title: TeamSTEPPS Improves Operating Room Efficiency and Patient Safety.
abstract: The objective was to evaluate the effect of TeamSTEPPS on operating room efficiency and patient safety. TeamSTEPPS consisted of briefings attended by all health care personnel assigned to the specific operating room to discuss issues unique to each case scheduled for that day. The operative times, on-time start rates, and turnover times of all cases performed by the urology service during the initial year with TeamSTEPPS were compared to the prior year. Patient safety issues identified during postoperative briefings were analyzed. The mean case time was 12.7 minutes less with TeamSTEPPS (P < .001). The on-time first-start rate improved by 21% with TeamSTEPPS (P < .001). The mean room turnover time did not change. Patient safety issues declined from an initial rate of 16% to 6% at midyear and remained stable (P < 0.001). TeamSTEPPS was associated with improved operating room efficiency and diminished patient safety issues in the operating room.
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Lancaster R
authors.initials: LR
authors.lastname: Weld
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Stringer
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: James S
authors.initials: JS
authors.lastname: Ebertowski
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Timothy S
authors.initials: TS
authors.lastname: Baumgartner
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Kasprenski
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Jeremy C
authors.initials: JC
authors.lastname: Kelley
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Doug S
authors.initials: DS
authors.lastname: Cho
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX.
authors.forename: Erwin A
authors.initials: EA
authors.lastname: Tieva
authors.affiliation: San Antonio Military Medical Center, Fort Sam Houston, TX Thomas.e.novak.mil@mail.mil.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Novak
mesh_terms: D057189:Checklist; D017598:Efficiency, Organizational / Q000592:standards; D006801:Humans; D009873:Operating Rooms / Q000379:methods / Q000458:organization & administration / Q000592:standards*; D061646:Operative Time; D061214:Patient Safety / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards; D013514:Surgical Procedures, Operative / Q000379:methods / Q000592:standards
keywords: TeamSTEPPS; communication; medical errors; operative briefings