title: Teams and teamwork during a cancer diagnosis: interdependency within and between teams.
abstract: This article discusses the care process among three groups (primary care, radiology, and surgery) aiding a 57-year-old woman during her screening mammography and diagnosis of breast cancer. This is the first in a series of articles exploring principles and topics relevant to teams guiding clinicians involved in cancer care. The challenges demonstrated in this case illustrate how clinicians work within and between groups to deliver this first phase of cancer care. The case helps demonstrate the differences between groups and teams. Focusing on the patient and the overall process of care coordination can help move groups toward becoming teams who deliver better care by identifying and managing goals, roles, and interdependent care tasks. Care providers and researchers can use the case to consider their own work and essential aspects of teamwork needed to improve care, patient outcomes, and the evidence that supports each.
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL taplins@mail.nih.gov.
authors: Stephen H
authors: SH
authors: Taplin
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Sallie
authors: S
authors: Weaver
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Veronica
authors: V
authors: Chollette
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Lawrence B
authors: LB
authors: Marks
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Andrew
authors: A
authors: Jacobs
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Gordon
authors: G
authors: Schiff
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Carrie T
authors: CT
authors: Stricker
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Suanna S
authors: SS
authors: Bruinooge
authors: National Cancer Institute, Bethesda; Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, MD; University of North Carolina, Chapel Hill, NC; Virginia Mason Hospital and Medical Center, Seattle, WA; Brigham and Women's Hospital, Boston, MA; Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA; American Society of Clinical Oncology, Alexandria, VA; and University of Central Florida, Orlando, FL.
authors: Eduardo
authors: E
authors: Salas
mesh_terms: D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000523:psychology; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008327:Mammography; D008495:Medical Oncology / Q000458:organization & administration*; D008875:Middle Aged; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration*; D010819:Physician's Role; D011237:Predictive Value of Tests; D011320:Primary Health Care; D057188:Workflow