1. Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior.
- Author
-
Rhee AJ, Valentin-Salgado Y, Eshak D, Feldman D, Kischak P, Reich DL, LoPachin V, and Brodman M
- Subjects
- Checklist, Clinical Audit standards, Humans, Medical Errors prevention & control, Operating Rooms organization & administration, Patient Care Team standards, Patient Safety standards, Quality Improvement organization & administration, Safety Management organization & administration, Clinical Audit organization & administration, Communication, Inservice Training organization & administration, Patient Care Team organization & administration, Perioperative Care standards
- Abstract
Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ
2 and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.- Published
- 2017
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