Improving Patient Safety Culture through Teamwork and Communication

"This new HPOE guide outlines the TeamSTEPPS framework, describes teamwork tools and includes examples and case studies illustrating how hospitals and care systems are using TeamSTEPPS to improve patient safety and quality."

Improving Patient Safety Culture through Teamwork and Communication: TeamSTEPPS®
Health Research & Educational Trust
June 2015

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Self-reported patient safety competence among Canadian medical students and postgraduate trainees

" Generally, medical students were most comfortable with aspects of clinical safety, such as hand hygiene, infection control and safe medication practices. They were less confident in what they learned about sociocultural or contextually dependent aspects of patient safety, such as teamwork, managing safety risk and culture of safety."

Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey
P Doyle, EG Van Den Kerkhof, DS Edge, L Ginsburg, DH Goldstein
BMJ Quality and Safety 2015;24:135-141 doi:10.1136/bmjqs-2014-003142

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Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases

"Greater multidisciplinarity is not necessarily associated with more effective decision making. Explicit goals and procedures are also crucial. Decision implementation should be routinely monitored to ensure the equitable provision of care."

Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases: a mixed-methods study
R Raine et al.
BMJ Quality and Safety 2014;23:867-876

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Nurse-reported hospital characteristics and estimated 30-day survival probabilities

"Perceived staffing adequacy, but not nurse-patient ratio was associated with overall survival. This result suggests that the way resources are organised is a critical factor to achieve the goal of quality and safety. Furthermore, nurses’ assessments of quality of nursing were correlated with overall survival and survival"
An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities
C Tvedt, IS Sjetne, J Helgeland, G Bukholm
BMJ Quality and Safety, 2014; 23: 757–764.

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Networking between community health programs

"This case study demonstrates an example of a successful and effective network of community health programs. The development of relationships was seen to be to be an important part of promoting effective resource sharing, training opportunities, government networking and resource mobilisation and will be important for other health networks to consider."

Networking between community health programs: a team-work approach to improving health service provision
NJ Grills, R Kumar, M Philip, G Porter
BMC Health Services Research 2014, 14:297

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The patient safety culture as perceived by staff before and after introducing a flow-oriented working model

"The aim of the present study was to describe the patient safety culture in an ED at two different hospitals before and after a Quality improvement (QI) project that was aimed to enhance patient safety."

The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles: a repeated cross-sectional study
L Burström, A Letterstål, M Engström, A Berglund, M Enlund
BMC Health Services Research 2014, 14:296

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Behavior change interventions when implementing multi-professional teamwork at an emergency department

"This study highlights how teamwork can be implemented and suggests that clear Direction (i.e. engaged management that is specific regarding both why and how teamwork should be performed, alignment between teamwork and other processes and initiatives) and allocation of resources for ongoing problem-solving and adaptation are important ingredients for effective implementation of teamwork."

Functions of behavior change interventions when implementing multi-professional teamwork at an emergency department: a comparative case study
M Frykman, H Hasson, ÅM Athlin, U von Thiele Schwarz
BMC Health Services Research, 2014, 14: 218

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Uncovering middle managers' role in healthcare innovation implementation

"As middle managers’ responsibility in healthcare organizations increases, their potential influence over innovation implementation grows."

Uncovering middle managers' role in healthcare innovation implementation
SA Birken, SYD Lee, BJ Weiner
Implementation Science, 2012, 7:28

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Uncovering middle managers' role in healthcare innovation implementation

"Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown."

Uncovering middle managers' role in healthcare innovation implementation
SA Birken, S-Y Daniel Lee, BJ Weiner
Implementation Science, 2012, 7:28

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Improving safety in maternity services

Improving safety in maternity services: a toolkit for teams, has been developed by Vinice Thomas and Anna Dixon at The King's Fund, and is organised around five key areas for improvement in maternity care on which the teams focused:

• teamworking
• communication
• training
• information and guidance
• staffing and leadership