title: Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
abstract: This interrupted time-series study evaluated the impact of multiprofessional scenario-based training on the safety culture and teamwork climate of 3 surgical wards during a time of reduced financial resources. The authors ran 22 team training sessions for teams of 4 to 5 medical and nursing staff over a 4-month period on 3 surgical wards, using 2 scenarios based on a previously successful obstetric training program. Safety culture was measured before and after training using a validated psychometric questionnaire. After training there was a statistically significant improvement in safety culture (P = .036) on the wards. Teamwork climate improved, but the evidence was not as strong (P = .052). Perceptions of hospital management and adequacy of staffing levels showed significant deterioration. Simple, low-resource interventions can have a significant positive impact on safety culture and possibly teamwork climate on surgical wards. This could be of great value in maintaining patient safety at times of financial constraint.
authors: 1North Bristol NHS Trust, Bristol, UK.
authors: Helen Anne
authors: HA
authors: van der Nelson
authors: Dimitrios
authors: D
authors: Siassakos
authors: Joanne
authors: J
authors: Bennett
authors: Mandy
authors: M
authors: Godfrey
authors: Liz
authors: L
authors: Spray
authors: Tim
authors: T
authors: Draycott
authors: Fiona
authors: F
authors: Donald
mesh_terms: D004502:Education, Medical, Continuing / Q000379:methods*; D006801:Humans; D009774:Obstetrics / Q000193:education* / Q000379:methods / Q000458:organization & administration / Q000592:standards; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D061214:Patient Safety / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration* / Q000639:trends; D011795:Surveys and Questionnaires
keywords: multiprofessional; safety culture; simulation; teamwork climate