information. Information on patients' comorbidities, as well as nursing inputs, make decision making harder, possibly indicating that a case is complex and requires more detailed review. Research should further define case complexity a
Soukup Ascencao T, Petrides VK, Lamb BW, et al., 2016, The anatomy of clinical decision-making in multidisciplinary cancer meetings: a cross-sectional observational study of teams in a natural context, Medicine, Vol: 95, ISSN: 0025-7974
Abstract: In the UK, treatment recommendations for patients with cancer are routinely made by multidisciplinary teams in weekly meetings. However, their performance is variable.The aim of this study was to explore the underlying structure of multidisciplinary decision-making process, and examine how it relates to team ability to reach a decision.This is a cross-sectional observational study consisting of 1045 patient reviews across 4 multidisciplinary cancer teams from teaching and community hospitals in London, UK, from 2010 to 2014. Meetings were chaired by surgeons.We used a validated observational instrument (Metric for the Observation of Decision-making in Cancer Multidisciplinary Meetings) consisting of 13 items to assess the decision-making process of each patient discussion. Rated on a 5-point scale, the items measured quality of presented patient information, and contributions to review by individual disciplines. A dichotomous outcome (yes/no) measured team ability to reach a decision. Ratings were submitted to Exploratory Factor Analysis and regression analysis.The exploratory factor analysis produced 4 factors, labeled “Holistic and Clinical inputs” (patient views, psychosocial aspects, patient history, comorbidities, oncologists’, nurses’, and surgeons’ inputs), “Radiology” (radiology results, radiologists’ inputs), “Pathology” (pathology results, pathologists’ inputs), and “Meeting Management” (meeting chairs’ and coordinators’ inputs). A negative cross-loading was observed from surgeons’ input on the fourth factor with a follow-up analysis showing negative correlation (r = -0.19, P < 0.001). In logistic regression, all 4 factors predicted team ability to reach a decision (P < 0.001).Hawthorne effect is the main limitation of the study.The decision-making process in cancer meetings is driven by 4 underlying factors representing the complete patient prof
Kapur N, Parand A, Soukup T, et al., 2016, Aviation and healthcare: a comparative review with implications for patient safety., JRSM Open, Vol: 7, ISSN: 2054-2704
Safety in aviation has often been compared with safety in healthcare. Following a recent article in this journal, the UK government set up an Independent Patient Safety Investigation Service, to emulate a similar well-established body in aviation. On the basis of a detailed review of relevant publications that examine patient safety in the context of aviation practice, we have drawn up a table of comparative features and a conceptual framework for patient safety. Convergence and divergence of safety-related behaviours across aviation and healthcare were derived and documented. Key safety-related domains that emerged included Checklists, Training, Crew Resource Management, Sterile Cockpit, Investigation and Reporting of Incidents and Organisational Culture. We conclude that whilst healthcare has much to learn from aviation in certain key domains, the transfer of lessons from aviation to healthcare needs to be nuanced, with the specific characteristics and needs of healthcare borne in mind. On the basis of this review, it is recommended that healthcare should emulate aviation in its resourcing of staff who specialise in human factors and related psychological aspects of patient safety and staff wellbeing. Professional and post-qualification staff training could specifically include Cognitive Bias Avoidance Training, as this appears to play a key part in many errors relating to patient safety and staff wellbeing.
Hughes J, Soukup T, Mace A, et al., 2015, Head and Neck Cancer Multidisciplinary Team Meeting Quality Improvement: The Impact of a New Patient Information Delivery Tool, British Association of Head & Neck Oncologists (BAHNO)
Sarkar S, Arora S, Soukup T, et al., 2014, Variability in the quality of decision-making processes in urology multidisciplinary teams compared to other cancer specialties, Annual Scientific Meeting of the British-Association-of-Urological-Surgeons (BAUS), Publisher: WILEY-BLACKWELL, Pages: 31-32, ISSN: 1464-4096
, 2014, Poster Sessions, BJU International, Vol: 113, Pages: 19-67, ISSN: 1464-4096
Gandamihardja T, McInerney S, Soukup T, et al., 2014, 14. Improving team working within a breast MDT: An observational approach, European Journal of Surgical Oncology, Vol: 40, Pages: 604-604, ISSN: 0748-7983
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