Alexandra Zech1, Benedict Gross2, Céline Jasper-Birzele3, Katharina Jeschke4, Thomas Kieber5, Jörg Lauterberg6, Marc Lazarovici2, Stephan Prückner2, Marcus Rall7, Silke Reddersen8, Benedikt Sandmeyer2, Christoph Scholz9, Eric Stricker8, Bert Urban2, Astrid Zobel10, Ingeborg Singer11. 1. Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München, Schillerstr. 53, München 80336. 2. Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München. 3. Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München. 4. Deutscher Hebammenverband e.V., Mitglied des Präsidiums, Karlsruhe. 5. Klinik für Anästhesie und Operative Intensivmedizin, Kreiskliniken Esslingen. 6. Institute for Quality and Efficiency in Health Care - IQWiG, Cologne. 7. InPASS - Institute for Patient Safety and Team Training GmbH, Reutlingen. 8. Tüpass - Center for Patient-Safety and Simulation Tübingen, Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen. 9. Klinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität Ulm. 10. Klinik für Psychiatrie und Psychotherapie, Rheinische Friedrich-Wilhelms-Universität Bonn. 11. Medizinischer Dienst der Krankenversicherung Bayern, Munich.
Abstract
INTRODUCTION: 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.
INTRODUCTION: 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.
Authors: Benedict Gross; Leonie Rusin; Jan Kiesewetter; Jan M Zottmann; Martin R Fischer; Stephan Prückner; Alexandra Zech Journal: BMJ Open Date: 2019-03-01 Impact factor: 2.692
Authors: Sonia Lippke; Christina Derksen; Franziska Maria Keller; Lukas Kötting; Martina Schmiedhofer; Annalena Welp Journal: Int J Environ Res Public Health Date: 2021-03-05 Impact factor: 3.390