Medical Team Training: Applying Crew Resource Management in the Veterans Health Administration

Author(s):  
Edward J. Dunn ◽  
Peter D. Mills ◽  
Julia Neily ◽  
Michael D. Crittenden ◽  
Amy L. Carmack ◽  
...  
2011 ◽  
Vol 26 (6) ◽  
pp. 480-484 ◽  
Author(s):  
Brian T. Carney ◽  
Priscilla West ◽  
Julia B. Neily ◽  
Peter D. Mills ◽  
James P. Bagian

There are differences between nurse and physician perceptions of teamwork. The purpose of this study was to determine whether these differences would be reduced with medical team training (MTT). The Safety Attitudes Questionnaire was administered to nurses and physicians working in the operating rooms of 101 consecutive hospitals before and at the completion of an MTT program. Responses to the 6 teamwork climate items on the Safety Attitudes Questionnaire were analyzed using nonparametric testing. At baseline, physicians had more favorable perceptions on teamwork climate items than nurses. Physicians demonstrated improvement on all 6 teamwork climate items. Nurses demonstrated improvement in perceptions on all teamwork climate items except “Nurse input is well received.” Physicians still had a more favorable perception than nurses on all 6 teamwork climate items at follow-up. Despite an improvement in perceptions by physicians and nurses, baseline nurse–physician differences persisted at completion of the Veterans Health Administration MTT Program.


2017 ◽  
Vol 38 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Miriam E. Schwartz ◽  
Deborah E. Welsh ◽  
Douglas E. Paull ◽  
Regina S. Knowles ◽  
Lori D. DeLeeuw ◽  
...  

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 376-383 ◽  
Author(s):  
Brooke A. Levandowski ◽  
Constance M. Cass ◽  
Stephanie N. Miller ◽  
Janet E. Kemp ◽  
Kenneth R. Conner

Abstract. Background: The Veterans Health Administration (VHA) health-care system utilizes a multilevel suicide prevention intervention that features the use of standardized safety plans with veterans considered to be at high risk for suicide. Aims: Little is known about clinician perceptions on the value of safety planning with veterans at high risk for suicide. Method: Audio-recorded interviews with 29 VHA behavioral health treatment providers in a southeastern city were transcribed and analyzed using qualitative methodology. Results: Clinical providers consider safety planning feasible, acceptable, and valuable to veterans at high risk for suicide owing to the collaborative and interactive nature of the intervention. Providers identified the types of veterans who easily engaged in safety planning and those who may experience more difficulty with the process. Conclusion: Additional research with VHA providers in other locations and with veteran consumers is needed.


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