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Search results for "United States of America"

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Journal Article > Study

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.

Sparks JL, Crouch DL, Sobba K, et al. JAMA Surg. 2017 May 24; [Epub ahead of print].

Multiple studies have linked poor teamwork and communication to adverse events in the operating room. There is a growing recognition that surgeons must learn these nontechnical skills during training in addition to the traditional focus on technical ability. In this controlled study, surgical residents participated in an educational intervention (a simulated surgical emergency) that simultaneously targeted technical and nontechnical skill development. The study used two different types of simulation—high fidelity (a cadaver) and medium fidelity (an anatomically correct mannequin)—compared to a control group, which used a nonanatomic simulator. Investigators found that nontechnical skills improved in both intervention groups compared to the control group, measured using validated teamwork assessments. As the accompanying editorial notes, the study findings indicate that technical and nontechnical skills may be best taught together, as teamwork skills improved when residents also had to perform a simulated surgical task simultaneously.

Journal Article > Commentary

Improving care teams' functioning: recommendations from team science.

Fiscella K, Mauksch L, Bodenheimer T, Salas E. Jt Comm J Qual Patient Saf. 2017;43:361–368.

Research on teamwork as a key component of safe care delivery has primarily focused on the hospital setting. This commentary highlights six elements that enable development, functionality, and assessment of teamwork in the ambulatory setting.

Audiovisual > Audiovisual Presentation

Presenting TeamSTEPPS in the Perioperative Setting.

TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. May 10, 2017; 1:00–2:00 PM (Eastern).

TeamSTEPPS is a process to enhance communication and teamwork in health care. This webinar will offer insights on implementing TeamSTEPPS in a large health system to improve perioperative practice. The session will highlight developing leadership as program champions, creating learning materials, and monitoring as tactics for sustaining improvements. This is part of a monthly series of educational modules on TeamSTEPPS.

Tools/Toolkit > Government Resource

Toolkit To Improve Safety in Ambulatory Surgery Centers.

Agency for Healthcare Research and Quality: Rockville, MD.

Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws from AHRQ's Comprehensive Unit-based Safety Program to help ambulatory surgical center teams develop communication and teamwork skills to reduce infections and other iatrogenic harms.

Journal Article > Review

Developing team cognition: a role for simulation.

Fernandez R, Shah S, Rosenman ED, Kozlowski SWJ, Parker SH, Grand JA. Sim Healthc. 2017;12:96-103.

Simulation training has been advocated as a way to improve individuals' technical and nontechnical skills. This review explores how simulation can help teams enhance their situation awareness and responsiveness. The authors recommend that future research should draw on team science to inform design of simulation strategies that augment team mental models.

Journal Article > Study

We are going to name names and call you out! Improving the team in the academic operating room environment.

Bodor R, Nguyen BJ, Broder K. Ann Plast Surg. 2017;78(suppl 4):S222-S224.

This study of operating room teams found that nursing staff, attending surgeons, and anesthesiologists did not always know the name or postgraduate year rank of trainees participating in surgery with them. The authors describe this lack of familiarity with team members as a knowledge gap that has the potential to affect surgical safety.

Journal Article > Review

A systematic review of team training in health care: ten questions.

Marlow SL, Hughes AM, Sonesh SC, et al. Jt Comm J Qual Patient Saf. 2017;43:197–204.

This systematic review found that team training programs primarily focus on improving communication among providers, generally involve simulation, and usually assess efficacy with self-report. The authors conclude that team training is improving but remains suboptimal.

Journal Article > Study

Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback.

Riley W, Begun JW, Meredith L, et al. Health Serv Res. 2016;51(suppl 3):2431-2452.

Prior research has shown that reducing preventable perinatal harm leads to a decrease in malpractice claims. In this prospective study involving the perinatal units across 14 hospitals from 12 states and accounting for almost 350,000 deliveries, researchers found that successful implementation of 3 standard care processes resulted in a 14% decrease in harm in perinatal care from the baseline period.

Journal Article > Commentary

TeamSTEPPS in long-term care—an academic partnership: part 1 and part 2.

Roman TC, Abraham K, Dever K. J Contin Educ Nurs. 2016;47:490-492, 534-535.

TeamSTEPPS was developed to enhance teamwork and communication in health care settings. This two-part commentary discusses the development of TeamSTEPPS training for the long-term care environment and describes the implementation and evaluation of the program.

Journal Article > Commentary

How communication among members of the health care team affects maternal morbidity and mortality.

Brennan RA, Keohane CA. J Obstet Gynecol Neonatal Nurs. 2016;45:878-884.

Communication failures in obstetric care can increase risk of harm for the mother and the infant. This commentary highlights how nurses can incorporate teamwork principles and structured communication to reduce risks of maternal injury.

Journal Article > Commentary

Patient safety in the emergency department.

Farmer BM. Emerg Med. 2016;48:396-404.

