title: The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training Program.
abstract: To improve communication within surgical teams, Veterans Health Administration (VHA) implemented a Medical Team Training Program (MTT) based on the principles of crew resource management. One hundred two VHA facilities were analyzed. Nursing leadership participation in the planning stages of the program was compared with outcomes at follow-up. Nurse manager participation in planning was associated with higher rates of implementation of preoperative briefing and postoperative debriefing. Nurse managers are a critical component in the planning phase of team training programs focused on OR clinical staff.
authors.affiliation: Veterans Health Administration National Center for Patient Safety, Ann Arbor, MI 48106-0486, USA. lori.robinson1@va.gov
authors.forename: Lori D
authors.initials: LD
authors.lastname: Robinson
authors.forename: Douglas E
authors.initials: DE
authors.lastname: Paull
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Mazzia
authors.forename: Lisa
authors.initials: L
authors.lastname: Falzetta
authors.forename: James
authors.initials: J
authors.lastname: Hay
authors.forename: Julia
authors.initials: J
authors.lastname: Neily
authors.forename: Peter D
authors.initials: PD
authors.lastname: Mills
authors.forename: Brian
authors.initials: B
authors.lastname: Carney
authors.forename: James P
authors.initials: JP
authors.lastname: Bagian
mesh_terms: D057189:Checklist / Q000379:methods; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D007400:Interprofessional Relations; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009746:Nursing, Team / Q000379:methods / Q000458:organization & administration*; D009871:Operating Room Nursing / Q000193:education / Q000379:methods / Q000458:organization & administration*; D013527:Perioperative Nursing / Q000193:education / Q000379:methods / Q000458:organization & administration*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration