Implementation of Unit-Based Interventions to Improve Teamwork and Patient Safety on a Medical Service

Kevin J. O’Leary*, Amanda J. Creden, Maureen E. Slade, Matthew P. Landler, Nita Kulkarni, Jungwha Lee, John A. Vozenilek, Pamela Pfeifer, Susan Eller, Diane B. Wayne, Mark V. Williams

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

In a prior study involving 2 medical units, Structured Interdisciplinary Rounds (SIDRs) improved teamwork and reduced adverse events (AEs). SIDR was implemented on 5 additional units, and a pre- versus postintervention comparison was performed. SIDR combined a structured format for communication with daily interprofessional meetings. Teamwork was assessed using the Safety Attitudes Questionnaire (score range = 0-100), and AEs were identified using queries of information systems confirmed by 2 physician researchers. Paired analyses for 82 professionals completing surveys both pre and post implementation revealed improved teamwork (mean 76.8 ± 14.3 vs 80.5 ± 11.6; P =.02), which was driven mainly by nurses (76.4 ± 14.1 vs 80.8 ± 10.4; P =.009). The AE rate was similar across study periods (3.90 vs 4.07 per 100 patient days; adjusted IRR = 1.08; P =.60). SIDR improved teamwork yet did not reduce AEs. Higher baseline teamwork scores and lower AE rates than the prior study may reflect a positive cultural shift that began prior to the current study.

Original languageEnglish (US)
Pages (from-to)409-416
Number of pages8
JournalAmerican Journal of Medical Quality
Volume30
Issue number5
DOIs
StatePublished - Sep 27 2015

Keywords

  • hospital medicine
  • interprofessional care
  • patient safety
  • teamwork

ASJC Scopus subject areas

  • Health Policy

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