The TRANSFORM Patient Safety Project: A Microsystem Approach to Improving Outcomes on Inpatient Units

Braddock, Clarence H.; Szaflarski, Nancy L.; Forsey, Lynn; Abel, Lynn; Hernandez‐Boussard, Tina; Morton, John M.

doi:10.1007/s11606-014-3067-7

Cited by 24 publications

(37 citation statements)

References 38 publications

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“…One study was limited to inexperienced or entry‐level nurses with <2 years of experience (Roots, Thomas, Jaye, & Birns, ). Two studies were limited to experienced nurses, which they defined as more than 2 years of experience (Braddock et al, ; Raurell‐Torreada et al, ). The percent of participants who were female ranged from 50% to 100%.…”

Section: Resultsmentioning

confidence: 99%

“…The study designs of the included research studies were pilot studies (Roots et al, ; Wilson et al, ), quasi‐experimental study designs with either a one group pretest posttest design (Ballangrud et al, ; Braddock et al, ; Gerolemou et al, ; Klipfel et al, ; Liaw et al, ) or a nonrandom assignment to groups (Kim, ; Nevo et al, ; Pati et al, ; Raurell‐Torreada et al, ; Trbovich et al, ). Sample sizes ranged from N = 6 to 247 RNs, and the mean sample size was N = 70 RNs.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from N = 6 to 247 RNs, and the mean sample size was N = 70 RNs. Five of the studies were interdisciplinary (Braddock et al, ; Kim, ; Klipfel et al, ; Nevo et al, ; Roots et al, ) and contained additional participants from 1 to 76 doctors, medical residents, or clinical assistants. The other seven studies were not interprofessional, but one was unique in that it included 101 undergraduate nursing students as a comparison group (Raurell‐Torreada et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…The duration and frequency of trainings ranged from 5 min once to two half‐days spaced 2 weeks apart in the eight studies that reported session duration. A majority were 10–30 min long (Braddock et al, ; Kim, ; Klipfel et al, ; Nevo et al, ; Roots et al, ; Wilson et al, ) repeated once (Ballangrud et al, ; Klipfel et al, ; Liaw et al, ; Nevo et al, ; Raurell‐Torreada et al, ; Roots et al, ; Wilson et al, ). Braddock et al () allowed one or more repetitions at the RN’s discretion; 43% participated in two or more sessions over the intervention period.…”

Section: Resultsmentioning

confidence: 99%

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Does Simulation Training for Acute Care Nurses Improve Patient Safety Outcomes: A Systematic Review to Inform Evidence‐Based Practice

Lewis

Ricks

Rowin

et al. 2019

Worldviews Ev Based Nurs

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Background: Simulation is increasingly used as a training tool for acute care medical-surgical nurses to improve patient safety outcomes. A synthesis of the evidence is needed to describe the characteristics of research studies about acute care nurse simulation trainings and patient safety. An additional purpose is to examine the effects of acute care registered nurse (RN) simulation trainings on patient safety outcomes.Methods: Five Internet databases were searched for articles published on any date through October 2018 examining the effect of RN simulation trainings on patient safety outcomes in the adult acute care setting.Sample: N = 12 articles represented 844 RNs of varying experience levels and 271 interprofessional participants.Results: Nine studies (75%) used high-fidelity scenarios developed locally about high risk but infrequent events. Five studies (42%) incorporated interdisciplinary team members in the scenarios and/or outcome evaluations. Outcome measures were self-reported, direct observation, or clinical indicators. All studies in this review achieved improved patient safety outcomes. It is unknown how outcomes vary for different groups of RNs because of insufficient gender, ethnicity/race, and age reporting.Linking Evidence to Action: Findings support the design of simulation training research studies for patient safety outcomes and use of simulation training and research in acute care RNs. Additional high-quality research is needed to support this field. Future studies should include descriptors that characterize the sample (i.e., age, gender, education level, type of nursing degree, ethnicity or race, or years of experience); incorporate interdisciplinary teams; evaluate a combination of outcome measure types (i.e., self-report, direct observation, and clinical outcomes) both proximal and distal to the simulation; and that utilize standardized scenarios, validated outcome measure instruments, and standardized debriefing tools.Additional supporting information may be found in the online version of this article at the publisher's web site: Figure S1. A proposed model of simulation based training for patient safety outcomes in acute care nursing. Table S1. Characteristics of studies evaluating simulation based training for RNs and patient safety outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Does Simulation Training for Acute Care Nurses Improve Patient Safety Outcomes: A Systematic Review to Inform Evidence‐Based Practice

Lewis

Ricks

Rowin

et al. 2019

Worldviews Ev Based Nurs

View full text Add to dashboard Cite

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“…A standardised approach to team training has been shown to improve patient outcomes. Initiatives such as TeamSTEPPS,48 and the TRANSFORM Patient Safety Project,49 use a multilevel approach incorporating simulation. The high implementation costs of such strategies may be a limitation of their use in endoscopy; however, elements of these programmes may be replicable and a worthwhile consideration.…”

Section: What Does the Future Hold?mentioning

confidence: 99%

Improving safety and reducing error in endoscopy: simulation training in human factors

Ravindran

Thomas-Gibson

Murray

et al. 2019

Frontline Gastroenterol

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Patient safety incidents occur throughout healthcare and early reports have exposed how deficiencies in ‘human factors’ have contributed to mortality in endoscopy. Recognising this, in the UK, the Joint Advisory Group for Gastrointestinal Endoscopy have implemented a number of initiatives including the ‘Improving Safety and Reducing Error in Endoscopy’ (ISREE) strategy. Within this, simulation training in human factors and Endoscopic Non-Technical Skills (ENTS) is being developed. Across healthcare, simulation training has been shown to improve team skills and patient outcomes. Although the literature is sparse, integrated and in situ simulation modalities have shown promise in endoscopy. Outcomes demonstrate improved individual and team performance and development of skills that aid clinical practice. Additionally, the use of simulation training to detect latent errors in the working environment is of significant value in reducing error and preventing harm. Implementation of simulation training at local and regional levels can be successfully achieved with collaboration between organisational, educational and clinical leads. Nationally, simulation strategies are a key aspect of the ISREE strategy to improve ENTS training. These may include integration of simulation into current training or development of novel simulation-based curricula. However used, it is evident that simulation training is an important tool in developing safer endoscopy.

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In Situ Simulation

Langenfeld

2020

Comprehensive Healthcare Simulation

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The TRANSFORM Patient Safety Project: A Microsystem Approach to Improving Outcomes on Inpatient Units

Abstract: A multifaceted patient safety program suggested an association with improved hospital-acquired complications and weighted, risk-adjusted mortality, and improved nurses' perceptions of safety culture on inpatient study units.

Cited by 24 publications

References 38 publications

Does Simulation Training for Acute Care Nurses Improve Patient Safety Outcomes: A Systematic Review to Inform Evidence‐Based Practice

Does Simulation Training for Acute Care Nurses Improve Patient Safety Outcomes: A Systematic Review to Inform Evidence‐Based Practice

Improving safety and reducing error in endoscopy: simulation training in human factors

In Situ Simulation

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