Factors for Effective Teamwork in Accident and Emergency Department

This document discusses the factors that contribute to effective teamwork in the accident and emergency department. It explores the actions taken by the clinical manager to address issues and improve team performance. The document also highlights the importance of action teams and their role in finding solutions to minimize problems.

Understanding People In
Organization

Contents
Question 1........................................................................................................................................3
Evaluate the principles of scientific management and how they implement in medical records
department...................................................................................................................................3
Question 2........................................................................................................................................5
Identify that how Wellton NHS Trust assess the personality of their employees and also
discussed its advantages or risks..................................................................................................5
Question 3........................................................................................................................................6
By using social learning theory hospital able to develop their staff efficiency in new HSDU
units also identify some problems which store development team required to overcome..........6
Question 4........................................................................................................................................8
Identify the factors which contribute in the effective team work in the accident and emergency
department...................................................................................................................................8
Question 5........................................................................................................................................9
Evaluate that how effectively medical record department implement changes and what factors
they need to evaluate before changes..........................................................................................9
REFERENCES..............................................................................................................................12

Question 1
Evaluate the principles of scientific management and how they implement in medical records
department
Principles of scientific management:
There are various principles of scientist management which helps the organization to
manage their work. Some of them applied by Wellton NHS Trust in their Median records
departments. These are as follow:
Science is not a rule of thumb: As per this principle, in order to maximise organizational
efficiency as well as effectiveness, management should implement scientific management
principle and it will possible after scientific analysis of their work. According to Tylor, rule of
thumb is the decision which is taken by managers as per their personal judgement. For example:
every small activity can be planned scientifically. Such as loading and unloading material from
large boxed also can be designed under scientific planning. Wellton NHS Trust should follow
this principle to improve organizational efficacy.
Harmony, mot discord: There is a complete harmony between management and workers if
they have any conflict. It is not beneficial as well as profitable for staff members or management
because it negatively influences the production as well as entire worker’s performance.
According to this principle of scientific management, both parties such as workers or
management should understand each other point of view. In order to minimise conflict at
Wellton NHS Trust, management need to done such actions such as share some part of surplus
with workers to motivate them regarding work, positive attitude, proper training, team work etc.
Mental revolution: This principle is about to change attitude of employees as well as
management towards each other. Both parties should understand each other’s importance in the
workplace. By using this principle, Wellton NHS Trust can generate spirit among staff members
of management of hospital. In order to improve operational efficiency of organization,
management should focus on this and implement it as well. It helps both of them to realize their
aim that is maximising profit margin or achieve their business goals & objectives.
Cooperation not individualism: This principle is the extension of “Harmony, not discord”
because here also management and workers need to under each other value. Without
management, organization unable to perform their task or manage their work effectively.

Similar, on the other hand without human resources business unable to achieve their target or get
success. Basically, for effective performance in the work place they need to cooperation with
each other without thinking only for individualism. In context of Wellton NHS Trust, they also
need to understand about the welfare of all not take any decisions which is beneficial for single
party.
Wellton NHS Trust implement principles of scientific management where they done
major chances in their process. Basically it is an expansion of Royal George Hospital after
closing two small community hospitals. This decision was taken to reduce overall cost and
improve services. But it was generating more complaints from patients and the Trust reduces
their place with 10 numbers in the national inpatient survey. After taking such actions of
transferring of employees in the new department that is medical record department. By using this
approach, Wellton NHS Trust face lot of difficulties which is disadvantage for the organization.
Such as loss of patient records where person have to give again medical test which cost and it
will cause conflict among the team. In result, there two best staff members leave the organization
and doing well in other organization. Medical record department regularly face the shortage of
staff which make situation worst. In addition, there are two more staff who wish to leave but they
still working because of personal or financial issues.
In order to manage their employees or make them stable in the organization, management
should focus on their needs and working capacity. Before making such kind of decision in the
organization to move people in other department, they need to discussed with them and then
move people as per their capability so they can perform well. Team managers or members, both
need to identify the reason of loss of medical records rather than blaming each other’s in the
team.
There are some factors which Wellton NHS Trust should follow in order to manage their
employees such as initially they need to understand their staff value rather just thinking about to
cutting cost to maximise their profit margin. In order to identify the problem of missing patient
records they just point out the ability of employees that was not good. Such action or activities
will develop conflicts among team members and in result employees leave the organizations.
They need to hire people and provide training to use new software of maintain patient records
because without any training they unable to perform well or achieve higher performance. In

