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Arch Surg. 2009 Feb;144(2):107-12. doi: 10.1001/archsurg.2008.545.

Surgical team training: the Northwestern Memorial Hospital experience.

Author information

1
Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. ahalverson@nmff.org

Abstract

OBJECTIVES:

To develop and implement a team-training curriculum. We hypothesized that better interactions between personnel would lead to improved patient safety, increased efficiency, and better staff satisfaction.

DESIGN:

Prospective assessment of a team-training program.

SETTING:

University-affiliated hospital.

PARTICIPANTS:

Operating room physicians, nurses, technicians, and other personnel.

INTERVENTIONS:

Four-hour classroom curriculum, intraoperative coaching on team-related behaviors, and follow-up feedback sessions.

MAIN OUTCOME MEASURES:

Baseline metrics and observational data were collected for 3 months before implementing the team-training program and 6 months after a designated implementation date. A questionnaire regarding perceptions of teamwork was completed at the beginning of and 6 weeks following the team-training classroom session.

RESULTS:

Six months after implementation of team training, compliance with preoperative briefings was 66%. No changes in hospital metrics were observed. An improved perception of teamwork among the participants was demonstrated in pretraining and posttraining surveys. Perceptions of teamwork and the utility of a preoperative briefing differed among nurses, surgeons, and anesthesiologists.

CONCLUSIONS:

Our team-training program resulted in moderate compliance with behaviors taught in the curriculum. Even with only moderate compliance, we demonstrated improved perceptions of teamwork.

PMID:
19221320
DOI:
10.1001/archsurg.2008.545
[Indexed for MEDLINE]
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