… sustainability of lessons learned from CRM trainings. … Buljac-Samardžić M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew …

… patient safety and may contribute to less burnout. … Buljac-Samardžić M, Dekker-van Doorn C, Van Wijngaarden J. Detach yourself: the positive effect of …

This study explored whether combining participatory design and experiential learning supports the adaptation and adoption of TOPplus, which is a communication tool to support and improve communication and teamwork among the operating room team. Adaptation varied amongst the ten participating Dutch hospitals, but all implemented the intervention with all surgical disciplines, and this approach gave teams the opportunity to adapt the intervention to fit their needs and local context. 

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.

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.

… after testing among clinical nurses . … Alingh CW, van Wijngaarden JDH, van de Voorde K, Paauwe J, Huijsman R. Speaking up about …

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.

This study explores factors contributing to safety culture in long-term care settings, an issue discussed in greater depth in this AHRQ WebM&M perspective.

This study describes a near 20-year experience with diffusion of aviation-based innovation into a hospital setting, including programs focused on teamwork training and surgical time outs. The authors provide an analysis framework for the diffusion efforts and provide recommendations for institutions seeking to replicate their success.

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.