Emergency departments are high-risk environments due to the urgency of care needs and complexity of communication. This commentary explores challenges associated with medication administration, handoffs, discharge processes, and electronic health records in emergency medicine and recommends strategies to reduce risks.

Journal Article > Commentary

Effective perioperative communication to enhance patient care.

Garrett JH Jr. AORN J. 2016;104:111-120.

Poor team communication can detract from safe medical care. Discussing communication as a critical component of multidisciplinary perioperative teamwork, this commentary describes the importance of leadership and staff in addressing barriers and highlights several strategies that support improvement including the TeamSTEPPS program.

Tools/Toolkit > Multi-use Website

TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.

  • Classic

Washington, DC: Department of Defense. Rockville, MD: Agency for Healthcare Research and Quality; 2016.

Effective teamwork plays an essential role in providing safe patient care. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was developed in collaboration by the United States Department of Defense and AHRQ in order to support effective communication and teamwork in health care. This updated version of the widely implemented program provides new tools to measure its impact, supports increased emphasis on the role of effective communication in team training, and includes a new course management guide. Teamwork training programs have been shown to improve knowledge and attitudes, but have received mixed reviews on their effectiveness in changing behaviors. An AHRQ WebM&M commentary discussed how improved teamwork and shared decision-making might have prevented the unnecessary placement of a peripherally inserted central catheter that led to significant complications.

Journal Article > Study

Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department.

Martin HA, Ciurzynski SM. J Emerg Nurs. 2015;41:484-488.

In an effort to improve communication in an urban emergency department, nurse practitioners and registered nurses underwent a teamwork training intervention emphasizing joint patient evaluations by both the nurse practitioner and registered nurse simultaneously followed by a huddle using the SBAR communication method. The intervention was successfully used in more than 80% of patient encounters and improved teamwork and provider satisfaction.

Journal Article > Study

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.

Song H, Ryan M, Tendulkar S, et al. Health Care Manage Rev. 2017;42:28-41.

Health care teams are seen as a key patient safety strategy. This mixed-methods study found that better team dynamics was associated with higher work satisfaction for attending primary care physicians. This finding suggests that enhancing teamwork may be one way to address primary care physician burnout.

Journal Article > Study

What is the return on investment for implementation of a crew resource management program at an academic medical center?

Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. Am J Med Qual. 2017;32:5-11.

Health systems have widely employed teamwork training as a strategy for improving patient safety. With increasingly constrained hospital budgets, there has been a new focus on showing the business case for patient safety programs. This study calculated the return on investment of a system-wide crew resource management training program at a large academic medical center. Over 3 years, the program trained approximately 3000 health system employees, costing an estimated $3.6 million, due to programmatic costs, time away from work, and leadership time. However, there was a 25% reduction in observed to expected adverse events across the same time period, which, if attributed to this training program, would result in an estimated $12–$28 million in savings, yielding at least a $9 million return on investment. A prior AHRQ WebM&M perspective discussed strengthening the business case for patient safety.

Audiovisual > Audiovisual Presentation

TeamStepps Advanced Course.

Agency for Healthcare Research and Quality, Health Research & Educational Trust. August 1, August 11, and August 25, 2017.

Effective teamwork plays an essential role in providing safe patient care. Building on the AHRQ TeamSTEPPS national training program, this course will be held in various locations across the United States to help develop leadership skills for individuals who seek to implement TeamSTEPPS activities in their organizations. The application process for the next cohorts close June 30, 2017 and July 14, 2017.

Tools/Toolkit > Government Resource

CUSP Toolkit.

  • Classic

Rockville, MD: Agency for Healthcare Research and Quality; June 2015.

The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in several landmark patient safety initiatives. The CUSP approach emphasizes improving safety culture by through a continuous process of reporting and learning from errors, improving teamwork, and engaging staff at all levels in safety efforts.  Most recently, an AHRQ-funded project using the CUSP model achieved a 40% reduction of central line–associated bloodstream infections in intensive care units nationwide. This toolkit includes modules on how to build the CUSP team, identify recurring safety concerns, and improve teamwork and communication.

Journal Article > Review

Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review.

Glymph DC, Olenick M, Barbera S, Brown EL, Prestianni L, Miller C. AANA J. 2015;83:183-188.

The concept of a small group briefings or huddles have been used as a communication tactic in health care settings. This literature review discusses huddle use in preoperative care, highlighting the need for more structure, education, and research to enhance its value as a communication strategy to improve patient safety.

Book/Report

Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.

Chicago, IL: Health Research & Educational Trust; June 2015.

This guide draws from the experience of organizations that have used TeamSTEPPS to illustrate how the program has contributed to patient safety and quality improvement efforts. Lessons learned include the value of engaging leadership, utilizing debriefing as a learning mechanism, and the need to avoid a one-size-fits-all approach to training.

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