Improving Patient Safety Through Team Training

2018 ◽  
pp. 169-176
Author(s):  
Christian M. Pettker ◽  
Edmund F. Funai
Keyword(s):  
Patient Safety ◽  
Team Training

scholarly journals A Human Factors Intervention in a Hospital - Evaluating the Outcome of a TeamSTEPPS Program in a Surgical Ward

2020 ◽  
Author(s):  
Oddveig Reiersdal Aaberg ◽  
Marie Louise Hall-Lord ◽  
Sissel Iren Eikeland Husebø ◽  
Randi Ballangrud
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Patient Safety Culture ◽  
Organizational Outcomes ◽  
Team Training ◽  
Training Intervention ◽  
Surgical Ward ◽  
Professional Outcomes

Abstract Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study.Methods: This study had a pre-post design with measurements at baseline and after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data.Results: After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention.Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.Trial registration number: ISRCTN13997367 (retrospectively registered)

Clinical Team Training and a Structured Handoff Tool to Improve Teamwork, Communication, and Patient Safety

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Brett Neville ◽  
Rebecca S. Miltner ◽  
Maria R. Shirey
Keyword(s):  
Patient Safety ◽  
Team Training ◽  
Clinical Team

A Team Training Program Using Human Factors to Enhance Patient Safety

AORN Journal ◽  
2007 ◽  
Vol 86 (6) ◽  
pp. 994-1011 ◽  
Author(s):  
David A. Marshall ◽  
Danae A. Manus
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Training Program ◽  
Team Training ◽  
Enhance Patient Safety

scholarly journals A Human Factors Intervention in a Hospital - Evaluating the Outcome of a TeamSTEPPS Program in a Surgical Ward

2021 ◽  
Author(s):  
Oddveig Reiersdal Aaberg ◽  
Marie Louise Hall-Lord ◽  
Sissel Iren Eikeland Husebø ◽  
Randi Ballangrud
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Patient Safety Culture ◽  
Organizational Outcomes ◽  
Team Training ◽  
Training Intervention ◽  
Surgical Ward ◽  
Professional Outcomes

Abstract Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study. Methods: This study had a pre-post design with measurements at baseline and after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data. Results: After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention.Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.

Evaluation of simparteam – a needs-orientated team training format for obstetrics and neonatology

2017 ◽  
Vol 45 (3) ◽  
Author(s):  
Alexandra Zech ◽  
Benedict Gross ◽  
Céline Jasper-Birzele ◽  
Katharina Jeschke ◽  
Thomas Kieber ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Professional Training ◽  
Skill Training ◽  
Technical Skills ◽  
Management Training ◽  
Patient Safety Culture ◽  
Team Training ◽  
Contributing Factors ◽  
Professional Groups

AbstractIntroduction:A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture.Methods:Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires. These were administered at four points in time to staff from participating obstetric units: (1) 10 days ahead of the training (n=308), (2) on training day before (n=239), (3) right after training (n=248), and (4) 6 months after (n=188) the intervention. Questionnaires included several questions for technical and non-technical skills and the Hospital Survey on Patient Safety (HSOPS).Results:Strong effects were found in the participants’ perception of their own competence regarding technical skills and handling of emergencies. Small effects could be observed in the scales of the HSOPS questionnaire. Most effects differed depending on professional groups and hospitals.Conclusions:Integrated technical and team management training can raise employees’ confidence with complex emergency management skills and processes. Some indications for improvements on the patient safety culture level were detected. Furthermore, differences between professional groups and hospitals were found, indicating the need for more research on contributing factors for patient safety and for the success of crew resource management (CRM) trainings.

Enhancing interprofessional education through patient safety and quality improvement team-training: A pre-post evaluation

2019 ◽  
Vol 79 ◽  
pp. 105-110
Author(s):  
Beth Quatrara ◽  
Valentina Brashers ◽  
Marianne Baernholdt ◽  
Wendy Novicoff ◽  
Katherine Schlag ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Interprofessional Education ◽  
Team Training ◽  
Quality Improvement Team ◽  
Post Evaluation ◽  
Improvement Team

scholarly journals A Complex Teamwork Intervention in a Surgical Ward in Norway

2019 ◽  
Author(s):  
Oddveig Reiersdal Aaberg ◽  
Marie Louise Hall-Lord ◽  
Sissel Iren Eikeland Husebø ◽  
Randi Ballangrud
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Team Training ◽  
Trial Registration ◽  
Health Care Personnel ◽  
Second Phase ◽  
Interprofessional Team ◽  
Surgical Ward ◽  
Study Results ◽  
The Impact

Abstract Objectives: Interprofessional team training has a positive impact on team behavior and patient safety culture. The objective of the study was to explore the impact of an interprofessional teamwork intervention in a surgical ward on structure, process and outcome. In this paper, the implementation of the teamwork intervention is reported to expand the understanding of the future evaluation results of this study. Results: The evidence-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program in the ward was implemented in three phases according to the program’s implementation plan, which are built on Kotter’s organizational change model. In the first phase, a project group with the leaders and researchers was established and information about the project was given to all health care personnel in the ward. The second phase comprised six hours interprofessional team training for all frontline health care personnel followed by 12 months implementation of TeamSTEPPS tools and strategies. In the third phase, the implementation of the tools and strategies continued, and refresher training was conducted. Trial registration: Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date May 30, 2017. Keywords: Implementation, Inter-professional, Intervention, Patient safety, Surgical ward, Team training, TeamSTEPPS

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