When teams communicate poorly, there are consequences that can occur such as: providing care with incomplete information which can lead to mistakes, confusion with information that has been presented, as well as team members who do not voice their concerns about issues that arise.
This lack of communication causes individuals not to come together to form an effective team. In accordance with Dr. Lorelai Lingard’s video, “Collective Competence”, Joe’s situation was taken care of, but it wasn’t done in an organizational manner or with competent care. Information wasn’t properly communicated between the nurses tending to him, the family doctor, and then to the diabetes specialist.
The family doctor ends up prescribing him a harsh medication for his kidneys, in which case, Joe turns up at the ER with low sugar levels. In the community pharmacy setting, I have experienced this inability to come together as a team which lead to frequent mistakes. Errors are more evident when we’re backed up with typing prescriptions, filling, insurance issues that usually require PI or prior authorization to dispense meds, and technicians who are running around like headless chickens not knowing which station to stay at or rotate to, all while trying to maintain proper ECC (Extraordinary Customer Care) goals.In addition to being unable to come together as a team of highly trained individuals, there are three significant barriers or factors that might have a role in preventing a team from performing competently.
Dr. Lingard states that the first of them is Scientific Reductionism which describes a complex problem that is broken down into their respective parts. For example, a patient coming in with multiple disease states (diabetes, hypertension, or hyperlipidemia) requiring different assessments of each case. The second barrier is Specialization.
This describes a situation where an individual has heart disease, ovarian cancer, and ADHD that requires three different specialists to come up with solutions to treat each cause; however, these organizations might be set up in different areas of the country. The third and last barrier is Individual competence itself. The goal of individual competence is to have a healthcare provider who has medical expertise great enough to cover everything as far as medical education goes. This can be tough when these healthcare providers are working in isolation instead of collaborating and sharing their ideas to others. Patient care has always been and will be, the mainstay of healthcare.
Adaptation of premises such as increasing one’s knowledge in medical education will increase the competence of more highly skilled professionals.