Today's organizations are increasingly relying on teams, rather than individuals, to complete tasks in the workplace. For some teams, these tasks require them to make high stakes decisions under stressful conditions. In military, medical, and emergency response fields, for example, workers are regularly asked to make decisions under high time pressure, uncertainty, and risk. The purpose of this study is to summarize previous team decision-making perspectives and create a model for team decision-making under stress. A literature review was conducted to examine the current state of team decision-making research. Several existing models of the team decision-making process were identified, representing multiple decision-making perspectives. Using this information, four primary characteristics of the team decision making process were identified. Team decision making appears to be multi-level, multi-phasic, dynamic, and cyclical process. An additional search examined the effects of stress on performance. Using this information and the characteristics outlined from the team decision making literature, a model was designed to describe the effects of stress on team decision making. This model offers several propositions regarding the effects of stress on specific cognitive and team processes and their relationship team decision making This study provides the theoretical basis for an empirical investigation of the relationship between stress and team decision making. This line of research has the potential to lead to practical solutions that may improve outcomes for workers in high stress occupations.