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Landmark lecture on cardiology: the quest for the ultimate team in health care – what we can learn from musicians about leadership, innovation, and teambuilding?*

Published online by Cambridge University Press:  29 December 2017

Daniel J. Penny*
Affiliation:
Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, United States of America
*
Correspondence to: Dr D. J. Penny, Texas Children’s Hospital, WT 19th Floor, 6621 Fannin Street, Houston, TX 77571, United States of America. Tel: +1 832 826 1997; E-mail: djpenny@texaschildrens.org

Abstract

The importance of teamwork is being increasingly recognised in healthcare. Nonetheless, it is equally recognised that teamwork is difficult. In this article, I explore whether we can learn lessons from musicians, orchestras, and conductors as we build our teams. The evolution of the role of the conductor provides useful lessons on leadership and the evolving role of the members of the orchestra on how team members can contribute to a shared outcome. The uncertainty of jazz provides useful lessons for innovation in an increasingly turbulent healthcare environment.

Type
Original Articles
Copyright
© Cambridge University Press 2017 

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Footnotes

*

Presented at the 2017 Seventh World Congress of Pediatric Cardiology & Cardiac Surgery (WCPCCS 2017), Barcelona, Spain, July 16–21, 2017. Presented Friday, July 21, 2017.

References

1. Drucker, PF. The coming of the new organization. Harvard Bus Rev 1988; 66: 4553.Google Scholar
2. Katkin, JP, Kressly, SJ, Edwards, AR, et al. Task force of pediatric practice change. guiding principles for team-based pediatric care. Pediatrics 2017, pii:e20171489.Google Scholar
3. Neily, J, Mills, PD, Young-Xu, Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010; 304: 16931700.Google Scholar
4. Armour Forse, R, Bramble, JD, McQuillan, R. Team training can improve operating room performance. Surgery 2011; 150: 771778.Google Scholar
5. Wolf, FA, Way, LW, Stewart, L. The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. Ann Surg 2010; 252: 477483.CrossRefGoogle ScholarPubMed
6. Lencioni, P. The Five Dysfunctions of a Team. Jossey-Bass, San Francisco, CA, 2002.Google Scholar
7. Katzenbach, JR, Smith, DK. The discipline of teams. Harvard Bus Rev 2005; 83: 162171.Google Scholar
8. Salas, E, Rosen, MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf 2013; 22: 369373.Google Scholar
9. Hazlewood, C. Trusting the ensemble. TED Talk. Retrieved September 2017, from https://www.ted.com/talks/charles_hazlewood Google Scholar
10. LaBarre, P. Ben Zander – Leadership. Retrieved September 2017, from https://www.fastcompany.com/35825/leadership-ben-zander Google Scholar
11. Zander, B. On the transformative power of classical music. TED Talk. Retrieved September 2017, from https://www.ted.com/talks/benjamin_zander_on_music_and_passion Google Scholar
12. Smaczny, P. Claudio Abbado, Hearing the silence. Retrieved September 2017, from https://www.youtube.com/watch?v=01vq5VhEQQA Google Scholar
13. Collins, J. Level 5 leadership: The Triumph of humility and fierce resolve. Harvard Bus Rev 2005; 83: 136146.Google Scholar
14 Leonard Bernstein with The Vienna Symphonic Orchestra. Haydn’s Symphony no.88, 4th movement. Retrieved September 2017, from https://www.youtube.com/watch?v=xIv6ZkiJHcM Google Scholar
15. Drucker, PF. The Essential Drucker: The Best of Sixty Years of Peter Drucker’s Essential Writings on Management. Harper Business, New York, 2008.Google Scholar
16. Lencioni, P. The Advantage. Jossey-Bass, San Francisco, CA, 2012.Google Scholar
17. Seifter, H, Economy, P. Leadership Ensemble. Henry Holt and Company, New York, 2001.Google Scholar
18. Edmondson, A. Psychological safety and learning behavior in work teams. Admin Sci Quart 1999; 44: 350383.CrossRefGoogle Scholar
19. Nembhard, IM, Edmondson, AC. Making it safe: the effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams. J Org Behav 2006; 27: 941966.CrossRefGoogle Scholar
20. Schwartz, P, Kelly, K. Peter Drucker – The Relentless Contrarian. Retrieved September 2017, from http://wired.com Google Scholar
21. Harris, S. There are no mistakes on the bandstand. TED Talk. Retrieved September 2017, from https://www.ted.com/ta;ls/stefon_harris.Google Scholar
22. Bastien, DT, Hostager, TJ. Jazz as a process of organizational innovation. Commun Res 1988; 15: 582602.CrossRefGoogle Scholar
23. Cho, A. The Jazz Process: Collaboration, Innovation and Agility. Addison-Wesley Professional, Boston, 2010.Google Scholar
24. Wheeler, M. The art of negotiation: how to improvise agreement in a chaotic world.Google Scholar
25. Collins, J. Good to Great. HarperCollins , New York, 2001.Google Scholar
26. Barrett, FJ. Creativity and improvisation in jazz and organizations: implications for organizational learning. Org Sci 1988; 9: 605622.CrossRefGoogle Scholar
27. Goleman, D. Social Intelligence. The Revolutionary New Science of Human Relationships. Bantam Press, New York, 2007.Google Scholar
28. Gladwell, M. The Tipping Point: How Little Things Can Make a Big Difference. Abacus, London, UK, 2000.Google Scholar
29. Long, S, Penny, D, Gold, S, Harding, W. A shared vision: using action research for work culture change in a cardiology department. In: Braithwaite J, Hyde P, Pope C, (eds.). Culture and Climate in Health Care Organizations. Palgrave Macmillan, Basingstoke, UK, 2009.Google Scholar
30. Harrison, O. Open Space Technology: A User’s Guide, 3rd edn. Berrett-Koehler, San Francisco, 2008.Google Scholar