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Education and Training
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Journal Article > Study
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Morey JC, Simon R, Jay GD, et al. Health Serv Res. 2002;37:1553-1581.
Using crew resource management (CRM), behavioral principles developed in aviation, this study reports on applying similar teamwork training in hospital emergency departments. After developing and implementing a modified training curriculum, investigators measured its effectiveness by addressing three outcomes: team behaviors, attitudes and opinions, and emergency department performance. The prospective study used physician-nurse teams for training and observation of a broadly defined range of clinical errors. Authors concluded that teamwork training based on CRM led to successful improvements in specific teamwork behaviors, reduced clinical errors, and enhanced staff attitudes toward teamwork.
Journal Article > Commentary
Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.
Two of the leaders in the patient safety movement, Lucian Leape and Donald Berwick, share their perspectives on the progress made since the Institute of Medicine's (IOM) release of To Err is Human. They summarize the shifts in thinking that have occurred, from blaming individual physicians towards targeting systems as a method to improve both quality and safety. Discussion includes the evolution of error prevention strategies, the role of interested stakeholders in the safety movement, and the impact of implementing best practices. Barriers to ongoing progress are also shared, including the increasing complexity of health care, a tradition of autonomy in care, and the current financial incentive systems. The authors provide a vision for the next five years with expectations for rapid change in adoption of electronic medical records, teamwork training, and full disclosure to patients. While they applaud several efforts and initiatives, such as the growth of AHRQ-funded research, the authors call for a rededication of providers and policymakers to the cause of patient safety, promoted by increased funding, better alignment of incentives, and the setting of ambitious but achievable safety targets.
Grant > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality in 2006 that studies the potential of simulation to improve patient safety.
Journal Article > Review
Bowie P, Pope L, Lough M. J Eval Clin Pract. 2008;14:520-536.
This review assessed research on the benefits and disadvantages of significant event analysis and identified implementation barriers that involve teamwork, training, and leadership.