Key result
The TeamSTEPPS teamwork intervention was successfully implemented in a Norwegian surgical ward over 12 months through a three-phase process based on Kotter's organizational change model.
Why the study?
Interprofessional team training positively impacts team behavior and patient safety culture, but its impact on structure, process, and outcome in a surgical ward needed exploration.
Does the TeamSTEPPS interprofessional teamwork intervention improve teamwork, patient safety culture, and patient outcomes in a surgical ward?
Does the TeamSTEPPS interprofessional teamwork intervention improve teamwork, patient safety culture, and patient outcomes in a surgical ward?
This paper details the structured implementation of the TeamSTEPPS teamwork intervention in a Norwegian surgical ward to facilitate understanding of future evaluation results.
Confirms TeamSTEPPS implementation feasibility in surgical wards; extends rollout evidence and supports pending outcome evaluation in RCTs.
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 a surgical ward (n=41). TeamSTEPPS program vs. Standard care (control group in a surgical ward at a hospital in southern Norway) was evaluated. The TeamSTEPPS teamwork intervention was successfully implemented in a Norwegian surgical ward over 12 months through a three-phase process based on Kotter's organizational change model.
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