title: Integrating team resource management program into staff training improves staff's perception and patient safety in organ procurement and transplantation: the experience in a university-affiliated medical center in Taiwan.
abstract: BACKGROUND
  The process involved in organ procurement and transplantation is very complex that requires multidisciplinary coordination and teamwork. To prevent error during the processes, teamwork education and training might play an important role. We wished to evaluate the efficacy of implementing a Team Resource Management (TRM) program on patient safety and the behaviors of the team members involving in the process.
  
  
  METHODS
  We implemented a TRM training program for the organ procurement and transplantation team members of the National Taiwan University Hospital (NTUH), a teaching medical center in Taiwan. This 15-month intervention included TRM education and training courses for the healthcare workers, focused group skill training for the procurement and transplantation team members, video demonstration and training, and case reviews with feedbacks. Teamwork culture was evaluated and all procurement and transplantation cases were reviewed to evaluate the application of TRM skills during the actual processes.
  
  
  RESULTS
  During the intervention period, a total of 34 staff members participated the program, and 67 cases of transplantations were performed. Teamwork framework concept was the most prominent dimension that showed improvement from the participants for training. The team members showed a variety of teamwork behaviors during the process of procurement and transplantation during the intervention period. Of note, there were two potential donors with a positive HIV result, for which the procurement processed was timely and successfully terminated by the team. None of the recipients was transplanted with an infected organ. No error in communication or patient identification was noted during review of the case records.
  
  
  CONCLUSIONS
  Implementation of a Team Resource Management program improves the teamwork culture as well as patient safety in organ procurement and transplantation.
authors.forename: Ya-Chi
authors.initials: YC
authors.lastname: Hsu
authors.forename: Jih-Shuin
authors.initials: JS
authors.lastname: Jerng
authors.forename: Ching-Wen
authors.initials: CW
authors.lastname: Chang
authors.forename: Li-Chin
authors.initials: LC
authors.lastname: Chen
authors.forename: Ming-Yuan
authors.initials: MY
authors.lastname: Hsieh
authors.forename: Szu-Fen
authors.initials: SF
authors.lastname: Huang
authors.forename: Yueh-Ping
authors.initials: YP
authors.lastname: Liu
authors.affiliation: Center for Quality Management, National Taiwan University, Taipei, Taiwan. kyhung@ntu.edu.tw.
authors.forename: Kuan-Yu
authors.initials: KY
authors.lastname: Hung
mesh_terms: D000046:Academic Medical Centers; D004501:Education, Medical; D006801:Humans; D008505:Medical Staff, Hospital / Q000193:education*; D016377:Organ Transplantation / Q000193:education*; D009935:Organizational Affiliation; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D015397:Program Evaluation; D013624:Taiwan; D009927:Tissue and Organ Procurement / Q000458:organization & administration*