Surgical team Training: The northwestern memorial hospital experience

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.