Republished paper: Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: The TOPS project

Postgraduate Medical Journal

Volumn 86, Issue 1022, 2010, Pages 729-733

  Blegen, Mary A ^a   Sehgal, N L ^a   Alldredge, B K ^a   Gearhart, S ^a   Auerbach, A A ^a   Wachter, R M ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HUMAN; MEDICAL STAFF; NURSING; PATIENT SAFETY; PHARMACIST; PHARMACY; PHYSICIAN;

EID: 78649554618     PISSN: 00325473     EISSN: 14690756     Source Type: Journal    
DOI: 10.1136/qshc.2008.031252rep     Document Type: Article

References (30)

1. Institute of Medicine. To err is human: building a safer health system. Washington, DC: National Academy Press, 1999.
2. Blegen M, Pepper G, Rosse J. Safety climate on hospital units: a new measure. In: Henriksen K, Battles JB, Marks ES, Lewin DE, eds. Advances in patient safety: from research to implementation. Vol. 4, Programs, tools, and products. AHRQ Publication No. 05-0021-4. Rockville, MD: Agency for Healthcare Research and Quality; Feb 2005.
3. Singer S, Gaba D, Geppart J, et al. The culture of safety: Results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003;12:112-18.
4. Sexton JB, Helmreich RL, Neilands TB, et al. The safety attitudes questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:1-10.
5. Agency for Healthcare Research and Quality. Hospital survey on Patient Safety Culture. http://www.ahrq.gov/qual/patientsafetyculture/hospsurvindex.htm (accessed 16 July 2010).
6. Edwards PJ, Scott T, Richardson P, et al. Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. J Patient Saf 2008;4:113-18.
7. Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg 2004;199:843-8.
8. Morey JC, Simon R, Jay GD, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002;37:1553-87.
9. France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Am J Surg 2008;195:546-53.
10. Davenport D, Henderson W, Mosca C, et al. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety, or working conditions. J Am Coll Surg 2007;205:778-84.
11. Pronovost P, Weast B, Rosenstein B, et al. Implementing and validating a comprehensive unit-based safety program. J Patient Saf 2005;1:33-40.
12. Singer S, Lin S, Fallwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res 2009;44:399-419.
13. Huang DT, Clermont G, Sexton JB, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007;35:165-76.
14. Makary MA, Sexton JB, Freischlag JA, et al. Patient safety in surgery. Ann Surg 2006;243:628-35.
15. Pratt SD, Mann S, Salisbury M, et al. Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. J Comm J Qual Patient Saf 2007;33:720-5.
16. Thomas EJ, Sexton JB, Helmreich RL. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003;31: 956-9.
17. Singer S, Gaba D, Falwel A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care 2009;47:23-31.
18. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand 2009;53:143-51.
19. Wheelan SA, Bruchill CN, Tilin F, et al. The link between teamwork and patients' outcomes in intensive care units. Am J Crit Care 2003;12:527-34.
20. Gittell JH, Fairfield K, Bierbaum B, et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Med Care 2000;38:807-19.
21. Sehgal NS, Fox M, Vidyarthi AR, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) Experience. J Gen Intern Med 2008;23:2053-7.
22. Halbesleben JR, Wakefield B, Wakefield DS, et al. Nurse burnout and patient safety outcomes. West J Nurs Res 2008;30:560-77.
23. Moody RF, Pesut DJ, Harrington CF. Creating safety culture on nursing units: human performance and organizational system factors that make a difference. J Patient Saf 2006;2:198-206.
24. Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J 2008;87:163-75.
25. Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's Hospital Survey on Patient Safety Culture: Psychometric analyses. J Patient Saf 2009;5:139-44.
26. Grant MJ, Donaldson AE, Larsen GY. The safety culture in a children's hospital. J Nur Care Qual 2006;21:223-9.
27. Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinat 2006:1-8.
28. Sexton JB, Makary MA, Tersigni AR, et al. Teamwork in the operating room. Anesthesiology 2006;105:877-84.
29. Van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care 2007;16: 45-50.
30. Vazirani S, Hays RD, Shapiro MF, et al. Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. Am J Crit Care 2005;14:71-6.