The trauma area at my hospital is similar to thousands of others. When a patient with a gunshot wound or a motor vehicle accident arrives, a bed is prepped, the right supplies are on hand, and up to 20 nurses, respiratory therapists and physicians are ready to spring into action.

1. There is one difference: 

2. The leader of our trauma team now wears an orange vest.

The easy-to-spot garment, called the trauma team leader identification vest, clearly identifies who’s in charge. It’s a simple yet effective innovation created by a nurse after a hectic gunshot trauma simulation, in which a huddle of highly stressed emergency room staff members spoke over one another and there were no clear roles. In particular, no one knew who was leading the trauma code. The orange vest became routine part of emergency care at our hospital earlier this year, and the trauma team reports it has helped clarify who’s in charge and strengthened communication among members.

The innovation also illustrates why hospitals should support novel ideas by all members of the health care team. Health providers are good problem solvers, and because they work in the hospital and other health care settings are uniquely positioned to come up with fresh solutions to health care problems.