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Implications for Practice. Communication between team members and managing a crisis are critical aspects of an effective response team. Team training is needed to enhance the performance of teams that work together infrequently and experience time pressure to perform.

High team performance is facilitated when nurses and other staff members are expected to and comfortable with providing both positive and constructive feedback to team members. Positive feedback is essential for reinforcing safe behavior. Clinicians perform many safe actions every day and should be recognized for that. Constructive feedback is needed to discourage and change unsafe behaviors. People tend to avoid constructive feedback because they are uncomfortable providing it. However, a simple reminder is often all that is needed to correct behavior. Constructive feedback should always be met with a thank you, and a change in behavior.