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 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)

scholarly journals Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 23 ◽  
Author(s):  
Diana Layne ◽  
Lynne Nemeth ◽  
Martina Mueller ◽  
Mary Martin
Keyword(s):  
Patient Safety ◽  
Employee Engagement ◽  
Patient Outcomes ◽  
Safety Culture ◽  
Healthcare Workers ◽  
Patient Safety Culture ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Negative Behaviors ◽  
Fear Of Retaliation

Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism, and employee engagement. Our objective was to examine the presence of negative behaviors within a healthcare system and the influence of negative behaviors among healthcare workers on perceptions of patient safety culture. Using a cross-sectional design, the negative behaviors in healthcare survey (NBHC) and selected composites of the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS) were combined within an electronic survey which was administered to physicians, clinical and managerial staff. Exposure to contributing factors of negative behaviors was moderately correlated with elements of HSOPS, including perceptions of teamwork within units, management response to error, and overall patient safety grade. Use of aggression and fear of retaliation were moderately correlated with HSOPS management response to error. Reducing healthcare worker exposure to contributing factors of negative behavior may result in increased perceptions of teamwork within a hospital unit, while addressing use of staff aggression and fear of retaliation potentially positively influences management response to error.

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.

scholarly journals Contributive factors for the consolidation of patient safety culture in the hospital environment

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Andréia Heidmann ◽  
Letícia Flores Trindade ◽  
Catiele Raquel Schmidt ◽  
Marli Maria Loro ◽  
Rosane Teresinha Fontana ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Cultural Change ◽  
Patient Safety Culture ◽  
Hospital Environment ◽  
Management Support ◽  
Contributing Factors ◽  
Level Ii ◽  
Hospital Institution ◽  
Northwest Region

ABSTRACT Objective: To understand the contributing factors for the consolidation of the patient safety culture, from a management perspective, in an accredited hospital. Method: A qualitative study developed in a hospital institution of size IV, accredited by the National Accreditation Organization as level II, located in the northwest region of the State of Rio Grande do Sul/Brazil. The inclusion criteria were the following: having been in the leadership position of the institution for over a year and actively participating in the accreditation process. Leaders on vacation or absent due to illness in August 2018 were excluded. The collection was performed using the Focus Group technique in August 2018. Data were explored by thematic analysis. Results: The group reported teamwork, professional appreciation, management support, implementation of protocols, professional satisfaction, and working conditions as factors that contributed to the consolidation of the safety culture. Conclusions and implications for practice: The identified factors allowed for a cultural change in the institution through participatory management in processes and results that encourage workers to assume significant roles in advancing patient safety by assimilating and taking responsibility for change, which plays a crucial role in developing safe care.

scholarly journals Health professionals’ perception of patient safety culture in acute hospitals: an integrative review

2018 ◽  
Vol 42 (4) ◽  
pp. 387 ◽  
Author(s):  
Julie Willmott ◽  
Jon Mould
Keyword(s):  
Patient Safety ◽  
Health Professional ◽  
Safety Culture ◽  
Health Professionals ◽  
Patient Safety Culture ◽  
Shared Vision ◽  
Integrative Review ◽  
Hospital Patient ◽  
Professional Groups ◽  
Acute Hospitals

