Cover -- Pushing the Boundaries: Multiteam Systems in Research and Practice -- Copyright page -- Contents -- List of Contributors -- Part I: Introduction -- Pushing the Boundaries of Multiteam Systems in Research and Practice: An Introduction -- Defining Multiteam Systems -- What Do We Know? Leveraging the Science of MTSs -- MTS Opportunities -- MTS Challenges -- Where Do We Need to Go? Improving the Practice of Multiteam Systems -- Bridging MTS Science and Practice: Chapter Overviews -- References -- A Look into the Challenging World of MTS Data Collection -- Challenges Related to Defining the Research Context -- Challenge 1: Deciding If I Have a Multiteam System -- Challenge 2: Deciding on Research Focus/Scope -- Challenge 3: Choices Regarding Where to Study the Phenomena -- Challenge 4: Getting Access to Study MTSs -- Challenge 5: How Can I Leverage What Time I Have -- Challenge 6: Deciding Upon Limits in Who to Collect Data from -- Challenge 7: Prepare for the Unexpected -- Methodological and Measurement-Related Challenges -- Challenge 8: Collecting Longitudinal MTS Data -- Challenge 9: Determining When to Measure within the Longitudinal Design -- Challenges Once the Data Has Been Collected -- Challenge 10: What Do I Do Now That the Data Is Collected (Investment in Post-Processing)? -- Challenge 11: Choices Regarding Aggregation -- Challenge 12: Willingness to Think Out of the Box and Invest with Respect to Analytic Techniques -- Concluding Comments -- References -- Part II: The Beginning: Multiteam System Formation and Development -- Improving Patient Safety and Care Quality: A Multiteam System Perspective -- Background -- A “Fractal” Multiteam System Example -- Structure, Roles, and Processes -- Formation and Development -- Outcomes and Continuous Interaction -- Advantages -- Despite Potentially Introducing Increased Process Complexity Initially, An MTS Approach May Actually Enhance the Efficiency Strategic Problem Solving and Improvement Efforts Over Time -- Diversity of Disciplines, Mindsets, and Ideas May Enhance Overall System Creativity and Efficient Use of Specialized Knowledge or Skill -- An MTS Structure May Enable Health Systems and the Organizations That Comprise Them to Be Highly Responsive in Turbulent Environments -- An MTS Can Facilitate Transparency and Informal Learning Across Traditional Organizational Boundaries and Levels -- Challenges -- Ownership and Empowerment -- Boundaries and Bandwidth -- Common Ground and Climates -- Communication and Context -- Conflict Resolution (and Resource Allocation) -- Discussion -- Acknowledgment of Funding Support -- References -- No Mission Too Difficult: Army Units within Exponentially Complex Multiteam Systems -- Operational Example: Army Brigade Combat Team Headquarters -- BCT HQ As a Traditional MTS -- Challenges to the BCT HQ As a Traditional MTS -- BCT HQ within an Interdependent, Multiechelon System of MTSs -- Challenges to the BCT HQ within an Interdependent, Multiechelon Syste.
m of MTSs -- BCT HQ within an Interdependent, Parallel System of MTSs -- Challenges to BCT HQ within an Interdependent, Parallel System of MTSs -- Exponentially Complex Multiteam Systems -- References -- Multiteam Systems in Large-Scale Disaster Recovery -- Background -- Multiteam Systems in Disaster Recovery -- Advantages of Multiteam Systems in Large-Scale Disaster Recovery -- Challenges of Multiteam Systems in Large-Scale Disaster Recovery -- Challenges Independent of Multiteam Systems -- Challenges Inherent in Multiteam Systems -- Analysis -- Notes -- References -- Part III: The Performance: Multiteam System Processes and Dynamics -- Understanding Patient Care as a Multiteam System -- Teamwork in Healthcare -- Case Studies: A Multiteam System Illustration -- Case Study 1: The Emergency Department -- Case Study 2: Inpatient Care -- Case Study 3: Follow-up Care -- Summary -- Assessing Multiteam Systems with Social Network Analysis -- An Example of an SNA Healthcare Study -- Analyzing the “Multiteam” in an MTS -- Conclusion -- References -- Coordinating Mechanisms for Multiteam Systems: A Case Study from the Petroleum Industry -- Introduction -- An Overview of Integrated Operations -- What Is Integrated Operations? -- Teamwork in Integrated Operations -- Distributed Collaboration Structures -- MCS As a Coordination Mechanism for MTS -- Case Study – The Production Optimization Team -- How the PO-MTS Works -- Benefits of the PO-MTS (Benefits of MCS for This MTS) -- Observed Challenges with the PO-MTS -- Analysis and Directions for Future Research -- References -- Multiteam Systems in the Spaceflight Context: Current and Future Challenges -- Introduction -- Overview of Mission Control -- Overview of the Astronaut Crew -- Advantages of MCC/Crew Structure -- Challenges -- Future Challenges and Research Needs -- Conclusion -- References -- Part IV: The Aftermath: Learning from Multiteam System Near Misses and Failures -- Understanding Multiteam Systems in Emergency Care: One Case at a Time -- Introduction -- EMS Patient Scenario -- Issues to Consider -- Misunderstanding with Number of Patients and Their Locations -- Lack of Context to Build a Mental Model -- No Time (or Resources) to Think -- Expertise-Facilitated Diagnosis -- Lack of Communication Contributing to a Medication Error -- Treatment Plan Selection: To Resuscitate or Not to Resuscitate? -- Treatment Plan Selection: To Intubate or Not to Intubate? -- Extended Time on Scene: How Long Is Too Long? -- Organizational Culture Impacting Treatment Plan Decisions -- Conclusion -- References -- Getting the “I” Out of Multiteam Systems: A Case Study from the Financial Services Industry -- MTSs in Financial Organizations: Potential Points of Weakness -- A Business Example From the Financial Industry -- Background -- Composition of the MTS -- Daily Challenges -- Outcomes -- Analysis and Directions for Future Research -- Communication -- Trust -- Cohesion -- Role Clarity -- Adaptation -- Leadership -- V.
alues -- Conclusion -- References -- Multi-Crew Responses to a Structure Fire: Challenges of Multiteam Systems in a Tragic Fire Response Context -- Overview of Fire and Rescue Incident -- Synopsis of Events (Courtesy of ) -- Key Challenges/Issues Multiteam Systems Faced -- Practical Implications for Multiteam Systems in the Fire Service -- Conclusion -- References -- Part V: Conclusion -- The Future of Multiteam Systems: Implications for Research and Practice -- Introduction -- Characteristics of Multiteam Systems -- Case Analysis of Issues Inherent to Multiteam Systems -- Strengths -- Weaknesses -- Opportunities -- Threats -- Lessons Learned From Multiteam System Successes and Failures -- Lesson 1. Utilize Effective Communication -- Lesson 2. Establish Shared Mental Models -- Lesson 3. Identify Roles and Responsibilities -- Lesson 4. Convey Accountability and Ownership -- Lesson 5. Consider the Ramp-Up Period -- Lesson 6. Train Individuals in an MTS at Multiple Levels -- Conclusion -- References -- .
