Evidence map›Paper›PMID 42184038›Full record

ReviewPediatric cardiology2026

Teamwork as a Clinical Competency in Pediatric Cardiology: A Measurement-Feedback-Simulation Framework for Improving Decision-Making and Outcomes.

Colin J McMahon, Joseph Rossano

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Colin J McMahonDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin 12, Ireland. cmcmahon992004@yahoo.com.
Joseph RossanoThe Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The care of patients with pediatric and congenital heart disease is intrinsically complex and relies on coordinated multidisciplinary teamwork. While advances in diagnostics and intervention have improved survival, variability in outcomes persists and is increasingly linked to team performance, decision-making, and organizational culture. This Perspective draws on evidence from pediatric cardiology, healthcare systems research, and organizational science to examine the role of team-based care in pediatric and congenital cardiology. Emphasis is placed on multidisciplinary decision-making, team dynamics, leadership, and organizational culture, with the aim of stimulating reflection and informing everyday clinical practice rather than providing a systematic or exhaustive review. Effective teamwork is associated with improvements in patient safety, clinical outcomes, patient and family experience, and staff well-being. Multidisciplinary decision-making forums, empowered nursing roles, and psychologically safe cultures emerge as central to high performance. Leadership, accountability, and transparency of outcomes data strongly influence team behaviour, while evidence from pediatric cardiology highlights the vulnerability of clinical decision-making to cognitive bias, heuristics, and organizational context. Optimising decision-making processes, fostering supportive organizational cultures, and investing in team development represent important opportunities to improve outcomes. We propose a practical Measurement-Feedback-Simulation (MFS) framework to support the measurement and improvement of teamwork as a clinical competency.

Indexed as

Clinical competenceCongenital heart defectsDecision makingOrganizational culturePatient care teamPatient safetyPediatric cardiology

Identifiers

What OpenQuestion holds

Textmetadata
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.