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Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review.
Alsabri, Mohamed; Boudi, Zoubir; Lauque, Dominique; Dias, Roger Daglius; Whelan, Julia S; Östlundh, Linda; Alinier, Guillaume; Onyeji, Churchill; Michel, Philippe; Liu, Shan W; Jr Camargo, Carlos A; Lindner, Tobias; Slagman, Anna; Bates, David W; Tazarourte, Karim; Singer, Sara J; Toussi, Anita; Grossman, Shamai; Bellou, Abdelouahab.
Afiliação
  • Alsabri M; From the Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Harvard Medical School, Boston, Massachusetts.
  • Boudi Z; Department of Emergency Medicine, Dr Sulaiman Alhabib Hospital, Dubai, United Arab Emirates.
  • Dias RD; STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School.
  • Whelan JS; MS Knowledge Services, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • Östlundh L; The National Medical Library, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.
  • Onyeji C; From the Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Harvard Medical School, Boston, Massachusetts.
  • Liu SW; Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Jr Camargo CA; Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Lindner T; Division of Emergency and Acute Medicine (CVK, CCM), Charité University Medicine, Berlin, Germany.
  • Slagman A; Division of Emergency and Acute Medicine (CVK, CCM), Charité University Medicine, Berlin, Germany.
  • Bates DW; Department of Healthcare Quality, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Singer SJ; Department of Medicine, Division of Primary Care, Stanford University School of Medicine, Stanford, California.
  • Toussi A; ∥Department of Emergency Medicine, Union Hospital Terre Haute and Clinton IN, Simulation Center for Health Care Education, Indiana State University, Terre Haute, Indiana.
  • Grossman S; From the Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Harvard Medical School, Boston, Massachusetts.
J Patient Saf ; 18(1): e351-e361, 2022 Jan 01.
Article em En | MEDLINE | ID: mdl-33890752
OBJECTIVES: This study aimed to narratively summarize the literature reporting on the effect of teamwork and communication training interventions on culture and patient safety in emergency department (ED) settings. METHODS: We searched PubMed, EMBASE, Psych Info CINAHL, Cochrane, Science Citation Inc, the Web of Science, and Educational Resources Information Centre for peer-reviewed journal articles published from January 1, 1988, to June 8, 2018, that assessed teamwork and communication interventions focusing on how they influence patient safety in the ED. One additional search update was performed in July 2019. RESULTS: Sixteen studies were included from 8700 screened publications. The studies' design, interventions, and evaluation methods varied widely. The most impactful ED training interventions were End-of-Course Critique, Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), and crisis resource management (CRM)-based training. Crisis resource management and TeamSTEPPS CRM-based training curriculum were used in most of the studies. Multiple tools, including the Kirkpatrick evaluation model, the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture, the TeamSTEPPS Teamwork Attitudes Questionnaire, the Safety Attitudes Questionnaire, and the Communication and Teamwork Skills Assessment, were used to assess the impact of such interventions. Improvements in one of the domains of safety culture and related domains were found in all studies. Four empirical studies established improvements in patient health outcomes that occurred after simulation CRM training (Kirkpatrick 4), but there was no effect on mortality. CONCLUSIONS: Overall, teamwork and communication training interventions improve the safety culture in ED settings and may positively affect patient outcome. The implementation of safety culture programs may be considered to reduce incidence of medical errors and adverse events.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Segurança do Paciente Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: J Patient Saf Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Segurança do Paciente Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: J Patient Saf Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos