Building a culture of safety through team training and engagement

BMJ Quality and Safety

Volumn 22, Issue 5, 2013, Pages 425-434

  Thomas, Lily ^a   Galla, Catherine ^a  

^a Institute for Nursing ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY HOSPITAL; CONCEPTUAL FRAMEWORK; EVIDENCE BASED PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HUMAN; MEDICAL EDUCATION; MEDICAL ERROR; PATIENT SAFETY; PERCEPTION; TEAM STRATEGIES AND TOOLS TO ENHANCE PERFORMANCE AND PATIENT SAFETY;

CAPACITY BUILDING; EVIDENCE-BASED PRACTICE; HUMANS; INSERVICE TRAINING; INTERDISCIPLINARY COMMUNICATION; INTERPROFESSIONAL RELATIONS; LONG-TERM CARE; MODELS, ORGANIZATIONAL; NEW YORK; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; PATIENT CARE TEAM; PATIENT SAFETY; TASK PERFORMANCE AND ANALYSIS; UNITED STATES; UNITED STATES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY;

EID: 84876558065     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2012-001011     Document Type: Article

References (31)

1. Reed K, May R. HealthGrades Seventh Annual Patient Safety in American Hospitals Study. 2010 March. ©2012 CPM Healthgrades, Health Grades, Inc., 500 Golden Ridge Road, Suite 100, Golden, Colorado 80401: Web based Report. https://www.cpmhealthgrades.com/CPM/assets/File/ PatientSafetyInAmericanHospitalsStudy2010.pdf (accessed Mar 2011).
2. Lucian LL, Berwick DM. Five years after To Err is Human: what have we learned? JAMA 2005;293:2384-90. (Pubitemid 40676761)
3. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA 2001;286:415-20. (Pubitemid 32681483)
4. Krause TR, Dunn SS. How are leadership and culture related to patient safety. © 2009 Behavioral Science Technology, Inc. BST Healthcare. Web based article. http://www.bsthealthcare.com/resources/perspectives/articles/? item=2&page2 (accessed 1 Feb 2010).
5. Ramanujam R, Keyser DJ, Sirio CA. Making a case for organizational change in patient safety initiatives. In: Henriksen K, Battles JB, Marks ES, et al., editors. Advances in patient safety: from research to implementation (volume 2: concepts and methodology). Rockville (MD): Agency for Healthcare Research and Quality (US), 2005. http://www.ncbi.nlm.nih.gov/books/NBK20499/. (accessed 1 June 2011)
6. Clancy CM. TeamSTEPPS: Optimizing teamwork in the perioperative setting. AORN J 2007;86:18-22.
7. Pronovost PJ, Freischlag JA. Improving teamwork to reduce surgical mortality. JAMA 2010;304:1721-2.
8. Clark PR. Teamwork: building healthier workplaces and providing safer patient care. Crit Care Nurs Q 2009;32:221-31.
9. Salas E, Cooke NJ, Rosen MA. On teams, teamwork, and team performance: discoveries and developments. Hum Factors 2008;50:540-7. (Pubitemid 352029816)
10. Deering S, Rosen MA, Ludi V, et al. On the front lines of patient safety: implementation and evaluation of team training in Iraq. Jt Comm J Qual Patient Saf 2011;37:350-6.
11. Clancy CM, Tornberg DN. TeamSTEPPS: integrating teamwork principles into healthcare practice. Patient Safety and Quality Healthcare. 2006. ©2006 by Lionheart Publishing, Inc. 506 Roswell Street, Suite 220, Marietta, GA 30060. Web based article. http://www.psqh.com/novdec06/ahrq.html (accessed 5 May 2010).
12. Kotter J, Rathgeber H. Our iceberg is melting. Changing and succeeding under any conditions. NY: St. Martin's Press, 2006.
13. King HB, Battles J, Baker DP, et al. TeamSTEPPS™: strategies and tools to enhance performance and patient safety. Rockville, MD: Agency for Healthcare Research and Quality, 2007. Web based article. http://www.ahrq.gov/ downloads/pub/advances2/vol3/Advances-King-1.pdf (accessed 2008).
14. Agency for Healthcare Research and Quality. TeamSTEPPS instructor guide. USUHS Publication. Rockville, MD 20850. 2007.
15. Chapman A. Change management, organizational and personal change management, process, plans, change management and business development tips. Businessballs.com. 2009. Web based article © alan chapman 2005-2012. http://www.businessballs.com/changemanagement.htm (accessed 5 May 2010).
16. Lucian LL, Woods DD, Hatlie MJ, et al. Promoting patient safety by preventing medical error. JAMA 1998;280:1444-7. (Pubitemid 28496055)
17. Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care. Jt Comm J Qual Patient Saf 2009;35:398-405.
18. Donabedian A. Evaluating the quality of medical care. Milbank Memorial Fund Q 1966;44:1113-14.
19. Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality, 2004. http://www.ahrq.gov/qual/patientsafetyculture/hospcult.pdf (accessed May 2010).
20. Killion JP, Simmons LA. The zen of facilitation. J Staff Dev 1992;13:2-6.
21. Kirkpatrick DL Another look at evaluating training programs. Alexandria, VA: American Society for Training and Development, 1998.
22. Hospital survey on patient safety culture: 2009 comparative database report. AHRQ Publication No. 09-0030. Rockville, MD: Agency for Healthcare Research and Quality, 2009. http://www.ahrq.gov/qual/hospsurvey09/ (accessed 2010)
23. Kotter JP. Leading change, why transformation efforts fail. Harv Bus Rev 1995;1-10. http://hbr.org/product/leading-change-why-transformation-efforts- fail-har/an/R0701J-PDF-ENG (accessed Jun 2011).
24. Wagner B, Meirowtiz N, Shah J, et al. Comprehensive perinatal safety initiative to reduce adverse obstetric events. J Healthc Qual 2011;34:6-15.
25. Delise LA, Gorman CA, Brooks AM, et al. The effects of team training on team outcomes: a meta-analysis. Perform Improv Q 2010;22:53-80.
26. Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf 2011;37:341-9.
27. Salas E, DiazGranados D, Klein C, et al. Does team training improve team performance? A meta-analysis. Hum Factors 2008;50:903-33.
28. Riley W, Davis S, Miller K, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Jt Comm J Qual Patient Saf 2011;37:357-64.
29. Mayer CM, Cluff L, Lin WT, et al. Evaluating efforts to optimize teamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf 2011;37:365-74.
30. Salas E, Gregory ME, King HB. Team training can enhance patient safety-the data, the challenge ahead. Jt Comm J Qual Patient Saf 2011;37:339-40.
31. Salas E, Wilson KA, Murphy CE, et al. What crew resource management training will not do for patient safety: unless-. J Patient Saf 2007;3:62-4.