Interprofessional teamwork and team interventions in chronic care: A systematic review.

To identify key features of teamwork and interventions for enhancing interprofessional teamwork (IPT) in chronic care and to develop a framework for further research, we conducted a systematic literature review of IPT in chronic care for the years 2002-2014. Database searches yielded 3217 abstracts, 21 of which fulfilled inclusion criteria. We identified two more studies on the topic by scanning the reference lists of included articles, which resulted in a final total of 23 included studies. The key features identified in the articles (e.g., team member characteristics, common task, communication, cooperation, coordination, responsibility, participation, staff satisfaction, patient satisfaction, and efficiency) were structured in line with the input-process-output model, and evaluated interventions, such as tools, workshops, and changes in team structure, were added to the model. The most frequently evaluated team interventions were complex intervention programs. All but one of the 14 evaluation studies resulted in enhancement of teamwork and/or staff-related, patient-related, and organization-related outcome criteria. To date, there is no consensus about the main features of IPT and the most effective team interventions in chronic care. However, the findings may be used to standardize the implementation and evaluation of IPT and team interventions in practice and for further research.

Flagrant Misconduct of Reviewers and Editor: A Case Study.

A case of a particularly severe misbehavior in a review process is described. Two reviewers simply copied and pasted their critical comments from their previous reviews without reading the reviewed manuscript. The editor readily accepted the reviewers' opinion and rejected the manuscript. These facts give rise to some general questions about possible factors affecting the ethical behavior of reviewers and editors, as well as possible countermeasures to prevent ethical violations.