Literature DB >> 18830769

A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience.

Niraj L Sehgal1, Michael Fox, Arpana R Vidyarthi, Bradley A Sharpe, Susan Gearhart, Thomas Bookwalter, Jack Barker, Brian K Alldredge, Mary A Blegen, Robert M Wachter.   

Abstract

INTRODUCTION: Communication and teamwork failures are a common cause of adverse events. Residency programs, with a mandate to teach systems-based practice, are particularly challenged to address these important skills. AIM: To develop a multidisciplinary teamwork training program focused on teaching teamwork behaviors and communication skills.
SETTING: Internal medicine residents, hospitalists, nurses, pharmacists, and all other staff on a designated inpatient medical unit at an academic medical center. PROGRAM DESCRIPTION: We developed a 4-h teamwork training program as part of the Triad for Optimal Patient Safety (TOPS) project. Teaching strategies combined didactic presentation, facilitated discussion using a safety trigger video, and small-group scenario-based exercises to practice effective communication skills and team behaviors. Development, planning, implementation, delivery, and evaluation of TOPS Training was conducted by a multidisciplinary team. PROGRAM EVALUATION: We received 203 evaluations with a mean overall rating for the training of 4.49 +/- 0.79 on a 1-5 scale. Participants rated the multidisciplinary educational setting highly at 4.59 +/- 0.68. DISCUSSION: We developed a multidisciplinary teamwork training program that was highly rated by all participating disciplines. The key was creating a shared forum to learn about and discuss interdisciplinary communication and teamwork.

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Mesh:

Year:  2008        PMID: 18830769      PMCID: PMC2596515          DOI: 10.1007/s11606-008-0793-8

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  31 in total

1.  Bridging the communication gap in the operating room with medical team training.

Authors:  Samir S Awad; Shawn P Fagan; Charles Bellows; Daniel Albo; Beverly Green-Rashad; Marlen De la Garza; David H Berger
Journal:  Am J Surg       Date:  2005-11       Impact factor: 2.565

2.  Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

Authors:  Peter E Nielsen; Marlene B Goldman; Susan Mann; David E Shapiro; Ronald G Marcus; Stephen D Pratt; Penny Greenberg; Patricia McNamee; Mary Salisbury; David J Birnbach; Paul A Gluck; Mark D Pearlman; Heidi King; David N Tornberg; Benjamin P Sachs
Journal:  Obstet Gynecol       Date:  2007-01       Impact factor: 7.661

3.  Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.

Authors:  V Arora; J Johnson; D Lovinger; H J Humphrey; D O Meltzer
Journal:  Qual Saf Health Care       Date:  2005-12

4.  Teamwork and quality during neonatal care in the delivery room.

Authors:  E J Thomas; J B Sexton; R E Lasky; R L Helmreich; D S Crandell; J Tyson
Journal:  J Perinatol       Date:  2006-03       Impact factor: 2.521

5.  TeamSTEPPS: assuring optimal teamwork in clinical settings.

Authors:  Carolyn M Clancy; David N Tornberg
Journal:  Am J Med Qual       Date:  2007 May-Jun       Impact factor: 1.852

6.  Enhancing patient safety: improving the patient handoff process through appreciative inquiry.

Authors:  Nancy Shendell-Falik; Michael Feinson; Bernard J Mohr
Journal:  J Nurs Adm       Date:  2007-02       Impact factor: 1.737

Review 7.  Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.

Authors:  Arpana R Vidyarthi; Vineet Arora; Jeffrey L Schnipper; Susan D Wall; Robert M Wachter
Journal:  J Hosp Med       Date:  2006-07       Impact factor: 2.960

8.  Patterns of communication breakdowns resulting in injury to surgical patients.

Authors:  Caprice C Greenberg; Scott E Regenbogen; David M Studdert; Stuart R Lipsitz; Selwyn O Rogers; Michael J Zinner; Atul A Gawande
Journal:  J Am Coll Surg       Date:  2007-04       Impact factor: 6.113

9.  SBAR: a shared mental model for improving communication between clinicians.

Authors:  Kathleen M Haig; Staci Sutton; John Whittington
Journal:  Jt Comm J Qual Patient Saf       Date:  2006-03

10.  Medical team training: applying crew resource management in the Veterans Health Administration.

Authors:  Edward J Dunn; Peter D Mills; Julia Neily; Michael D Crittenden; Amy L Carmack; James P Bagian
Journal:  Jt Comm J Qual Patient Saf       Date:  2007-06
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  17 in total

1.  Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study.

Authors:  Martin Stocker; Meredith Allen; Natasha Pool; Kumi De Costa; Julie Combes; Neil West; Margarita Burmester
Journal:  Intensive Care Med       Date:  2011-10-01       Impact factor: 17.440

2.  2009 Rho Chi Lecture: interdisciplinary health professions education: a systems approach to bridging the gaps.

Authors:  Henri R Manasse
Journal:  Am J Pharm Educ       Date:  2009-08-28       Impact factor: 2.047

Review 3.  Patient safety instruction in US health professions education.

Authors:  Mary E Kiersma; Kimberly S Plake; Patricia L Darbishire
Journal:  Am J Pharm Educ       Date:  2011-10-10       Impact factor: 2.047

4.  Impact of localizing physicians to hospital units on nurse-physician communication and agreement on the plan of care.

Authors:  Kevin J O'Leary; Diane B Wayne; Matthew P Landler; Nita Kulkarni; Corinne Haviley; Katherine J Hahn; Jiyeon Jeon; Katherine M Englert; Mark V Williams
Journal:  J Gen Intern Med       Date:  2009-09-19       Impact factor: 5.128

5.  Implementing a pilot leadership course for internal medicine residents: design considerations, participant impressions, and lessons learned.

Authors:  Daniel M Blumenthal; Ken Bernard; Traci N Fraser; Jordan Bohnen; Jessica Zeidman; Valerie E Stone
Journal:  BMC Med Educ       Date:  2014-11-30       Impact factor: 2.463

6.  The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment.

Authors:  Jeffrey Braithwaite; Robyn Clay-Williams; Elia Vecellio; Danielle Marks; Tamara Hooper; Mary Westbrook; Johanna Westbrook; Brette Blakely; Kristiana Ludlow
Journal:  BMJ Open       Date:  2016-07-29       Impact factor: 2.692

7.  A simulation-based curriculum to introduce key teamwork principles to entering medical students.

Authors:  Arna Banerjee; Jason M Slagle; Nathaniel D Mercaldo; Ray Booker; Anne Miller; Daniel J France; Lisa Rawn; Matthew B Weinger
Journal:  BMC Med Educ       Date:  2016-11-16       Impact factor: 2.463

Review 8.  Where do we go from here? Moving from systems-based practice process measures to true competency via developmental milestones.

Authors:  Johanna Martinez; Erica Phillips; Christina Harris
Journal:  Med Educ Online       Date:  2014-06-27

9.  A student-centered approach for developing active learning: the construction of physical models as a teaching tool in medical physiology.

Authors:  Flávio Moura Rezende-Filho; Lucas José Sá da Fonseca; Valéria Nunes-Souza; Glaucevane da Silva Guedes; Luiza Antas Rabelo
Journal:  BMC Med Educ       Date:  2014-09-15       Impact factor: 2.463

10.  Educating future leaders in patient safety.

Authors:  Agnès Leotsakos; Antonella Ardolino; Ronny Cheung; Hao Zheng; Bruce Barraclough; Merrilyn Walton
Journal:  J Multidiscip Healthc       Date:  2014-09-19
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