Interprofessional Teamwork Innovation Model (ITIM) to promote communication and patient-centred, coordinated care

Li, Jing; Talari, Preetham; Kelly, Andrew; Latham, Barbara; Dotson, Sherri; Manning, Kim; Thornsberry, Lisa; Swartz, Colleen H.; Williams, Mark

doi:10.1136/bmjqs-2017-007369

Cited by 52 publications

(38 citation statements)

References 34 publications

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“…Hallmarks of the program include an emphasis on discharge planning communication among team members with the patient 15 . The Project BOOST healthcare teams at UK HealthCare typically consist of a Hospital Medicine physician, pharmacist, bedside nurse and nurse case manager, and use ITIM patient rounding, a model developed and implemented at UK hospitals to facilitate regular interprofessional communication and discharge planning 16 .…”

Section: Settingmentioning

confidence: 99%

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

Johnson

Kuperstein

Graham

et al. 2021

Sci Rep

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Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and between cross-sectional comparison groups one year prior were used for Difference in Difference analysis. Bivariate comparisons between the treatment and a cross-sectional comparison group from one year prior showed a statistically significant change in LOS Index. No other bivariate comparisons were statistically significant. Difference in Difference methods showed no statistically significant change in observed LOS, LOS Index, or 30-day readmission. Patients in the treatment group had statistically significant improvements in functional status and highest level of mobility achieved. Physical function and mobility improved for patients who participated in mobility sessions. Mobility technicians may contribute to improved care quality and patient safety in the hospital.

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Section: Settingmentioning

confidence: 99%

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

Johnson

Kuperstein

Graham

et al. 2021

Sci Rep

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“…However, changing disease patterns and growing complexity of care delivery now require healthcare teams to engage in teamwork behaviours (e.g., communication, coordination, cooperation) to reduce preventable errors and improve safety outcomes (17). Indeed, emerging empirical evidence suggests that positive staff perceptions of teamwork are associated with better patient safety outcomes -e.g., reduced odds of poor surgical outcomes (18), reduced incidence of in-hospital adverse events (14) and reduced hospital readmission rates (19). Some employee turnover is to be expected, however, safe functioning of healthcare organizations is threatened when workforce turnover is high (20).…”

Section: Relational Factors Affecting Perceptions Of Patient Safetymentioning

confidence: 99%

Acute Care Nurses’ Perceptions of Leadership, Teamwork, Turnover Intention and Patient Safety – A Mixed Methods Study

Zaheer

Ginsburg

Wong

et al. 2021

Preprint

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Background This study contributes to a small but growing body of literature on how context influences perceptions of patient safety in healthcare settings. We examine the impact of senior leadership support for safety, supervisory leadership support for safety, teamwork, and turnover intention on overall patient safety grade. Interaction effects of predictors on perceptions of patient safety are also examined.Methods Cross-sectional survey data (N = 185) were collected from nurses and non-physician healthcare professionals. Semi-structured interview data (N = 15) were collected from nurses. The study participants worked in intensive care, general medicine, mental health, or the emergency department of a large community hospital in Southern Ontario.Results Hierarchical regression analyses showed that staff perceptions of senior leadership (p < 0.001), teamwork (p < 0.01), and turnover intention (p < 0.01) were significantly associated with overall patient safety grade. The interactive effect of teamwork and turnover intention on overall patient safety grade was also found to be significant (p < 0.05). The qualitative findings corroborated the survey results but also helped expand the characteristics of the study’s key concepts (e.g., teamwork within and across professional boundaries) and why certain statistical relationships were found to be non-significant (e.g., nurse interviewees perceived the safety specific responsibilities of frontline supervisors much more broadly compared to the narrower conceptualization of the construct in the survey).Conclusions The results of the current study suggest that senior leadership, teamwork, and turnover intention significantly impact nursing staff perceptions of patient safety. Leadership is a modifiable contextual factor and resources should be dedicated to strengthen relational competencies of healthcare leaders. Healthcare organizations must also proactively foster inter and intra-professional collaboration by providing teamwork educational workshops or other on-site learning opportunities (e.g., simulation training). Healthcare organizations would benefit by considering the interactive effect of contextual factors as another lever for patient safety improvement, e.g., lowering staff turnover intentions would maximize the positive impact of teamwork improvement initiatives on patient safety.

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“…Arguably, because of the NAM's model, diagnostic teamwork and patient-centeredness are gaining more attention than ever before [11]. The NAM definition calls us to move beyond the obvious benefits of interdisciplinary diagnosis, such as improved communication amongst clinicians [12,13], and it aligns with larger trends in healthcare to incorporate the patient into team-based care [14].…”

Section: Position 1 -The 2015 National Academy Of Medicine Definitionmentioning

confidence: 99%

Controversies in diagnosis: contemporary debates in the diagnostic safety literature

Wijesekera

Nassery

Cosby³

2019

Diagnosis

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Since the 2015 publication of the National Academy of Medicine’s (NAM) Improving Diagnosis in Health Care (Improving Diagnosis in Health Care. In: Balogh EP, Miller BT, Ball JR, editors. Improving Diagnosis in Health Care. Washington (DC): National Academies Press, 2015.), literature in diagnostic safety has grown rapidly. This update was presented at the annual international meeting of the Society to Improve Diagnosis in Medicine (SIDM). We focused our literature search on articles published between 2016 and 2018 using keywords in Pubmed and the Agency for Healthcare Research and Quality (AHRQ)’s Patient Safety Network’s running bibliography of diagnostic error literature (Diagnostic Errors Patient Safety Network: Agency for Healthcare Research and Quality; Available from: https://psnet.ahrq.gov/search?topic=Diagnostic-Errors&f_topicIDs=407). Three key topics emerged from our review of recent abstracts in diagnostic safety. First, definitions of diagnostic error and related concepts are evolving since the NAM’s report. Second, medical educators are grappling with new approaches to teaching clinical reasoning and diagnosis. Finally, the potential of artificial intelligence (AI) to advance diagnostic excellence is coming to fruition. Here we present contemporary debates around these three topics in a pro/con format.

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Interprofessional Teamwork Innovation Model (ITIM) to promote communication and patient-centred, coordinated care

Abstract: The ITIM approach facilitates a collaborative environment in which patients and their family caregivers, physicians, nurses, pharmacists, case managers and others work and share in the process of care.

Cited by 52 publications

References 34 publications

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

Acute Care Nurses’ Perceptions of Leadership, Teamwork, Turnover Intention and Patient Safety – A Mixed Methods Study

Controversies in diagnosis: contemporary debates in the diagnostic safety literature

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