key: cord-0920600-irgai7vs
authors: Clements, Casey M.; Oeckler, Richard A.; Heaton, Heather A.; Diedrich, Daniel A.; Brown, Daniel R.; Sampathkumar, Priya
title: Mayo Clinic Strategies for COVID-19 Creating Successful Emergency Department and Intensive Care Unit Team Dynamics
date: 2020-07-30
journal: Mayo Clin Proc
DOI: 10.1016/j.mayocp.2020.06.054
sha: ce3a2252e1da257f9bcb0ec50a3dc0f5f8526fc7
doc_id: 920600
cord_uid: irgai7vs

nan

podcast, and video) would not be enough to drive team adoption of necessary practice changes. Most effective were in-person meetings and updates by practice leadership to frontline staff at daily huddles, at rounds, and in town hall meetings that included question and answer sessions. These types of communication methods helped to allay staff fears, allow for input regarding necessary improvements in the EDs and ICUs, identify remaining gaps, and build trust. Messaging with careful justification for each recommendation, along with key supporting documents, was archived on searchable reference websites to improve staff buy-in and ensure their ability to remain up-to-date with the frequent changes. Timely and accurate information that provided the rationale for practice change was crucial for fostering teamwork. Notably, considerably more effort was required to debunk circulating myths and misconceptions about COVID-19 than to implement de novo practice changes before the pandemic.

The CDC recommends helping staff maintain agency and control during emergencies. 6 To this end, engaging staff by identifying and matching skill sets to the needs of the practice has kept teams involved, motivated, and cohesive. Designating In conclusion, EDs and ICUs are crucial to the pandemic response. COVID-19 has placed enormous pressure on staff and threatened their ability to function effectively as care teams. 2 These new challenges can be managed with careful attention to communication and engagement. Addressing misinformation directly in a timely manner, justifying differences in PPE strategy, and acknowledging and supporting the well-being of staff have been especially helpful in maintaining a culture of safety and reinforcing effective and cohesive ED and ICU teams.

The ABC of health care team dynamics: understanding complex affective, behavioral, and cognitive dynamics in interprofessional teams

COVID-19: New York City pandemic notes from the first 30 days

19-Rapid-Cycle-Survey-2-Report/COVID19-Clinicians-Are-Stressed-Rapid-Assessment.pdf?lang=en-US

World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages 2020

Infection control guidance for healthcare professionals about coronavirus (COVID-19)

CERC: crisis communication plans

Editing, proofreading, and reference verification were provided by ScientificPublications, Mayo Clinic.