SynthesisBMC health services research2025
Team leader communication in ad hoc teams and its impact on team outcomes: a systematic review.
Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Augmented Reality-Guided Decision Support in Simulated Pediatric Cardiac Arrest: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Prehospital resuscitative endovascular balloon occlusion of the aorta during long-distance ground transport for traumatic liver injury: A case report.Trauma case reports · 2026Article
- Simulation Addressing Verbal Escalation (SAVE): An Interprofessional Simulation for Pediatric Health Care Professionals.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAd hoc teams often work on acute medical problems in intense and unpredictable situations. Team leadership is important for effective teamwork, and communication in ad hoc teams is especially vulnerable to errors and may impact patient outcomes. Previous review studies have mainly focused on team leadership styles. However, little is known about team leader communication in ad hoc teams and whether it impacts team outcomes. Thus, the aim of this review was to investigate whether team leader communication in ad hoc teams impacts team outcomes.
methodsA systematic review was conducted with database searches on CINAHL, Medline and Embase in May 2023, with an update in February 2024. Eight studies identified from the search were included in the review, and the results are presented as a narrative synthesis.
resultsThe eight studies that met our inclusion criteria had an observational quantitative design and all of them were conducted in the context of emergency departments or intensive care units (five from a simulation context and three from a real life context). Team leader communication was measured using validated instruments or behavioural indicators, such as call-outs and closed loops. The results revealed that team leader communication had a significant impact on team performance, measured as technical work performance and non-technical work performance, in all the included studies. The team leaders' use of communication strategies, such as situational awareness, callouts and closed loop communication, positively impacted team performance.
conclusionsThe results of this systematic review indicate that team leaders in ad hoc teams have a significant impact on overall team performance. These results underscore the importance of competence in team leadership and highlight the importance of incorporating team leader training into team training programmes. Further studies using more homogenous measuring methods for both team leader communication and outcome variables are needed to confirm the results of this review. The findings in this review may contribute to an enhanced emphasis on the training of team leaders in intense, unpredictable situations, such as in ad hoc teams.
trial registrationPROSPERO: CRD42023430082.
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