Journal Article10.1200/JOP.2016.013813
Deploying Team Science Principles to Optimize Interdisciplinary Lung Cancer Care Delivery: Avoiding the Long and Winding Road to Optimal Care.
Raymond U. Osarogiagbon,Hector P. Rodriguez,Danielle Hicks,Raymond S. Signore,Kristi Roark,Satish Kedia,Kenneth D. Ward,Christopher S. Lathan,Scott Santarella,Michael K. Gould,Mark Krasna +10 more
TL;DR: This work exemplifies the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery and illustrates how team science principles can be used to improve quality and outcomes of lung cancer care.
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Abstract: The complexity of lung cancer care mandates interaction between clinicians with different skill sets and practice cultures in the routine delivery of care. Using team science principles and a case-based approach, we exemplify the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery. Achieving coordinated lung cancer care is a high-priority public health challenge because of the volume of patients, lethality of disease, and well-described disparities in quality and outcomes of care. Coordinating mechanisms need to be cultivated among different types of specialist physicians and care teams, with differing technical expertise and practice cultures, who have traditionally functioned more as coactively working groups than as real teams. Coordinating mechanisms, including shared mental models, high-quality communication, mutual trust, and mutual performance monitoring, highlight the challenge of achieving well-coordinated care and illustrate how team science principles can be used to improve quality and outcomes of lung cancer care. To develop the evidence base to support coordinated lung cancer care, research comparing the effectiveness of a diverse range of multidisciplinary care team approaches and interorganizational coordinating mechanisms should be promoted.
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Citations
Research Agenda of the Oncology Nursing Society: 2019-2022.
Diane Von Ah,Carlton G. Brown,Susan J. Brown,Ashley Leak Bryant,Marianne Davies,Marylin J. Dodd,Betty Ferrell,Marilyn J. Hammer,M. Tish Knobf,Teresa Knoop,Geri LoBiondo-Wood,Deborah K. Mayer,Christine Miaskowski,Sandra A. Mitchell,Lixin Song,Deborah Watkins Bruner,Susan W. Wesmiller,Mary E. Cooley +17 more
TL;DR: The Research Agenda can be used to focus oncology nurses' research, scholarship, leadership, and health policy efforts to advance quality cancer care, inform research funding priorities, and align initiatives and resources across the ONS enterprise.
50
Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer
Meredith Ray,Nicholas Faris,Matthew P. Smeltzer,Carrie Fehnel,Cheryl Houston-Harris,P. Levy,Lynn Wiggins,Vishal Sachdev,Todd Robbins,David M. Spencer,Raymond U. Osarogiagbon +10 more
TL;DR: The combined effect of two interventions to improve pathologic lymph node examination has a greater effect on attainment of a range of surgical quality criteria than either intervention alone.
17
Looking through the eyes of the multidisciplinary team: the design and clinical evaluation of a decision support system for lung cancer care
Pluyter Jon Ragnar,Igor Jacobs,Sander Langereis,David Cobben,Sharon Williams,Jeannine Curfs,Ben van den Borne +6 more
TL;DR: Assessment of the potential of CDSS on clinical decision making is shown, when these systems are properly designed in line with clinical thinking, to maximize their effect on decision quality and confidence.
Survival Impact of an Enhanced Multidisciplinary Thoracic Oncology Conference in a Regional Community Health Care System.
Meredith Ray,Nicholas Faris,Carrie Fehnel,Anna Derrick,Matthew P. Smeltzer,Meghan Meadows-Taylor,Folabi Ariganjoye,Alicia Pacheco,Robert Optican,Keith Tonkin,Jeffrey Wright,Roy Fox,Thomas Callahan,Edward T. Robbins,William R. Walsh,Philip E. Lammers,Shailesh R. Satpute,Raymond U. Osarogiagbon +17 more
- 03 Jul 2021
TL;DR: Multidisciplinary NSCLC care planning was associated with significantly higher rates of guideline-concordant care and survival, providing evidence for rigorous implementation of this model of care.
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