title: TeamSTEPPS for health care risk managers: Improving teamwork and communication.
abstract: BACKGROUND
  Ineffective communication among the health care team is a leading cause of errors in the patient care setting. Studies assessing training related to communication and teamwork in the clinical team are prevalent, however, teamwork training at the administrative level is lacking. This includes individuals in leadership positions such as health care risk managers.
  
  
  OBJECTIVE
  The purpose was to determine the impact of an educational intervention on the knowledge and attitudes related to communication and teamwork in the health care risk management population.
  
  
  METHODS
  The educational intervention was an adaptation of a national teamwork training program and incorporated didactic content as well as video vignettes and small group activities. Measurement of knowledge and attitudes were used to determine the impact of the education program. Knowledge and attitudes were assessed pre- and postcourse.
  
  
  RESULTS
  Findings indicate that teamwork education tailored to the needs of the specific audience resulted in knowledge gained and improved attitudes toward the components of teamwork. The attitudes that most significantly improved were related to team structure and situation monitoring. There was no improvement in participants' attitudes toward leadership, mutual support, and communication.
  
  
  CONCLUSIONS
  Team training has been shown to improve safety culture, patient satisfaction, and clinical outcomes. Including risk managers in training on teamwork, communication, and collaboration can serve to foster a common language among clinicians and management. In addition, a measurement related to implementation in the health care setting may yield insight into the impact of training. Qualitative measurement may allow the researcher to delve deeper into how these health care facilities are using team training interventions.
authors.affiliation: Director, Clinical Quality for the Health Research and Educational Trust of the American Hospital Association.
authors.forename: Marcia
authors.initials: M
authors.lastname: Cooke
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010348:Patient Care Team / Q000592:standards*; D015397:Program Evaluation; D058996:Quality Improvement; D012308:Risk Management; D011795:Surveys and Questionnaires