Dataset Information

A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience.

ABSTRACT:

Introduction

Communication and teamwork failures are a common cause of adverse events. Residency programs, with a mandate to teach systems-based practice, are particularly challenged to address these important skills.

Aim

To develop a multidisciplinary teamwork training program focused on teaching teamwork behaviors and communication skills.

Setting

Internal medicine residents, hospitalists, nurses, pharmacists, and all other staff on a designated inpatient medical unit at an academic medical center.

Program description

We developed a 4-h teamwork training program as part of the Triad for Optimal Patient Safety (TOPS) project. Teaching strategies combined didactic presentation, facilitated discussion using a safety trigger video, and small-group scenario-based exercises to practice effective communication skills and team behaviors. Development, planning, implementation, delivery, and evaluation of TOPS Training was conducted by a multidisciplinary team.

Program evaluation

We received 203 evaluations with a mean overall rating for the training of 4.49 +/- 0.79 on a 1-5 scale. Participants rated the multidisciplinary educational setting highly at 4.59 +/- 0.68.

Discussion

We developed a multidisciplinary teamwork training program that was highly rated by all participating disciplines. The key was creating a shared forum to learn about and discuss interdisciplinary communication and teamwork.

SUBMITTER: Sehgal NL

PROVIDER: S-EPMC2596515 | biostudies-literature | 2008 Dec

REPOSITORIES: biostudies-literature

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Publications

A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience.

Sehgal Niraj L NL Fox Michael M Vidyarthi Arpana R AR Sharpe Bradley A BA Gearhart Susan S Bookwalter Thomas T Barker Jack J Alldredge Brian K BK Blegen Mary A MA Wachter Robert M RM

Journal of general internal medicine 20081002 12

<h4>Introduction</h4>Communication and teamwork failures are a common cause of adverse events. Residency programs, with a mandate to teach systems-based practice, are particularly challenged to address these important skills.<h4>Aim</h4>To develop a multidisciplinary teamwork training program focused on teaching teamwork behaviors and communication skills.<h4>Setting</h4>Internal medicine residents, hospitalists, nurses, pharmacists, and all other staff on a designated inpatient medical unit at ...[more]

PMID: 18830769

Similar Datasets

Project description:ObjectivesTo predict the amount of teamwork that takes place throughout a surgery, based on performing a preoperative safety standards (surgical safety checklist and surgical count) and to explore factors affecting patient safety and staff psychological safety during a surgery, based on interprofessional teamwork.MethodsThis mixed methods study included quantitative and qualitative analyses. Quantitative data included 2,184 direct observations of surgical cases with regard to the performance of safety standards during surgeries in 29 hospitals, analyzed using multivariate binary logistic regressions. Qualitative data were obtained from an analysis of 25 semi-structured interviews with operating room (OR) clinicians and risk managers, using an inductive thematic analysis approach.ResultsAnalysis of the OR observations revealed that a lack of teamwork in the preoperative "sign-in" phase doubled the chances of there being a lack of teamwork during surgery [odds ratio = 1.972, 95% confidence interval (CI) 1.741, 2.233, p < 0.001] and during the "time-out" phase (odds ratio = 2.142, 95% CI 1.879, 2.441, p < 0.001). Consistent presence of staff during surgery significantly increased teamwork, by 21% for physicians and 24% for nurses (p < 0.05), but staff turnover significantly decreased teamwork, by 73% for physicians (p < 0.05). Interview data indicated that patient safety and staff psychological safety are related to a perception of a collaborative team role among OR staff, with mutual commitment and effective interprofessional communication.ConclusionsHealthcare organizations should consider the key finding of this study when trying to identify factors that affect teamwork during a surgery. Effective preoperative teamwork positively affects intraoperative teamwork, as does the presence of more clinicians participating in a surgery, with no turnover. Other factors include working in a fixed, designated team, led by a surgeon, which functions with effective interprofessional communication that promotes patient safety and staff psychological safety.

Dataset Information

A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience.

Introduction

Aim

Setting

Program description

Program evaluation

Discussion

Publications

A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience.

Similar Datasets

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