TY  - CHAP
AB  - Purpose Although adverse events are less studied in the prehospital setting, the evidence is beginning to paint an alarming picture. Consequently, improvements in Emergency Medical Services (EMS) demand a paradigm shift regarding the way care is conceptualized. The chapter aims to (1) support the dialogue on near-misses and adverse events as a learning opportunity and (2) to provide insights on applications of multiteam systems (MTSs).Approach To offer discussion on near-misses and adverse events and knowledge on how MTSs are applicable to emergency medical care, we review and dissect a complex patient case.Findings Throughout this case discussion, we uncover seven pertinent issues specific to this particular MTS: (1) misunderstanding with number of patients and their locations, (2a) lack of context to build a mental model, (2b) no time or resources to think, (3) expertise-facilitated diagnosis, (4) lack of communication contributing to a medication error, (5) treatment plan selection, (6) extended time on scene, and (7) organizational culture impacting treatment plan decisions.Originality/value By dissecting a patient case within the prehospital setting, we can highlight the value in engaging in dialogue regarding near-misses and adverse events. Further, we can demonstrate the need to expand the focus from simply teams to MTSs.
VL  - 16
SN  - 978-1-78350-313-1, 978-1-78350-314-8/1534-0856
DO  - 10.1108/S1534-085620140000016007
UR  - https://doi.org/10.1108/S1534-085620140000016007
AU  - Misasi Paul
AU  - Lazzara Elizabeth H.
AU  - Keebler Joseph R.
PY  - 2014
Y1  - 2014/01/01
TI  - Understanding Multiteam Systems in Emergency Care: One Case at a Time
T2  - Pushing the Boundaries: Multiteam Systems in Research and Practice
T3  - Research on Managing Groups and Teams
PB  - Emerald Group Publishing Limited
SP  - 157
EP  - 183
Y2  - 2024/04/25
ER  -