addition, managers should individual listen their employees issues and problems so they can
resolve it effectively to improve their efficiency as well as effectiveness.
Question 2
Identify that how Wellton NHS Trust assess the personality of their employees and also
discussed its advantages or risks
Personality of their work forces is very essential because it is most important aspect which is
consider at the time of hiring people. According to one survey, around 78 % of recruiters check
candidates’ personality and remaining people hire on the basis of their skills set. There are
various personality traits which required in an organization and some of them are creatively and
open minded traits. Wellton NHS Trust also need to hire people on the basis of their traits which
required to perform their task in well manner.
People are with right personally will positively impact the business because skills can be
developed through providing training as per the requirement but it is quite difficult to develop
personality traits. If people work against their personality and they unable to fit with the role will
reduce the performance. As per Gallup, putting individual in a different role which is not
according to their personality than it will reduce 21 % productivity, 22 % profitability and
around 45 % higher turnover. Wellton NHS Trust need to identify their employees personally
because of their wrong decision to move people in medical records department will generate
many difficulties. Further management should have done some personality test to identify their
employee’s personality traits and it further helps in providing work accordingly. There are some
personality tests which are mentioned below along with its advantage or risk. Wellton NHS Trust
can select any test to identify their employee’s personality. All are as follow:
Myers Briggs: It is one of the popular tool to trace individual personality and identify that
weather they are introvert vs extrovert, thinking vs feeling, judging vs perceiving etc. Around 16
type of personality found where each of one have their own strengths and weaknesses. It is also
true that personality types are not the scale of success. But, knowing individual personality type
will help the organization to understand that they can fit into business culture or not.
Management of Wellton NHS Trust can implement this test to assess individual personality and
then analyse that company required this person or not. At the time of making hiring decisions, it
is essential to identify, individual can perform that task or its personality will them to do that.

Big five traits: It is the five different types of personality dimensions which any
organization find in their potential employees. These dimensions are extraversion, openness,
conscientiousness, neuroticism and agreeableness. It helps the organization to understand that
how new people can manage their work, reduce stress or helps in decision making process. by
using this personality test, Wellton NHS Trust can evaluate individual personality and further
they divide work as per their potential or ability which helps in minimising issues which can
company face in the future.
DISC behaviour inventory: Working behaviour of an individual is very essential for the
organization. By using this personality test, organization able to measure that how person behave
is particular situations. DISC classify the candidates into four different styles and on the basis of
their behaviour in the organization. Such as dominance, influence, supportive or control, it helps
organization to identify candidate behaviour from above disused four behaviours. Management
of Wellton NHS Trust can implement this test to identify individual personality how much
beneficial it is for organization to achieve their business goals & objectives.
Above mention personality test help Wellton NHS Trust to assess individual personality
and after analysing its positive and negative aspect they can implement which provide benefits to
the organization. DISC is the most suitable personality test which should be implement by
Wellton NHS Trust in their organization.
Question 3
By using social learning theory hospital able to develop their staff efficiency in new HSDU units
also identify some problems which store development team required to overcome
Social learning theory is a learning process which helps in identifying social behaviour and
it will impose by observing or imitating others. Learning is a cognitive process which will be
done in social context where they observe others behaviour and learn from it. In order to develop
their staff performance, they need to provide them proper training which helps them to enhance
their skills and ability. Last year Wellton NHS Trust open six new operating theatres as a part of
their merger strategy. Hospital sterilisation and disinfection unit (HSDU) is the new unit which
unable theatre to provide clean equipment or responsive services according to requirement. But
execution will not have done according to plan because they face lot of issues related to quality
in HSDU and dirty surgical equipment holding in the operation theatre. It will put patient’s life at

