1. Supporting NHS Wales to Deliver World Class Healthcare Teamwork- Why Hospitals Should Fly Lisa Henry NLIAH

2. What is a Team? Team Two or more people working together The Oxford English Dictionary’s definition

3. Alternative definition of a Team Michael West describes “real teams” as; Those groups of individuals who come together to perform a common task who: Have common, shared objectives Need to work interdependently to achieve these objectives Have different and defined roles Have a team identity-that is they recognise themselves to be a team and are recognised by others to be a team Are of a size to achieve the task and no larger.

4. The relationship between interdependent working and Task and/or environmental complexity Aston Organisation Development 2007

5. Lead roles in theatres In the operating theatre there is generally no clear single leader: The nurse in charge (theatre sister, team leader etc)leads on staffing, organizing equipment and the running of the list. The surgeon leads the conduct of the operation. The anesthetist on supporting and sustaining the patient through the procedure. In this shared leadership environment team-working becomes paramount to improve safety and deliver high performance. The productive Operating Theatre: Team working Module.

6. Mitigated Speech Used by linguists to describe any attempt to downplay or “sugarcoat” the meaning of what’s being said. This is used when we’re: Being polite Ashamed or embarrassed Being deferential to authority Malcolm Gladwell 2009

7. Levels of mitigation 1.Command- No mitigation 2.Obligation Statement- Often use of we”, the request is softer and less specific. 3.Suggestion- “we’re in this together” 4.Query- Speaker is conceding that he’s not in charge 5.Preference- “I think it would be wise to..” 6.Hint- the Most mitigated statement at all Fischer and Orasanu

8. An Example of Mitigated Speech: The Tenerife Air disaster March 27 1977. Why Hospitals should Fly-The Ultimate Flight Plan to Patient Safety and Quality Care John J. Nance. JD This is being played with permission of the Publisher, Second River Healthcare Press www.SecondRiverHealthcare.com

9. Captain Jacob Van Zanten

15. 583 people died

16. What has the airline industry learnt from accidents and near misses? Culture change Human factors training Multiple causes to accidents Comprehensive Checklists

17. Supporting NHS Wales to Deliver World Class Healthcare Are you part of a team?