title: Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior.
abstract: Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ2and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: Amanda J
authors: AJ
authors: Rhee
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: Yessenia
authors: Y
authors: Valentin-Salgado
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: David
authors: D
authors: Eshak
authors: 2 FOJP Service Corporation, New York, NY.
authors: David
authors: D
authors: Feldman
authors: 2 FOJP Service Corporation, New York, NY.
authors: Pat
authors: P
authors: Kischak
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: David L
authors: DL
authors: Reich
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: Vicki
authors: V
authors: LoPachin
authors: 1 The Mount Sinai Hospital, New York, NY.
authors: Michael
authors: M
authors: Brodman
mesh_terms: D057189:Checklist; D054869:Clinical Audit / Q000458:organization & administration* / Q000592:standards; D003142:Communication; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D019300:Medical Errors / Q000517:prevention & control; D009873:Operating Rooms / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D061214:Patient Safety / Q000592:standards; D019990:Perioperative Care / Q000592:standards*; D058996:Quality Improvement / Q000458:organization & administration; D017751:Safety Management / Q000458:organization & administration
keywords: TeamSTEPPS; checklist; communication; perioperative; teamwork