Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles.

Autor: Lee, Soo-Hoon; Khanuja, Harpal S.; Blanding, Renee J.; Sedgwick, Jeanne; Pressimone, Kathleen; Ficke, James R.; Jones, Lynne C.

Publication year: 2021

Journal of patient safety

issn:1549-8425 1549-8417

doi: 10.1097/PTS.0000000000000414

Abstract:

BACKGROUND: Teamwork training improves short-term teamwork behaviors. However, improvements are often not sustained. QUESTION/PURPOSE: The purpose of this study was to explore the extent to which teamwork reinforcement activities for orthopedic surgery teams lead to sustained teamwork behaviors. METHODS: Seven months after 104 staff from an orthopedic surgical unit were trained in Team Strategies and Tools to Enhance Performance and Patient Safety principles, 4 reinforcement activities were implemented regarding leadership and communication: lectures with videos on leadership skills for nursing staff; an online self-paced learning program on communication skills for nursing staff; a 1-page summary on leadership skills e-mailed to surgical staff; and a 1-hour perioperative grand rounds on Team Strategies and Tools to Enhance Performance and Patient Safety principles for anesthesia staff and new staff. Twenty-four orthopedic surgical teams were evaluated on teamwork behaviors during surgery by 2 observers before and after the reinforcement period using the Observational Teamwork Assessment for Surgery tool. RESULTS: After reinforcement, leadership (P = 0.022) and communication (P = 0.044) behaviors improved compared with prereinforcement levels. Specifically, nursing staff improved in leadership (P = 0.016) and communication (P = 0.028) behaviors, surgical staff improved in leadership behaviors (P = 0.009), but anesthesia staff did not improve in any teamwork behaviors. CONCLUSIONS: Sustained improvement in teamwork behaviors requires reinforcement. LEVEL OF EVIDENCE: Level III, prospective pre-post cohort study.

Language: eng

Pmid: 29087977

Tags: Humans; Prospective Studies; Cohort Studies; *Patient Safety; *Patient Care Team; Leadership

Link: https://pubmed.ncbi.nlm.nih.gov/29087977/