title: Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
abstract: BACKGROUND
  The purpose of this study was to examine which factors at a medical team training learning session predict future success in the implementation of preoperative briefings and postoperative debriefings at health care facilities.
  
  
  METHODS
  A Likert score rating for physician involvement, leadership support, and composition of the implementation team was recorded for 64 VHA facilities at the time of a learning session by 3 medical team training educators. At a mean follow-up period of 8.2 months (standard error, .4 mo), a briefing score was established from quarterly semistructured interviews with the facility's implementation team.
  
  
  RESULTS
  In a multivariable regression, leadership involvement at the time of the learning session was the best predictor of future briefing/debriefing success (R = .34, P = .03).
  
  
  CONCLUSIONS
  Full implementation of the patient safety tool preoperative briefings and postoperative debriefings is dependent on facility leadership support.
authors.affiliation: Veterans Health Administration, National Center for Patient Safety, Ann Arbor, MI 48106-0486, USA. douglas.paull@va.gov
authors.forename: Douglas E
authors.initials: DE
authors.lastname: Paull
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Mazzia
authors.forename: Brent S
authors.initials: BS
authors.lastname: Izu
authors.forename: Julia
authors.initials: J
authors.lastname: Neily
authors.forename: Peter D
authors.initials: PD
authors.lastname: Mills
authors.forename: James P
authors.initials: JP
authors.lastname: Bagian
mesh_terms: D000328:Adult; D057189:Checklist; D003142:Communication; D006787:Hospitals, Veterans / Q000592:standards; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D019300:Medical Errors / Q000517:prevention & control; D010348:Patient Care Team / Q000458:organization & administration*; D011184:Postoperative Period; D057234:Preoperative Period; D016730:Program Development; D013514:Surgical Procedures, Operative / Q000592:standards*; D014481:United States; D014493:United States Department of Veterans Affairs