Supporting a Psychiatric Hospital Culture of Safety

2012 ◽  
Vol 18 (5) ◽  
pp. 299-306 ◽  
Author(s):  
Jane S. Mahoney ◽  
Thomas E. Ellis ◽  
Gayle Garland ◽  
Nancy Palyo ◽  
Pamela K. Greene
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Psychiatric Hospital ◽  
Professional Training ◽  
Survey Design ◽  
Team Training ◽  
Improvement Project ◽  
Positive Direction ◽  
Safe Patient Care ◽  
Team Attributes

Background: Concerns for patient safety have risen to the forefront of health care, including mental health care. Safe patient care depends, to a large extent, on high functioning teams, yet team training is lacking in basic professional training programs. To address the need for team training, one psychiatric hospital adopted the Team Strategies and Tools to Enhance Performance and Patient Safety program (TeamSTEPPS). Objectives: To describe the implementation of TeamSTEPPS throughout the organization and to describe the differences in team attributes prior to and following implementation of TeamSTEPPS. Design: Quality improvement project using a pre–post survey design. Results: TeamSTEPPS was successfully implemented, and changes in all team attributes trended in a positive direction with 5 of 7 subscales reaching significance ( p ≤ .01). Conclusions: TeamSTEPPS provided a practical approach for our hospital to systematically weave safety throughout the culture and improve team functioning and other attributes of highly effective teams.

scholarly journals Competence in Patient Safety: A Multifaceted Experiential Educational Intervention for Resident Physicians

2011 ◽  
Vol 3 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Michael P Lukela ◽  
Vikas I Parekh ◽  
John W Gosbee ◽  
Joel A Purkiss ◽  
John Del Valle ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Faculty Attitudes ◽  
Learning Program ◽  
Improvement Project ◽  
Faculty Evaluations ◽  
Safe Patient Care ◽  
Safety Improvement ◽  
Care Processes ◽  
Comprehensive Survey

Abstract Background The need to provide efficient, effective, and safe patient care is of paramount importance. However, most physicians receive little or no formal training to prepare them to address patient safety challenges within their clinical practice. Methods We describe a comprehensive Patient Safety Learning Program (PSLP) for internal medicine and medicine-pediatrics residents. The curriculum is designed to teach residents key concepts of patient safety and provided opportunities to apply these concepts in the “real” world in an effort to positively transform patient care. Residents were assigned to faculty expert-led teams and worked longitudinally to identify and address patient safety conditions and problems. The PSLP was assessed by using multiple methods. Results Resident team-based projects resulted in changes in several patient care processes, with the potential to improve clinical outcomes. However, faculty evaluations of residents were lower for the Patient Safety Improvement Project rotation than for other rotations. Comments on “unsatisfactory” evaluations noted lack of teamwork, project participation, and/or responsiveness to faculty communication. Participation in the PSLP did not change resident or faculty attitudes toward patient safety, as measured by a comprehensive survey, although there was a slight increase in comfort with discussing medical errors. Conclusions Development of the PSLP was intended to create a supportive environment to enhance resident education and involve residents in patient safety initiatives, but it produced lower faculty evaluations of resident for communication and professionalism and did not have the intended positive effect on resident or faculty attitudes about patient safety. Further research is needed to design or refine interventions that will develop more proactive resident learners and shift the culture to a focus on patient safety.

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.

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

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

scholarly journals A complex teamwork intervention in a surgical ward in Norway

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Oddveig Reiersdal Aaberg ◽  
Marie Louise Hall-Lord ◽  
Sissel Iren Eikeland Husebø ◽  
Randi Ballangrud
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Positive Impact ◽  
Team Training ◽  
Trial Registration ◽  
Health Care Personnel ◽  
Second Phase ◽  
Interprofessional Team ◽  
Surgical Ward ◽  
The Impact

Abstract Objectives Interprofessional team training has a positive impact on team behavior and patient safety culture. The overall 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 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 6 h 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

scholarly journals Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME

2017 ◽  
Vol Volume 8 ◽  
pp. 365-367 ◽  
Author(s):  
Allison A Vanderbilt ◽  
Scott M Pappada ◽  
Howard Stein ◽  
David Harper ◽  
Thomas J Papadimos
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Team Training ◽  
Health Care Team ◽  
Care 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

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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