This paper explores the contribution of teamwork skills in serious adverse events, using the TeamSTEPPS<sup>®</sup> framework. Adverse events are the undesirable events that are not due to the natu...This paper explores the contribution of teamwork skills in serious adverse events, using the TeamSTEPPS<sup>®</sup> framework. Adverse events are the undesirable events that are not due to the natural course of a disease;they are considered serious when they prolong a hospital stay, lead to a physical disability or to death. Failures in teamwork, particularly with interprofessional teams, can lead to potential risks to patient safety. Using a dataset of de-identified reports of serious adverse events in 2016 in a tertiary teaching hospital, we explored the contribution of teamwork skills according to the TeamSTEPPS<sup>®</sup> framework to these adverse events. We found that 61% of the 41 analyzed events involved failures in teamwork skills, with 80% of these involving communication, 52% in situation monitoring and team structure, 44% in mutual support and 40% in leadership. Sixty-four percent of the events involved more than one teamwork component. Our findings emphasize the need to improve teamwork training in healthcare, focusing not only on communication, but also on other teamwork skills as they often contribute together in adverse events. Future analyses of serious adverse events should include a focus on teamwork competencies, to guide the development of future quality and safety training programs.展开更多
目的探讨"提高医疗质量和患者安全的团队策略和工具包"(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用效果。方法选择2019年...目的探讨"提高医疗质量和患者安全的团队策略和工具包"(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用效果。方法选择2019年1月至12月参加苏州大学附属第一医院急诊科轮转的120名外科住院医师规范化培训医师,以抽签形式平均分为24个团队,再将24个团队以随机数字表法分为试验组和对照组,每组12个团队。两组分别采用TeamSTEPPS结合真人模拟创伤救治情景教学及传统教学方法进行培训,采用团队应急评估措施量表(team emergency assessment measure,Team)评分系统评价教学效果。结果试验组学员的总分高于对照组[Team总分1分至10分的团队数:试验组0个、1个、1个、0个、3个、1个、2个、2个、1个、1个比对照组3个、2个、0个、3个、1个、1个、1个、1个、0个、0个],差异具有统计学意义(P<0.05)。结论TeamSTEPPS结合真人模拟创伤救治情景教学能有效提高外科住院医师创伤救治培训的效果,提高团队的救治能力。展开更多
文摘This paper explores the contribution of teamwork skills in serious adverse events, using the TeamSTEPPS<sup>®</sup> framework. Adverse events are the undesirable events that are not due to the natural course of a disease;they are considered serious when they prolong a hospital stay, lead to a physical disability or to death. Failures in teamwork, particularly with interprofessional teams, can lead to potential risks to patient safety. Using a dataset of de-identified reports of serious adverse events in 2016 in a tertiary teaching hospital, we explored the contribution of teamwork skills according to the TeamSTEPPS<sup>®</sup> framework to these adverse events. We found that 61% of the 41 analyzed events involved failures in teamwork skills, with 80% of these involving communication, 52% in situation monitoring and team structure, 44% in mutual support and 40% in leadership. Sixty-four percent of the events involved more than one teamwork component. Our findings emphasize the need to improve teamwork training in healthcare, focusing not only on communication, but also on other teamwork skills as they often contribute together in adverse events. Future analyses of serious adverse events should include a focus on teamwork competencies, to guide the development of future quality and safety training programs.
文摘目的探讨"提高医疗质量和患者安全的团队策略和工具包"(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)结合真人模拟创伤救治情景在外科住院医师规范化培训中的应用效果。方法选择2019年1月至12月参加苏州大学附属第一医院急诊科轮转的120名外科住院医师规范化培训医师,以抽签形式平均分为24个团队,再将24个团队以随机数字表法分为试验组和对照组,每组12个团队。两组分别采用TeamSTEPPS结合真人模拟创伤救治情景教学及传统教学方法进行培训,采用团队应急评估措施量表(team emergency assessment measure,Team)评分系统评价教学效果。结果试验组学员的总分高于对照组[Team总分1分至10分的团队数:试验组0个、1个、1个、0个、3个、1个、2个、2个、1个、1个比对照组3个、2个、0个、3个、1个、1个、1个、1个、0个、0个],差异具有统计学意义(P<0.05)。结论TeamSTEPPS结合真人模拟创伤救治情景教学能有效提高外科住院医师创伤救治培训的效果,提高团队的救治能力。
