title: Supporting a psychiatric hospital culture of safety.
abstract: BACKGROUND
  Concerns for patient safety have risen to the forefront of health care, including mental health care. Safe patient care depends, to a large extent, on high functioning teams, yet team training is lacking in basic professional training programs. To address the need for team training, one psychiatric hospital adopted the Team Strategies and Tools to Enhance Performance and Patient Safety program (TeamSTEPPS).
  
  
  OBJECTIVE
  To describe the implementation of TeamSTEPPS throughout the organization and to describe the differences in team attributes prior to and following implementation of TeamSTEPPS.
  
  
  METHODS
  Quality improvement project using a pre-post survey design.
  
  
  RESULTS
  TeamSTEPPS was successfully implemented, and changes in all team attributes trended in a positive direction with 5 of 7 subscales reaching significance (p ≤ .01).
  
  
  CONCLUSIONS
  TeamSTEPPS provided a practical approach for our hospital to systematically weave safety throughout the culture and improve team functioning and other attributes of highly effective teams.
authors.affiliation: The Menninger Clinic, Houston, TX 77035, USA. jmahoney@menninger.edu
authors.forename: Jane S
authors.initials: JS
authors.lastname: Mahoney
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Ellis
authors.forename: Gayle
authors.initials: G
authors.lastname: Garland
authors.forename: Nancy
authors.initials: N
authors.lastname: Palyo
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Greene
mesh_terms: D019538:Health Care Surveys / Q000379:methods / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007318:Inservice Training / Q000379:methods / Q000458:organization & administration; D033183:Interdisciplinary Communication; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards; D061214:Patient Safety / Q000592:standards* / Q000706:statistics & numerical data; D016730:Program Development; D015397:Program Evaluation / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration*