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 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 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)

scholarly journals Longitudinal team training program in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with implementation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Randi Ballangrud ◽  
Karina Aase ◽  
Anne Vifladt
Keyword(s):  
Patient Safety ◽  
Clinical Practice ◽  
Training Program ◽  
Healthcare Professionals ◽  
Patient Safety Culture ◽  
Team Training ◽  
Trial Registration ◽  
Open Communication ◽  
Convenience Sample ◽  
Surgical Ward

Abstract Background Team training interventions to improve team effectiveness within healthcare are widely used. However, in-depth knowledge of how healthcare professionals experience such team training curricula and their implementation processes, as well as how contextual factors impact implementation, is currently missing. The aim of this study is therefore to describe healthcare professionals’ experiences with the implementation of a longitudinal interprofessional team training program in a surgical ward. Methods A descriptive design was applied based on qualitative semi-structured focus group interviews with 11 healthcare professionals. A convenience sample of physicians (n = 4), registered nurses (n = 4), and certified nursing assistants (n = 3) was divided into three professionally based focus groups, which were interviewed at three time intervals over a period of 1 year. Intervention The validated and evidence-based team training program Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) was implemented in a surgical ward at a hospital between January 2016 and June 2017. The team training program included three phases: 1) assessment and planning, 2) training and implementation, and 3) sustainment. Results Healthcare professionals’ experiences with the content of the team training program varied from valuing the different elements of it to seeing the challenges in implementing the elements in clinical practice. A one-day training course was found to be especially beneficial for interprofessional collaboration at the ward. Over time, the nursing staff seemed to maintain their motivation for the implementation of the tools and strategies, while the physicians became less actively involved. Contextual ward factors influenced the adoption and utilization of the tools and strategies of the program both positively and negatively. The healthcare professionals’ experienced the implementation of the team training program as positive for the patient safety culture at the ward in the forms of increased awareness of teamwork and open communication. Conclusions The study suggests that the implementation of a team training program in a surgical ward is dependent on a set of factors related to content, process, context, and impact. Knowledge on how and why a team training program work supports the transferability to clinical practice in further planning of team training measures. Trial registration The study is part of a larger research project with a study protocol that was registered retrospectively on 05.30.17, with the trial registration number ISRCTN13997367.

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

Patient Safety Culture in Emergency Departments of Yemeni Public Hospitals: A Survey Study

2021 ◽  
Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Emergency Departments ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Survey Study ◽  
The Past ◽  
Important Challenge ◽  
University Degree

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.

scholarly journals Job Demands, Burnout, and Teamwork in Healthcare Professionals Working in a General Hospital that Was Analysed At Two Points in Time

2018 ◽  
Vol 6 (4) ◽  
pp. 723-729 ◽  
Author(s):  
Dragan Mijakoski ◽  
Jovanka Karadzinska-Bislimovska ◽  
Sasho Stoleski ◽  
Jordan Minov ◽  
Aneta Atanasovska ◽  
...  
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Time Lag ◽  
Job Demands ◽  
Maslach Burnout Inventory ◽  
Patient Safety Culture ◽  
Mean Values

AIM: The purpose of the paper was to assess job demands, burnout, and teamwork in healthcare professionals (HPs) working in a general hospital that was analysed at two points in time with a time lag of three years.METHODS: Time 1 respondents (N = 325) were HPs who participated during the first wave of data collection (2011). Time 2 respondents (N = 197) were HPs from the same hospital who responded at Time 2 (2014). Job demands, burnout, and teamwork were measured with Hospital Experience Scale, Maslach Burnout Inventory, and Hospital Survey on Patient Safety Culture, respectively.RESULTS: Significantly higher scores of emotional exhaustion (21.03 vs. 15.37, t = 5.1, p < 0.001), depersonalization (4.48 vs. 2.75, t = 3.8, p < 0.001), as well as organizational (2.51 vs. 2.34, t = 2.38, p = 0.017), emotional (2.46 vs. 2.25, t = 3.68, p < 0.001), and cognitive (2.82 vs. 2.64, t = 2.68, p = 0.008) job demands were found at Time 2. Teamwork levels were similar at both points in time (Time 1 = 3.84 vs. Time 2 = 3.84, t = 0.043, p = 0.97).CONCLUSION: Actual longitudinal study revealed significantly higher mean values of emotional exhaustion and depersonalization in 2014 that could be explained by significantly increased job demands between analysed points in time.

Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events

2010 ◽  
Vol 6 (4) ◽  
pp. 226-232 ◽  
Author(s):  
Russell E. Mardon ◽  
Kabir Khanna ◽  
Joann Sorra ◽  
Naomi Dyer ◽  
Theresa Famolaro
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Patient

scholarly journals RELATIONSHIP BETWEEN ADVERSE EVENTS PREVALENCE, PATIENT SAFETY CULTURE AND PATIENT SAFETY PERCEPTION IN A SINGLE SAMPLE OF PATIENTS: A CROSS-SECTIONAL STUDY

2021 ◽  
Author(s):  
Monica Susana Chirinos ◽  
Carola Orrego ◽  
Cesar Montoya ◽  
Rosa Sunol
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Medical Records ◽  
Patient Safety Culture ◽  
Single Sample ◽  
Inverse Association ◽  
Cross Sectional ◽  
Safety Perception ◽  
The Relationship

Background: Fostering the understanding of the relationship between the prevalence of adverse events (AEP), the patient safety culture of healthcare professionals (PSC) and patient safety perception (PSP) could be an important step to operationalizing patient safety through an integration of different perspectives. Objective: To assess the relationship between AE Prevalence, Patient Safety Culture and Patient Safety Perception. Method: Cross-sectional, ex post facto comparative study on a single sample of patients. The prevalence and severity of adverse events were measured through a review of medical records (using the Modular Review Form (MRF2). Healthcare professional patient safety culture was determined using the Hospital Survey on Patient Safety Culture (HSOPSC) and patient perception of safety through the Hospital Care Safety Perceptions Questionnaire (HCSPQ). Correlation tests were used to compare the three dimensions. Population: 556 medical records and patients were studied for the prevalence and patient safety perception study, and 397 of the healthcare providers involved in the care of these patients were surveyed for the patient safety culture study, at 2 public and 2 private hospitals. Results: An inverse association was observed between AE prevalence and its severity and Patient Safety Culture Index (rho=-0.8) and Patient Safety Perception Index (rho=-0.6). No association was identified between Patient Safety Culture and Patient Safety Perception (rho=0.0001). No statistical differences were identified by hospital type. Conclusions: The joint analysis of AEP, PSC and PSP, in the same sample, offers an interesting and useful perspective on the associations between the variables studied; no correlation pattern was observed between the variables.

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