SynthesisBMJ open2019
How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
144 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Team leader communication in ad hoc teams and its impact on team outcomes: a systematic review.BMC health services research · 2025Pooled it
- Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: A systematic review of reviews.PloS one · 2022Pooled it
- Effectiveness of Communication Interventions in Obstetrics-A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- What Do We Know About Teamwork in Chinese Hospitals? A Systematic Review.Frontiers in public health · 2021Pooled it
- Psychometric evaluation of instruments measuring the work environment of healthcare professionals in hospitals: a systematic literature review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020Pooled it
- Round34: Attending-Moderated Tabletop Gameplay to Enhance Resident Team Dynamics During Inpatient Rounds.Journal of graduate medical education · 2026Trial
- Article
- Eye-tracking in the delivery room: visual and communication patterns during neonatal transition.European journal of pediatrics · 2026Observational
- Comparing Resident Team Performance in Complex Surgical Oncology: A Single-Institution Cohort Study.Annals of surgical oncology · 2026Article
- No effect of learning from excellence on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study.BMC health services research · 2026Observational
- Addressing Challenges Associated With Loaner Instrument Sets.AORN journal · 2026Article
- Nurses' Self-Perceived Patient Safety Competencies: Associations With Work- and Education-Related Factors in a Cross-Sectional Study.Journal of advanced nursing · 2026Article
- Together Everyone Achieves More: A Team-based Analysis of the First Successful Face and Bilateral Hand Transplant.Plastic and reconstructive surgery. Global open · 2026Article
- Collaborative Practice in Oral Nutritional Supplement Provision: The Critical Role of Pharmacists in the Patient Journey.Healthcare (Basel, Switzerland) · 2026Article
- Learning Autonomy and Group Cohesion in Clinical Simulation: A Quasi-Experimental Comparison of Two Training Approaches.Nursing reports (Pavia, Italy) · 2026Article
- Article
- Debriefing in practice: a cross-sectional observational study of self-reflection competence, psychological safety and speak-up in paramedic training.BMC medical education · 2026Observational
- VIRTUES: A Virtual Reality Multimodal Sensing Platform for Quantifying and Supporting Cross-Neurotype Collaboration.Sensors (Basel, Switzerland) · 2026Article
- Impact of holiday periods on glioblastoma surgery: a Dutch nationwide population-based cohort study.Scientific reports · 2026Article
- Burnout and team functioning in pediatric pain care: A cross-sectional survey of multidisciplinary providers.The journal of pain · 2026Article
84 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the relationship between teamwork and clinical performance and potential moderating variables of this relationship.
designSystematic review and meta-analysis. DATA SOURCE: PubMed was searched in June 2018 without a limit on the date of publication. Additional literature was selected through a manual backward search of relevant reviews, manual backward and forward search of studies included in the meta-analysis and contacting of selected authors via email. ELIGIBILITY CRITERIA: Studies were included if they reported a relationship between a teamwork process (eg, coordination, non-technical skills) and a performance measure (eg, checklist based expert rating, errors) in an acute care setting. DATA EXTRACTION AND SYNTHESIS: Moderator variables (ie, professional composition, team familiarity, average team size, task type, patient realism and type of performance measure) were coded and random-effect models were estimated. Two investigators independently extracted information on study characteristics in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
resultsThe review identified 2002 articles of which 31 were included in the meta-analysis comprising 1390 teams. The sample-sized weighted mean correlation was
conclusionTeamwork has a medium-sized effect on performance. The analysis of moderators illustrated that teamwork relates to performance regardless of characteristics of the team or task. Therefore, healthcare organisations should recognise the value of teamwork and emphasise approaches that maintain and improve teamwork for the benefit of their patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.