Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial

Hoffmann, Barbara; Müller, Vera; Rochon, Justine; Gondan, Matthias; Müller, Beate S.; Albay, Zeycan; Weppler, K; Leifermann, Mareike; Miessner, Carolin; Güthlin, Corina; Parker, Dianne; Hofinger, Gesine; Gerlach, Ferdinand M.

doi:10.1136/bmjqs-2013-001899

Cited by 38 publications

(31 citation statements)

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“…Analogous to this, an assessment and discussion tool, the MaPSaF, was found to be a meaningful instrument in primary care. 34,35 In addition, there have been numerous improvement approaches based on team efforts such as CRM, TeamSTEPPS, and variable safety workshops that showed promising results. [36][37][38][39][40] A successful team that strives for a clear common goal and that regularly discusses how to achieve this is seen as valuable in improvement programmes.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Improving patient safety culture in general practice: an interview study

et al. 2015

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Improving patient safety culture in general practice: an interview study

et al. 2015

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“…Interestingly, using the MaPSaF in general practice Hoffmann et al found effects on incident reporting and not on self-reported culture improvement similar to the current study. 32 The lack of effect on culture measurements may be explained either by the short intervention time of 1 year or by the insufficient sensitivity of the used survey. 33 Responsiveness to change should be part of further research.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial

et al. 2015

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“…Often these educational interventions employed TeamSTEPPS or CRM (crisis resource management) approaches [24][25][26][27]. Studies reporting the use of interprofessional practice interventions tended to employ team checklists [28][29], team briefings [30,31] or patient safety rounds [32,33]. Those studies that employed multiple intervention methods blended, for example, team-based training with practice-based activities such as the use of a team briefing [34][35].…”

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confidence: 99%

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review

Reeves

Clark²,

Lawton³

et al. 2017

International Journal for Quality in Health Care

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Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, the sources of evidence and reported outcomes.Data sources: Two major databases (MEDLINE, CINAHL) were searched from 2005 to 2015.Study selection: A total of 1,552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review. Data extraction:The following information was extracted from each included paper: details on the patient safety intervention, study methods employed and outcomes reported.Results of data synthesis: It was found that the bulk of the included studies were undertaken in a North American acute care context. Most often, studies involved qualified professionals from nursing and medicine collaborating in hospitals and medical centres. Nearly half the studies reported in this review employed educational interventions, such as TeamSTEPPS, aimed at enhancing practitioners' competence of delivering safe patient care. Nearly a third of studies involved practice-based interventions (e.g. checklists) aimed at improving the delivery of safe care. Most of the studies used a quasi-experimental design and typically gathered survey data. The majority reported outcomes related to changes in professionals' attitudes, knowledge and skills. There were, however, fewer studies reporting changes in practitioners' safety behaviours, organisational practices or patient benefit. Conclusion:The use of different interprofessional interventions are key activities involved in promoting safe patient care practices. However, further work is needed to strengthen these interventions and their evaluations.

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Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial

Abstract: German Clinical Trials Register (Deutsches Register Klinischer Studien, DRKS) No. DRKS00000145.

Cited by 38 publications

References 40 publications

Improving patient safety culture in general practice: an interview study

Improving patient safety culture in general practice: an interview study

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review

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