Evidence map›Paper›PMID 38521519›Full record

ArticleBMJ open2024

Qualitative investigation of military surgical resuscitation teams: what are the drivers of success of a rapid response team?

Matthew J Eckert, Lara Varpio, Michael Soh, Sayra Cristancho

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Matthew J EckertSurgery, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA matteckert1@gmail.com.ORCID 0000-0001-6142-0218
Lara VarpioPediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Michael SohHealth Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Sayra CristanchoSurgery, Western University, London, Ontario, Canada.ORCID 0000-0002-8738-2130
Children's Hospital of Philadelphia · USUniformed Services University of the Health Sciences · USUniversity of North Carolina at Chapel Hill · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis qualitative study explores the characteristics of a specialised military medical rapid response team (MRRT), the surgical resuscitation team (SRT). Despite mixed evidence of efficacy, civilian MRRTs are widely employed, with significant variation in structure and function. Recent increased use of these teams to mitigate patient risk in challenging healthcare scenarios, such as global pandemics, mass casualty events and resource-constrained health systems, mandates a reconceptualisation of how civilian MRRTs are created, trained and used. Here, we study the core functions and foundational underpinnings of SRTs and discuss how civilian MRRTs might learn from their military counterparts.

designSemistructured interview-based study using Descriptive Qualitative Research methodology and Thematic Analysis.

settingRemote audio interviews conducted via Zoom.

participantsParticipants included 15 members of the United States Special Operations Command SRTs, representing all medical specialties of the SRT as well as operational planners.

resultsAdaptability was identified as a core function of SRTs and informed by four foundational underpinnings: mission variability, shared values and principles, interpersonal and organisational trust and highly effective teaming. Our findings provide three important insights for civilian MRRTs: (1) team member roles should not be defined by silos of professional specialisation, (2) trust is a key factor in the teaming process and (3) team principles and values result in and are reinforced by organisational trust.

conclusionThis study offers the first in-depth investigation of a unique military MRRT. Important insights that may offer benefit to civilian MRRT practices include enabling the breakdown of traditional division of labour, allowing for and promoting deep interpersonal and professional familiarity, and facilitating a cycle of positive reinforcement between teams and organisations. Future investigation of small team limitations, comparability to civilian MRRTs, and the team relationship to the larger organisation are needed to better understand how these teams function in a healthcare system and translate to civilian practice.

Indexed as

Hospital Rapid Response TeamMedicineMilitary PersonnelHumansUnited StatesAdult intensive & critical careMEDICAL EDUCATION & TRAININGQUALITATIVE RESEARCHSafety

Identifiers

PMID38521519
PMCPMC10973573
OpenAlexW4393120212

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.