TY - JOUR
T1 - Surgical team Training
T2 - The northwestern memorial hospital experience
AU - Halverson, Amy L.
AU - Andersson, Jennifer L.
AU - Anderson, Karen
AU - Lombardo, Justin
AU - Park, Christine S.
AU - Rademaker, Alfred W.
AU - Moorman, Don W.
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2009/2
Y1 - 2009/2
N2 - Objectives: To develop and implement a team-training curriculum. We hypothesized that better interactions between personnel would lead to improved patient safety, increased efficiency, and better staff satisfaction. Design: Prospective assessment of a team-training program. Setting: University- affiliated hospital. Participants: Operating room physicians, nurses, technicians, and other personnel. Interventions: Four-hour classroom curriculum, in- traoperative coaching on team-related behaviors, and follow-up feedback sessions. Main Outcome Measures: Baseline metrics and observational data were collected for 3 months before implementing the team-training program and 6 months after a designated implementation date. A questionnaire regarding perceptions of teamwork was completed at the beginning of and 6 weeks following the team-training classroom session. Results: Six months after implementation of team training, compliance with preoperative briefings was 66%. No changes in hospital metrics were observed. An improved perception of teamwork among the participants was demonstrated in pretraining and posttraining surveys. Perceptions of teamwork and the utility of a pre-operative briefing differed among nurses, surgeons, and anesthesiologists. Conclusions: Our team-training program resulted in moderate compliance with behaviors taught in the curriculum. Even with only moderate compliance, we demonstrated improved perceptions of teamwork.
AB - Objectives: To develop and implement a team-training curriculum. We hypothesized that better interactions between personnel would lead to improved patient safety, increased efficiency, and better staff satisfaction. Design: Prospective assessment of a team-training program. Setting: University- affiliated hospital. Participants: Operating room physicians, nurses, technicians, and other personnel. Interventions: Four-hour classroom curriculum, in- traoperative coaching on team-related behaviors, and follow-up feedback sessions. Main Outcome Measures: Baseline metrics and observational data were collected for 3 months before implementing the team-training program and 6 months after a designated implementation date. A questionnaire regarding perceptions of teamwork was completed at the beginning of and 6 weeks following the team-training classroom session. Results: Six months after implementation of team training, compliance with preoperative briefings was 66%. No changes in hospital metrics were observed. An improved perception of teamwork among the participants was demonstrated in pretraining and posttraining surveys. Perceptions of teamwork and the utility of a pre-operative briefing differed among nurses, surgeons, and anesthesiologists. Conclusions: Our team-training program resulted in moderate compliance with behaviors taught in the curriculum. Even with only moderate compliance, we demonstrated improved perceptions of teamwork.
UR - http://www.scopus.com/inward/record.url?scp=61449170118&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=61449170118&partnerID=8YFLogxK
U2 - 10.1001/archsurg.2008.545
DO - 10.1001/archsurg.2008.545
M3 - Article
C2 - 19221320
AN - SCOPUS:61449170118
VL - 144
SP - 107
EP - 112
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 2
ER -