title: Improved Knowledge, Attitudes, and Behaviors After Implementation of TeamSTEPPS Training in an Academic Emergency Department: A Pilot Report.
abstract: TeamSTEPPS is a validated, formal patient safety curriculum created by the Agency for Healthcare Research and Quality (AHRQ) for the development of high-functioning multidisciplinary teams. TeamSTEPPS was implemented in an academic emergency department (ED), including all ED hospital staff as well as physicians and residents. It was hypothesized that extensive interprofessional education combined with implementation of specific tools would increase knowledge of TeamSTEPPS principles, attitudes, and behaviors. The TeamSTEPPS knowledge test and the AHRQ Hospital Survey attitude test were administered at 0, 45, and 90 days after training. Behaviors were evaluated using an observation tool that was developed to document huddle occurrence. Knowledge and attitudes significantly improved 45 days from baseline (P < .05) and were sustained by day 90. In this pilot study, the implementation of TeamSTEPPS training in a multidisciplinary team in an academic ED led to increased knowledge and improved communication attitudes. Adoption of a specific behavior, the huddle, also was observed.
authors.affiliation: University of Kansas Medical Center, Kansas City, KS.
authors.forename: David
authors.initials: D
authors.lastname: Lisbon
authors.affiliation: University of Kansas Medical Center, Kansas City, KS.
authors.forename: Dennis
authors.initials: D
authors.lastname: Allin
authors.affiliation: University of Kansas Hospital, Kansas City, KS.
authors.forename: Carol
authors.initials: C
authors.lastname: Cleek
authors.affiliation: University of Kansas School of Medicine, Kansas City, KS.
authors.forename: Lori
authors.initials: L
authors.lastname: Roop
authors.affiliation: University of Kansas Medical Center, Kansas City, KS.
authors.forename: Michael
authors.initials: M
authors.lastname: Brimacombe
authors.affiliation: University of Kansas Medical Center, Kansas City, KS.
authors.forename: Courtney
authors.initials: C
authors.lastname: Downes
authors.affiliation: University of Kansas School of Medicine, Kansas City, KS spinglet@kumc.edu.
authors.forename: Susan K
authors.initials: SK
authors.lastname: Pingleton
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration; D001291:Attitude of Health Personnel; D003479:Curriculum; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D033183:Interdisciplinary Communication; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D010865:Pilot Projects; D014481:United States
keywords: TeamSTEPPS; emergency medicine; high-performing teams; patient safety