risk and in result around five old operation theatre closed in last two weeks. It will create huge
pressure as well as long list of waiting surgeries and compliance of customers.
Although at the time of providing well running recruitment process for the development of
new unit but still store development team of hospital face various staffing problems. HR macabre
identify that, most of the hospital staff work more than 12 hours in a day even without taking any
break. It is not only effecting staff professional life but also effective their personal life too.
Another staffing problem is to identify that who is responsible to move patients from department
to theatre and then hospital wards. In the store development team, sickness rates were
continuing increases in comparison to average hospital rates which cause the shortage of staff
members and increase the waiting list of patients. In addition, late arrival of patients can cause
their life or largely affect them. Because of this issue, theatre schedule is running late but theatre
nurses were happy to work in this period because they get overtime for this.
In order to overcome these issues which HSDU department faces, management should hire
more people to face the problem regarding shortage of staff. Only increasing number of human
resources is not the solution, they need to provide them effective training regarding their work
which make them able to perform or minimise the issues which they currently face. Hire skilled
people and provide them related training which helps in enhance their ability or viability to
perform in the theatre. In addition, management should ensure about the hygiene or infection
because it cause patient life. HSDU face the quality issues such as dirty equipment in the
operation theatre. It already has closed down the two theatres, so they need to focus on quality
and make sure that previous mistake not repeated. By using social learning theory, management
should learn through observing environment, retaining them, become reproducing and motivate
others to do same. It is important theory which helps in identify cause of such behaviour which
any individual has. Hospital need to follow this learning and encourage their staff members to
learn from society through observing people.
Above mention all the problems become barrier for the hospital to get growth, so initially
they need face each and every issue along with respective solutions. Where they need to focus on
quality, recruit more people to reduce shortage or provide training to produce quality or
minimise the pressure of working more than 12 hours in a day without any break. In addition,

they need to motivate their existing staff members which helps in improving their operational
efficiency or maximise effectiveness to generate revenue for the organization.
Question 4
Identify the factors which contribute in the effective team work in the accident and emergency
department
In accident and emergency department, number of patients increases by 5 % in comparisons
to last year and they also short of 100,000 attendances. There are various factors which
contributed in effective team management in this department. New clinical manager spends lot of
time as well as efforts to identify the reason of generating these issues and also find solutions to
make it better. Clinical manager takes such actions which contributing in effective team work in
Royal George A&E department. Initially manager develop actions teams who has responsibility
to look or develop such solutions to minimise problems. Every action team has certain number of
people and mix of staff which includes doctors, administration staff, nurses, porters etc. Clinical
manager asks every action team spend their 15 minutes two times in a week to ensure that
solutions were effectively implemented or not. There various solutions provided by actions
teams such as increase their speed at the time of patients booking in the hospital, discharge
people more fast to make bed available for others, give results more fast of blood test and etc.
Basically increase staff member’s efficiency in each task will help the organization to improve
their overall performance. According to result of action teams are very impressive and they meet
the target where more than 95 % patients discharge within 4 hours.
After is success, clinical managers suggest that department should continue follow this
procedure and actions teams need to overlook such issues and identify problems. In addition,
they also recommend that other department also need to build such kind of action teams and
identify the area where they need to focus. There are various factors which helps in contributing
in effective team work in the accident or emergency department. Some of them are as follow:
Consistency: It is one of the important factor which influence effective team work and that
is consistency of team members. If people are consistent then they can perform well because they
are committed towards their organizations that’s why they still in there. Willingness, trust and
respect are maintaining among people will help them to work as a team and focus only of their

