Surg Neurol Int. 2013 Mar 25;4:36. doi: 10.4103/2152-7806.109527. Print 2013.
Teamwork in skull base surgery: An avenue for improvement in patient care.
Surgical neurology international
Nancy McLaughlin, Ricardo L Carrau, Daniel F Kelly, Daniel M Prevedello, Amin B Kassam
Affiliations
Affiliations
- Department of Neurosurgery, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 6236, Los Angeles, CA, 90095-7436, USA.
PMID: 23607058
PMCID: PMC3622378 DOI: 10.4103/2152-7806.109527
Abstract
BACKGROUND: During the past several decades, numerous centers have acquired significant expertise in the treatment of skull base pathologies. Favorable outcomes are not only due to meticulous surgical planning and execution, but they are also related to the collaborative efforts of multiple disciplines. We review the impact of teamwork on patient care, elaborate on the key processes for successful teamwork, and discuss its challenges.
METHODS: Pubmed and Medline databases were searched for publications from 1970 to 2012 using the following keywords: "teamwork", "multidisciplinary", "interdisciplinary", "surgery", "skull base", "neurosurgery", "tumor", and "outcome".
RESULTS: Current literature testifies to the complexity of establishing and maintaining teamwork. To date, few reports on the impact of teamwork in the management of skull base pathologies have been published. This lack of literature is somewhat surprising given that most patients with skull base pathology receive care from multiple specialists. Common factors for success include a cohesive and well-integrated team structure with well-defined procedural organization. Although a multidisciplinary work force has clear advantages for improving today's quality of care and propelling research efforts for tomorrow's cure, teamwork is not intuitive and requires training, guidance, and executive support.
CONCLUSIONS: Teamwork is recommended to improve quality over the full cycle of care and consequently patient outcomes. Increased recognition of the value of an integrated team approach for skull base pathologies will hopefully encourage centers, physicians, allied health caregivers, and scientists devoted to treating these patients and advancing the field of knowledge to invest the time, effort, and resources to optimize and organize their collective expertise.
Keywords: Multidisciplinary; neurosurgery; outcome; skull base; teamwork
References
- J Neurosurg. 2011 Jun;114(6):1544-68 - PubMed
- Curr Opin Otolaryngol Head Neck Surg. 2008 Apr;16(2):103-7 - PubMed
- Otolaryngol Head Neck Surg. 2010 Nov;143(5):650-4 - PubMed
- Eur J Oncol Nurs. 2002 Sep;6(3):148-54 - PubMed
- Dis Esophagus. 2006;19(3):164-71 - PubMed
- J Contin Educ Health Prof. 2008 Fall;28(4):228-34 - PubMed
- Clin Neurosurg. 1999;45:86-100 - PubMed
- CA Cancer J Clin. 2009 May-Jun;59(3):192-211 - PubMed
- BJOG. 2012 Jan;119(2):160-5 - PubMed
- Curr Opin Otolaryngol Head Neck Surg. 2003 Aug;11(4):282-90 - PubMed
- Neurosurgery. 2012 Nov;71(5):916-24; discussion 924-6 - PubMed
- Surg Neurol. 2003 Feb;59(2):139 - PubMed
- Br J Neurosurg. 2005 Apr;19(2):122-7 - PubMed
- Neurosurgery. 2006 Oct;59(4 Suppl 2):ONS212-20; discussion ONS220 - PubMed
- JAMA. 2007 Mar 14;297(10):1103-11 - PubMed
- J Neurosurg Pediatr. 2011 Jul;8(1):22-9 - PubMed
- Laryngoscope. 2007 Apr;117(4):699-705 - PubMed
- Eur J Surg Oncol. 2007 Apr;33(3):307-13 - PubMed
- Laryngoscope. 2011 Oct;121(10):2131-5 - PubMed
- Eye (Lond). 2011 Oct;25(10):1360-4 - PubMed
- Ann Ist Super Sanita. 2011;47(1):64-71 - PubMed
- Am J Surg. 2005 Nov;190(5):770-4 - PubMed
- Onkologie. 2005 Jan;28(1):22-6 - PubMed
- Clin Med (Lond). 2012 Feb;12(1):14-8 - PubMed
- Arch Otolaryngol Head Neck Surg. 2000 Mar;126(3):322-6 - PubMed
- Ann Oncol. 2008 Feb;19(2):284-91 - PubMed
- J Prof Nurs. 2008 Jul-Aug;24(4):218-27 - PubMed
- Surg Neurol. 2006 Jun;65(6):635-6 - PubMed
- J Interprof Care. 2001 Feb;15(1):29-35 - PubMed
- Neurosurgery. 2007 Nov;61(5 Suppl 2):202-9; discussion 209-11 - PubMed
- Int J Nurs Stud. 2008 Jan;45(1):140-53 - PubMed
- BMJ. 2012 Apr 26;344:e2718 - PubMed
- J Interprof Care. 2001 May;15(2):141-51 - PubMed
- Eur Arch Otorhinolaryngol. 2010 May;267(5):647 - PubMed
- Contemp Nurse. 2005 Sep;20(1):28-37 - PubMed
- Surgery. 2011 Oct;150(4):771-8 - PubMed
- Clin Invest Med. 2006 Dec;29(6):351-64 - PubMed
- J Neurol Neurosurg Psychiatry. 2000 Aug;69(2):161-6 - PubMed
- Neurosurgery. 2008 Mar;62(3):539-55; discussion 539-55 - PubMed
- J Healthc Manag. 2010 Nov-Dec;55(6):399-411; discussion 411-2 - PubMed
- N Engl J Med. 2010 Dec 23;363(26):2477-81 - PubMed
- J Neurosurg. 2006 Jan;104(1):137-42 - PubMed
- Br J Cancer. 2011 Apr 12;104(8):1246-8 - PubMed
- Am J Rhinol Allergy. 2009 Sep-Oct;23(5):518-21 - PubMed
- Curr Opin Endocrinol Diabetes Obes. 2010 Aug;17(4):369-76 - PubMed
- J Natl Cancer Inst Monogr. 2010;2010(40):72-80 - PubMed
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