“Teamwork in hospitals”: A quasi-experimental study protocol applying a Human Factors approach

Ballangrud, Randi; Hall‐Lord, Marie‐Louise

doi:10.1186/isrctn13997367

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…In this study, we used the SEIPS 2.0 model to conceptualize the intervention and the outcomes of the study from a system perspective [40]. Implementation of a team training program was regarded as an input in the organization element to strengthen the work system by attempting to improve healthcare professionals' team competencies and patient safety culture [20,38].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

Aaberg

Hall‐Lord

Husebø

et al. 2021

BMC Health Serv Res

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Background Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study. Methods This study had a pre-post design with measurements at baseline and after 6 and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data. Results After 6 months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention. Conclusion These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context. Trial registration number ISRCTN13997367 (retrospectively registered).

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Section: Conceptual Frameworkmentioning

confidence: 99%

A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

Aaberg

Hall‐Lord

Husebø

et al. 2021

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this study, we used the SEIPS 2.0 model to conceptualize the intervention and the outcomes of the study from a system perspective [38]. Implementation of a team training program was regarded as an input in the organization element to strengthen the work system by attempting to improve healthcare professionals' team competencies and patient safety culture [20,36].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

A Human Factors Intervention in a Hospital - Evaluating the Outcome of a TeamSTEPPS Program in a Surgical Ward

Aaberg

Hall‐Lord

Husebø

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study. Methods: This study had a pre-post design with measurements at baseline and after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data. Results: After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention.Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.

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“…In the last decade, there has been a shift in attention towards non-technical skills of team members in addition to technical proficiency (Hull et al 2012, Rutherford et al 2015). This has led to the development of training tools for surgeons (Wood et al 2017) and perioperative teams (Ballungrud et al 2017, Cooke 2016). Both Nagpal et al (2012) and Cumin et al (2017) focus specifically on information transfer and specifically, the importance of formal communication processes.…”

Section: Search Strategymentioning

confidence: 99%

The perioperative Team Brief: A patient safety initiative or another tick-box exercise?

Pennington

Garside

2019

Journal of Perioperative Practice

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The World Health Organization Surgical Safety Checklist has been the subject of many professional discussions following its introduction in 2008. Since the addition of the Team Brief and Debrief in 2010 and the acceptance of the Five Steps to Safer Surgery as the gold standard, compliance has steadily improved (as audited by Care Quality Commission Inspections). This review of the literature therefore examined the perioperative Team Brief and identified gaps in knowledge. Evidence appears to suggest that whilst compliance is good in quantitative terms, there may be inconsistencies within the quality of Team Briefs from organisation to organisation and surgeon to surgeon. Concluding further research is required to establish what an effective Team Brief looks, sounds and feels like to all involved.

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“Teamwork in hospitals”: A quasi-experimental study protocol applying a Human Factors approach

Cited by 3 publications

References 20 publications

A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

A Human Factors Intervention in a Hospital - Evaluating the Outcome of a TeamSTEPPS Program in a Surgical Ward

The perioperative Team Brief: A patient safety initiative or another tick-box exercise?

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