1. Implementation of Unit-Based Interventions to Improve Teamwork and Patient Safety on a Medical Service.
- Author
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O’Leary, Kevin J., Creden, Amanda J., Slade, Maureen E., Landler, Matthew P., Kulkarni, Nita, Lee, Jungwha, Vozenilek, John A., Pfeifer, Pamela, Eller, Susan, Wayne, Diane B., and Williams, Mark V.
- Abstract
In a prior study involving 2 medical units, Structured Interdisciplinary Rounds (SIDRs) improved teamwork and reduced adverse events (AEs). SIDR was implemented on 5 additional units, and a pre- versus postintervention comparison was performed. SIDR combined a structured format for communication with daily interprofessional meetings. Teamwork was assessed using the Safety Attitudes Questionnaire (score range = 0-100), and AEs were identified using queries of information systems confirmed by 2 physician researchers. Paired analyses for 82 professionals completing surveys both pre and post implementation revealed improved teamwork (mean 76.8 ± 14.3 vs 80.5 ± 11.6; P = .02), which was driven mainly by nurses (76.4 ± 14.1 vs 80.8 ± 10.4; P = .009). The AE rate was similar across study periods (3.90 vs 4.07 per 100 patient days; adjusted IRR = 1.08; P = .60). SIDR improved teamwork yet did not reduce AEs. Higher baseline teamwork scores and lower AE rates than the prior study may reflect a positive cultural shift that began prior to the current study. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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