Why the study?
Although interprofessional team training positively impacts team behavior and patient safety culture, its impact on structure, process, and outcome in a surgical ward required exploration.
This paper describes the implementation of the TeamSTEPPS teamwork intervention in a Norwegian surgical ward to improve patient safety culture.
TeamSTEPPS implementation is feasible in surgical wards; leaves open effects on teamwork and safety culture pending full evaluation.
Objectives: Interprofessional team training has a positive impact on team behavior and patient safety culture. The objective of the study was to explore the impact of an interprofessional teamwork intervention in a surgical ward on structure, process and outcome. In this paper, the implementation of the teamwork intervention is reported to expand the understanding of the future evaluation results of this study. Results: The evidence-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program in the ward was implemented in three phases according to the program’s implementation plan, which are built on Kotter’s organizational change model. In the first phase, a project group with the leaders and researchers was established and information about the project was given to all health care personnel in the ward. The second phase comprised six hours interprofessional team training for all frontline health care personnel followed by 12 months implementation of TeamSTEPPS tools and strategies. In the third phase, the implementation of the tools and strategies continued, and refresher training was conducted. Trial registration: Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date May 30, 2017.
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Aaberg et al. (2019) studied Patient safety and teamwork in surgical ward (n=41). TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) vs. Standard care (surgical ward at a hospital in southern Norway) was evaluated on Impact on structure, process and outcome (teamwork and patient safety culture). The evidence-based TeamSTEPPS program was implemented in a Norwegian surgical ward over three phases to improve interprofessional teamwork and patient safety, with evaluation results pending.
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