3016 - One Heartbeat: Unifying CVOR, Cath Lab, EP Lab, and Perianesthesia

Overview/Abstract: In the high-stakes environment of cardiac perioperative care, siloed departments and fragmented communication can compromise both team cohesion and patient outcomes. This presentation shares the journey of a cardiac surgical platform team that embraced culture change through the lens of fostering a unified, accountable, and high-performing interdisciplinary team. Guided by the mantra “One Heartbeat,” the initiative focused on dismantling interdepartmental silos, establishing shared team norms, and embedding a culture of psychological safety, transparency, and mutual respect. Using staff survey data, the team identified key gaps in belonging, communication, and recognition. In response, they implemented structured norms rooted in “above the line” behaviors, carefronting (not confronting), and joint accountability across all roles.

The result was a measurable shift in team dynamics: improved collaboration between Cath, EP, and CVOR teams; increased staff engagement; and a renewed sense of purpose aligned with the goal of becoming the premier cardiac center in the world. This session will provide practical strategies for nurse leaders to replicate this transformation—by modeling the change they wish to see, advocating for psychological safety, and aligning teams around a shared vision of excellence. Nurse leaders will learn how to foster a culture of accountability and alignment, ensuring that all team members are working towards common goals and improving patient outcomes. By embracing these strategies, healthcare teams can achieve higher levels of performance and create a more cohesive and effective working environment.

Additionally, the presentation will highlight the importance of continuous feedback and recognition in maintaining team morale and engagement. By regularly assessing team dynamics and addressing any emerging issues promptly, nurse leaders can sustain the positive changes and drive ongoing improvement. This holistic approach to culture change not only enhances team collaboration but also significantly impacts patient care and outcomes, making it a vital strategy for any healthcare organization aiming for excellence.