Organizational Culture as a Determinant of Outcome in Teams: Implications for the Pediatric Cardiac Specialist

Although enormous effort has focussed on how to build an effective culture in the business community, relatively little effort has addressed how to achieve this in the hospital environment, specifically related to the field of congenital heart disease teams. The examination of culture in pediatric c...

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Bibliographic Details
Published in:Pediatric cardiology 2023-03, Vol.44 (3), p.530-539
Main Authors: McMahon, Colin J., Hickey, Edward J., Nolke, Lars, Penny, Daniel J.
Format: Article
Language:English
Subjects:
Cardiac Surgery
Cardiology
Child
Children
Congenital heart disease
Corporate culture
Genetic disorders
Health aspects
Heart Defects, Congenital - therapy
Heart diseases
Humans
Leadership
Medicine
Medicine & Public Health
Organizational Culture
Patient Care Team
Pediatric cardiology
Review
Surgeons
Vascular Surgery
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Summary:Although enormous effort has focussed on how to build an effective culture in the business community, relatively little effort has addressed how to achieve this in the hospital environment, specifically related to the field of congenital heart disease teams. The examination of culture in pediatric cardiac care is particularly important for several key reasons: first, it represents high-stakes medicine, second, there are multiple stakeholders requiring collaboration between cardiologists, surgeons, anaesthesiologists, perfusionists, nursing staff, and allied health care professionals, and finally, both the patient and the family are intimately involved in the care pathway. This review article investigates some of the critical components to building an effective culture, drawing upon similarities in other disciplines, thereby fostering high performance multidisciplinary teams in congenital cardiology care. Strategies to change culture such as Kotter’s model of change are also discussed. High performance teams share one common vital characteristic: psychological safety for team members to speak their minds, thereby fostering an open culture, in which creativity can flourish to facilitate major breakthroughs. Adoption of the “Flight Plan” review promotes patient centric care and champions a psychologically safe culture.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-022-03041-5