OBJECTIVES: To develop and implement a team-training curriculum. We hypothesized that better interactions between personnel would lead to improved patient safety, increased efficiency, and better staff satisfaction. DESIGN: Prospective assessment of a team-training program. SETTING: University-affiliated hospital. PARTICIPANTS: Operating room physicians, nurses, technicians, and other personnel. INTERVENTIONS: Four-hour classroom curriculum, intraoperative coaching on team-related behaviors, and follow-up feedback sessions. MAIN OUTCOME MEASURES: Baseline metrics and observational data were collected for 3 months before implementing the team-training program and 6 months after a designated implementation date. A questionnaire regarding perceptions of teamwork was completed at the beginning of and 6 weeks following the team-training classroom session. RESULTS: Six months after implementation of team training, compliance with preoperative briefings was 66%. No changes in hospital metrics were observed. An improved perception of teamwork among the participants was demonstrated in pretraining and posttraining surveys. Perceptions of teamwork and the utility of a preoperative briefing differed among nurses, surgeons, and anesthesiologists. CONCLUSIONS: Our team-training program resulted in moderate compliance with behaviors taught in the curriculum. Even with only moderate compliance, we demonstrated improved perceptions of teamwork.
OBJECTIVES: To develop and implement a team-training curriculum. We hypothesized that better interactions between personnel would lead to improved patient safety, increased efficiency, and better staff satisfaction. DESIGN: Prospective assessment of a team-training program. SETTING: University-affiliated hospital. PARTICIPANTS: Operating room physicians, nurses, technicians, and other personnel. INTERVENTIONS: Four-hour classroom curriculum, intraoperative coaching on team-related behaviors, and follow-up feedback sessions. MAIN OUTCOME MEASURES: Baseline metrics and observational data were collected for 3 months before implementing the team-training program and 6 months after a designated implementation date. A questionnaire regarding perceptions of teamwork was completed at the beginning of and 6 weeks following the team-training classroom session. RESULTS: Six months after implementation of team training, compliance with preoperative briefings was 66%. No changes in hospital metrics were observed. An improved perception of teamwork among the participants was demonstrated in pretraining and posttraining surveys. Perceptions of teamwork and the utility of a preoperative briefing differed among nurses, surgeons, and anesthesiologists. CONCLUSIONS: Our team-training program resulted in moderate compliance with behaviors taught in the curriculum. Even with only moderate compliance, we demonstrated improved perceptions of teamwork.
Authors: Lauryn R Rochlen; Kelly M Malloy; Hele Chang; Sherr Kim; Laurian Guichard; Rut Cassidy; Lar Zisblatt Journal: J Educ Perioper Med Date: 2019-04-01
Authors: Peter F Kemper; Inge van Noord; Martine de Bruijne; Dirk L Knol; Cordula Wagner; Cathy van Dyck Journal: BMJ Qual Saf Date: 2013-02-14 Impact factor: 7.035
Authors: Inge Verbeek-van Noord; Martine C de Bruijne; Nicolien C Zwijnenberg; Elise P Jansma; Cathy van Dyck; Cordula Wagner Journal: SAGE Open Med Date: 2014-04-04