System |
Culture e.g. hospital, department, professional etc. Cultural differences between professions | Information systems e.g. manual – patient notes etc. Automated etc. Uniprofessional or shared records | Protocols & Guidelines e.g. national, local, checklists etc Uniprofessional or shared MDT protocols and guidelines | Organisational flow e.g. clinical departments, HR, finance department. Different work/shift patterns within MDT |
Human Interactions |
Team dynamics e.g. multidisciplinary team roles, preferred styles, conflict etc | Interactions e.g. between MDT team members, with patients etc. | Communications e.g. ambiguity, duplication, listening. Differences in professional jargon/acronyms within MDT | Leadership e.g. leadership style, lack of leadership, Autonomy of different professions etc |
Environment |
Location e.g. complexity, journeys between locations etc MDT in shared location or separate locations | Ergonomics e.g. immovable structures, movable structures etc | Interruptions e.g. People, phones, bleeps etc | Safety e.g. safety controls, biochemical hazards etc |
Equipment |
Problems with the equipment itself e.g. fitness for task, readiness for use, etc. | Drugs e.g. prescribing abbreviations, illegibility, ambiguity, etc. | User interactions e.g. knowledge or skill, preference, procedures checks, etc | Human tissue, Blood products e.g. collection, processing, administration, etc. |
Personal |
Problems e.g. mood, confidence, lack of self awareness, etc. | Pathology e.g. tired, hungry, unwell, stressed, etc. | Life events e.g. family issues, relationships, moving house, bereavement, etc | Attitudes e.g. Attitudes between professions within MDT. Positive - trust & respect OR Negative - disrespect, mistrust, fear, antagonism |
