The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Hum Resourc Health. 2020;18.
This systematic review is an update of prior research characterizing the evidence base on team effectiveness in healthcare organizations. The review analyzed 297 publications focused on three types of interventions: (1) training, including crew resource management, TeamSTEPPS and simulations, (2) tools, including SBARs and checklists, and (3) organizational (re)designs, which involves intervening in structures which lead to improved team functioning (such as changing the physical environment or altering roles/responsibilities). The authors found that existing evidence base is limited to certain interventions, settings (primarily acute care), and outcomes (primarily non-technical skills). The authors call for more longitudinal research, particularly examining team functioning outside the hospital setting.
Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT. Group & Organization Management. 2018;43.
Teamwork is a core element of care coordination and safety. Articles in this special issue explore current research and activity on teamwork and teamwork training. Topics include organizational support for a team environment, teamwork as a fall-reduction strategy, interdisciplinary team development, and research design.
Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. BMJ Qual Saf. 2016;25:424-31.
Safety problems are common in nursing homes and other long-term care facilities, and prior work has shown that safety culture in these settings is generally poor. This validation study found that the Safety Attitudes Questionnaire was a reliable tool for measuring safety culture in nursing homes in the Netherlands. This is a necessary step for much needed research on nursing home safety.
Kleiner C, Link T, Maynard T, et al. AORN J. 2014;100:358-68.
Communication failures have been identified as major contributors to errors. A formal coaching program, conducted by a retired surgeon, significantly improved the quality of preoperative and postoperative communication between members of the operating room team.
Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Health Policy (New York). 2010;94:183-95.
The landmark IOM report emphasized the role of high-functioning teams in promoting safe care. This systematic review analyzed 48 studies that evaluated the impact of simulation training, crew resource management training, interprofessional training, and teamwork training on team effectiveness. While the authors found that implementation of team training did improve the effectiveness of multidisciplinary teams in acute care settings, they identified only a few studies that provided high quality evidence on the impact of specific interventions. The authors highlight the challenges in analyzing this literature because of the heterogeneity of the interventions and the inability to measure the context in which they were implemented.