Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
OBJECTIVE
The goal of this project was to improve unit-based safety culture through implementation of a multidisciplinary (pharmacy, nursing, medicine) teamwork and communication intervention.


METHODS
The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used to determine the impact of the training with a before-after design.


RESULTS
Surveys were returned from 454 healthcare staff before the training and 368 staff 1 year later. Five of eleven safety culture subscales showed significant improvement. Nurses perceived a stronger safety culture than physicians or pharmacists.


CONCLUSIONS
While it is difficult to isolate the effects of the team training intervention from other events occurring during the year between training and postevaluation, overall the intervention seems to have improved the safety culture on these medical units.
Blegen
M A
MA
Community Health Systems Department, School of Nursing, University of California, San Francisco, 2 Koret Way, Box 0608, San Francisco, CA 94143, USA. mary.blegen@nursing.ucsf.edu
Sehgal
N L
NL
Alldredge
B K
BK
Gearhart
S
S
Auerbach
A A
AA
Wachter
R M
RM
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D019538:Health Care Surveys; D006757:Hospital Units; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008505:Medical Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data; D015279:Organizational Culture; D010348:Patient Care Team; D061214:Patient Safety; D010865:Pilot Projects; D011785:Quality Assurance, Health Care / Q000379:methods*; D017751:Safety Management / Q000592:standards*; D014481:United States