goals to achieve. Clinical managers develop action teams of consist members who already know
each other, so they are able to perform their work without any conflict among the members.
Communication: Effective communication is most essential factors which contributes in
effective team work. Because it is important to understand others and it will be only possible by
using proper commination mode. Team leader need to share common goal with other team
members which helps in increasing their efficiency as well as effectiveness. Clinical manager
develops action teams and also ensure that, they have effectively communication with others
which include mellow tone of conversation, desire to enhance frequency of communication,
conflict resolution and each of them should have effective decision making capacity. In addition,
they need to motivate each other at single stage of their work.
Group Thinking: When people working in a team, it is very essential that each member
should participated in the decision making process. Because it helps the organization to find
innovative ideas and they can resolve any issues. In addition, it helps in minimising conflict
among the team members. Even, clinical manager also suggests that before making any decision
in respect of organization, it is very important to take their team members perspective.
In addition, there are more factors which contributed in effective team work such as
homogeneity, role identity, leadership etc. In the accident and emergency department, clinical
manager develops action teams and above mention factors help them to effectively perform or
achieve their goals & objectives. This department meet their target performance, so it will further
have recommended to other departments to follow this strategy and improve their departmental
performance as well as reduce the issues which they currently face.
Question 5
Evaluate that how effectively medical record department implement changes and what factors
they need to evaluate before changes
In the medical records department, changes have been successfully implemented where they
carry all the transportation services and trust records in a centralized area. This process will help
in minimising overall hospital cost and they further relocate staff members from two community
hospital records for new purpose. All the data recorded in the library of Royal George site in the
working condition. In community hospital, staff members maintain records of each departmental
job, produce medical records of clinics, send appoints, maintain all data in computer systems etc.

In this process, management assign task to an individual as per their capability, ability or area of
expertise. For example: at the time of dealing with any patients or resolve their issues they can
follow the process. Staff members clearly instructed their job and trained them with new
computer systems. Managers also instructed that, they need to maintain daily basis report and
report seniors. HR manager also need to maintain staff appraisal or performance report in order
to meet department targets. After implementing such effective actions, still departments face lots
of difficulties and one of the major issues is loss of patient’ records.
There are various factors which hospital need to consider before making any changes in
the futures and it helps in improving their approach to enhance efficiency.
Need of their clients: In context of hospital organization, patients are the customers of
hospital, so before implementing any changes in the hospital they should identify their
consumer’s needs. According to this case study, there are lot of issues clients already faces such
as loss of records of their medical test. In this case, patients need to do medical test again which
became costly for them. Hospital need to resolve these issues when they implementing any
changes in the medical record departments.
Human resources: This factors refer to the people who working in that particular
organization such as employees. At the time of implementing changes, they need to ensure that
employees are satisfied with it or not. If they are not than they can leave the organization or it
generate shortage of staff which generate further problems as well. In the given case study,
employees have huge pressure of work and they blame for the loss of medical records. It creates
conflict among the team and most of people shift their job because of such issues which they
face. In context of medical record department, Royal George staff blaming employees who move
from community hospital. In addition, also blame that they are not correctly fill the records in the
new systems. Due to this reason, human resources are the factors which influence the changes. It
is essential to identify individual need and their potential to work. After that provide them
responsibility of any work and if needed than provide training as well.
Capital requirement: At the time of implementing any changes in the organization, it is
very important to have sufficient capital to effectively implement changes. In case of hospital,
they merge two community hospital with Royal George in order to safe cost but it will generate
more issues which can cause the productivity as well as profitability. Before making such
changes, organization should maintain adequate amount of capital because shortage of

employees affects the most which cause the long waiting list of surgeries and also generate
issues at the time of maintain records. Lack of financial resources generate the issues regarding
unskilled employees due to unavailability of training to enhance their performance.
Above mention factor influence the organization at the time of implementing changes
because it can cause various issues which generate many problems which already discussed in
the above report.

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