Objective Globally, the degree of patient harm occurring in healthcare was first publicised in the 1990s. Although many factors affect patient safety, in the US the Institute of Medicine identified hospital organisational culture as one factor contributing to a reduction in errors. This led to the development of many tools for measuring the safety culture of hospital staff. The aim of the present study was to review the literature on patient safety culture in acute hospitals to identify: (1) how patient safety is viewed by health professionals; (2) whether patient safety culture is perceived differently at the hospital versus ward level; and (3) whether clinicians and managers place the same importance on patient safety. Methods Following a search of electronic databases using OneSearch and a manual search of grey literature, an integrative review method identified 11 articles as being suitable to meet the review’s aims. The search terms of patient safety culture, patient safety and safety climate were used. To ensure relevancy to current practice, the search was restricted to the period 2010–15. Results Hospital patient safety culture is not a shared vision, because health professional groups have different views. In the present study, 67% of articles examined found doctors to have a poorer perception of the patient safety culture than nurses and allied health professionals. All health professional groups reported a more positive view of their ward safety culture than that of the hospital safety culture. Furthermore, managers of the health professionals reported more positively on patient safety culture than bedside clinicians. Conclusion This review provides an international understanding of health professionals’ views of patient safety. From an Australian context, the review highlights the need for further investigation, because there is a lack of recent Australian literature in the acute hospital setting relating to patient safety culture. What is known about the topic? Globally, many research papers have reported upon the correlation between a positive patient safety culture and a reduction in healthcare errors. What does this paper add? The present integrative review highlights that regardless of the country of origin, there are differences in the way that a hospital patient safety culture is perceived among different health professional groups, particularly between managers and bedside clinicians. What are the implications for practitioners? Individual health professional groups, and managers and clinicians, have different views on the patient safety culture; therefore, training needs to involve everyone to create a shared vision for patient safety.

scholarly journals Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico

2021 ◽  
Vol 20 (3) ◽  
pp. 86-126
Author(s):  
Josemar Batista ◽  
Elaine Drehmer de Almeida Cruz ◽  
Francine Taporosky Alpendre ◽  
Danieli Parreira da Silva ◽  
Marilise Borges Brandão ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Educational Institution ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Medical Professionals ◽  
Surgical Patient ◽  
Cross Sectional ◽  
Consistency Test ◽  
Professional Groups

Objetivo: Investigar si la percepción de la cultura de la seguridad de los pacientes quirúrgicos difiere entre los profesionales de enfermería y medicina que trabajan en una institución educativa pública brasileña. Método: Survey, estudio transversal realizado en un hospital en el sur de Brasil. El cuestionario Hospital Survey on Patient Safety Culture fue aplicado a 158 profesionales entre mayo y septiembre de 2017. Las 12 dimensiones se analizaron mediante estadísticas descriptivas e inferenciales y pruebas de coherencia interna. Las dimensiones con índices del 75% se consideraron reforzadas. Resultados: Hubo fragilidad en la cultura de seguridad, con un índice más bajo en la dimensión “Respuesta no punitiva al error”, con 23,9% y 13,9%, respectivamente, entre la enfermería y la medicina. Las puntuaciones más positivas fueron consideradas por la enfermería en ocho dimensiones, con diferencia (p<0.05) en relación con los profesionales médicos. Conclusión: La cultura de seguridad difiere entre las dos categorías profesionales, con respuestas más positivas por la enfermería; sin embargo, son necesarias acciones para fortalecer la seguridad de los pacientes quirúrgicos en ambos grupos profesionales. Objective: To investigate whether the perception of the surgical patient safety culture differs between nursing and medical professionals working in a Brazilian public educational institution. Method: Survey and cross-sectional study conducted in a hospital in southern Brazil. The Hospital Survey on Patient Safety Culture questionnaire was applied to 158 professionals between May and September 2017. The 12 dimensions were analyzed by descriptive, inferential statistics and internal consistency test. Dimensions with indexes ≥75% were considered strengthened. Results: There was fragility in the safety culture, with a lower index in the dimension “Nonpunitive response to error”, with 23.9% and 13.9%, respectively, between nursing and medicine. More positive scores were considered by nursing in eight dimensions, with difference (p<0.05) in relation to medical professionals. Conclusion: The safety culture differs between the two professional categories, with more positive responses by nursing; however, actions are necessary to strengthen the surgical patient safety in both professional groups Objetivo: Investigar se a percepção da cultura de segurança do paciente cirúrgico difere entre profissionais de enfermagem e medicina atuantes em instituição pública de ensino brasileira. Método: Survey e transversal conduzido em hospital da região sul do Brasil. Foi aplicado o questionário Hospital Survey on Patient Safety Culture a 158 profissionais entre maio e setembro de 2017. As 12 dimensões foram analisadas por estatística descritiva, inferencial e teste da consistência interna. Dimensões com índices ≥75% foram consideradas fortalecidas.Resultados: Evidenciou-se fragilidade na cultura de segurança, com menor índice na dimensão “Resposta não punitiva ao erro”, com 23,9% e 13,9%, respectivamente, entre enfermagem e medicina. Escores mais positivos foram considerados pela enfermagem em oito dimensões, com diferença (p<0,05) em relação aos profissionais médicos. Conclusão: A cultura de segurança difere entre as duas categorias profissionais, com respostas mais positivas pela enfermagem; porém demanda ações promotoras para fortalecer a segurança do paciente cirúrgico em ambos os grupos profissionais.

scholarly journals Does classroom-based Crew Resource Management training improve patient safety culture? A systematic review

2014 ◽  
Vol 2 ◽  
pp. 205031211452956 ◽  
Author(s):  
Inge Verbeek-van Noord ◽  
Martine C de Bruijne ◽  
Nicolien C Zwijnenberg ◽  
Elise P Jansma ◽  
Cathy van Dyck ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Resource Management ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Crew Resource Management ◽  
Management Training ◽  
Patient Safety Culture ◽  
Crew Resource Management Training ◽  
Improve Patient

Differences between professionals’ views on patient safety culture in long-term and acute care? A cross-sectional study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mari Liukka ◽  
Markku Hupli ◽  
Hannele Turunen
Keyword(s):  
Patient Safety ◽  
Acute Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Term Care ◽  
Content Type ◽  
Professional Groups

Purpose This paper aims to assess how patient safety culture and incident reporting differs across different professional groups and between long-term and acute care. The Hospital Survey On Patient Safety Culture (HSPOSC) questionnaire was used to assess patient safety culture. Data from the organizations’ incident reporting system was also used to determine the number of reported patient safety incidents. Design/methodology/approach Patient safety culture is part of the organizational culture and is associated for example to rate of pressure ulcers, hospital-acquired infections and falls. Managers in health-care organizations have the important and challenging responsibility of promoting patient safety culture. Managers generally think that patient safety culture is better than it is. Findings Based on statistical analysis, acute care professionals’ views were significantly positive in 8 out of 12 composites. Managers assessed patient safety culture at a higher level than other professional groups. There were statistically significant differences (p = 0.021) in frequency of events reported between professional groups and between long-term and acute care (p = 0.050). Staff felt they did not get enough feedback about reported incidents. Originality/value The study reveals differences in safety culture between acute care and long-term care settings, and between professionals and managers. The staff felt that they did not get enough feedback about reported incidents. In the future, education should take these factors into consideration.

scholarly journals A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

2021 ◽  
Vol 21 (1) ◽  
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 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 6 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).

scholarly journals A Human Factors Intervention in Hospital - Evaluating 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 ◽  
Mixed Model ◽  
Healthcare Professionals ◽  
Linear Mixed Model ◽  
Patient Safety Culture ◽  
Team Training ◽  
Training Intervention ◽  
Surgical Ward

Abstract Background Patient safety in hospitals is being jeopardized, as too many patients experience adverse events. Most of the 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 the study was to evaluate the outcome of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. The 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, after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and study site was selected based on the leaders’ willingness to participate in the project. Survey data from healthcare professionals, measured by the TeamSTEPPS Teamwork Perceptions Questionnaire, the Collaboration and Satisfaction about Care Decisions in Teams, and the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, were used to evaluate the intervention. 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, that was in three patient safety culture dimensions and three teamwork dimensions. The generalized linear mixed model estimates demonstrated that physicians had effect on two patient safety culture measures. Furthermore, results showed that teamwork was associated with the organizational outcome Patient Safety Grade.Conclusion These results demonstrate that the team training program had an effect after 12 months of implementation. Future studies are recommended to examine the causal effect of a team training intervention in this context, preferably with studies with larger sample sizes and stronger study designs.Trial registration number:ISRCTN13997367 (retrospectively registered)

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