Interdisziplinäre Teamarbeit im Operationssaal: Das Beobachtungsverfahren OTAS-D und erste Anwendungsergebnisse aus Deutschland

Passauer-Baierl, Stefanie; Chiapponi, Costanza; Bruns, C.; Weigl, Matthias

doi:10.1055/s-0034-1383233

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…Lastly, inter-professional teamwork was associated with patient safety in our sample, which is in accordance with current literature [22,23,27]. This finding points out the need to continuously improve patient safety by various interventions in the future.…”

Section: Plos Onesupporting

confidence: 92%

“…Studies showed that inter-professional teamwork may result in improved employee wellbeing [15], and employee satisfaction [16]. Furthermore, inter-professional teamwork fosters patient satisfaction [17,18], and can lead to decreased length of stay [19], medical errors [20], and mortality [21] as well as to improved patient safety [5,[22][23][24][25][26][27], which is one of the national health goals in Germany [28], and one of the key issues of health care systems worldwide [25,29]. Despite this relevance, studies found that inter-professional teamwork in inpatient care is still suboptimal and needs to be improved in order to ensure safe patient care [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

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Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

et al. 2020

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BackgroundInter-professional teamwork is a prominent factor in quality of care and may lead to improved patient safety. Although team members' points of view are highly relevant when trying to improve inpatient procedures, there is a lack of systematic assessment of their perceptions. Therefore, study aims were to explore inter-professional teamwork, safety-related behavior, and patient safety in German hospitals from team members' point of view. Furthermore, we wanted to examine the association between inter-professional teamwork and safety-related behavior as well as the association between inter-professional teamwork and patient safety. MethodsWe used cross-sectional pre-intervention data of a multicenter longitudinal study (German KOMPAS project). We gathered descriptive statistics for sample characteristics and to describe the current state of inter-professional teamwork, safety-related behavior, and patient safety. We used one-way variance analyses to assess differences between groups, and linear regression analyses to examine the association between inter-professional teamwork and the outcomes safety-related behavior, and patient safety. Results326 inpatient care team members participated in the study. Participants perceived a moderate to high level of inter-professional teamwork, and a moderate level of patient safety. Moreover, they reached rather high values in safety-related behavior. Professional group, work experience, and period of employment had an impact on the perceptions of inter-professional teamwork, and patient safety. Higher inter-professional teamwork was associated

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Section: Plos Onesupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

et al. 2020

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“…Our findings need to be supported by further prospective studies. Those studies should extend self-reported measurements of slips and lapses to more objective assessments as already performed in hospital settings [ 54 , 55 ], for example with observer-based ratings to validate the self-reported quality of care indicator. To examine potential direct and causal effects of adverse working conditions with slips and lapses a shorter time lag between the assessments should be applied.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial working conditions as determinants of slips and lapses, and poor social interactions with patients among medical assistants in Germany: A cohort study

Mambrey,

Loerbroks

2024

PLoS ONE

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Objective We sought to examine the relationship of unfavorable psychosocial working conditions with slips and lapses and poor patient interaction as well as potential intermediate factors among medical assistants (MAs) in Germany based on prospective data. Methods We used data from 408 MAs from a 4-year cohort study (follow-up: 2021). At baseline, psychosocial working conditions were assessed by the established effort-reward-imbalance questionnaire and a MA-specific questionnaire with 7 subscales. Frequency of slips and lapses (e.g., pertaining to measurements and documentation) and the quality of patient interactions (e.g., unfriendliness or impatience) due to work stress were assessed at follow-up with three items each (potential score ranges = 3–15). Potential intermediate factors at baseline included work engagement (i.e., vitality and dedication (UWES)), work satisfaction (COPSOQ), anxiety (GAD-2), depressiveness (PHQ-2), and self-reported health. We ran multivariable linear regression using z-standardized exposures to estimate unstandardized coefficients (B) and 95% confidence intervals (CI). Potential intermediate factors were added separately to the regression models. Attenuation of the association between exposure and outcome toward the null value (B = 0) was interpreted as mediation. Results High reward and lack of resources were weakly associated with the frequency of slips and lapses (the Bs were -0.18 and 0.23, respectively; p<0.05), with little evidence of mediation. With the exception of low recognition, all unfavorable psychosocial working conditions predicted a higher frequency of poor interactions with patients (p-values<0.01). These associations were attenuated by work engagement, work satisfaction, and health outcomes. Conclusion We found mostly non-significant associations between adverse psychosocial working conditions and the frequency of slips and lapses. However, unfavorable psychosocial working conditions among MAs predicted a higher frequency of poor interaction with patients due to stress.

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“…In order to further explore the validity of our self-developed questionnaire and to substantiate associations found between psychosocial working conditions and quality of care indicators, additional methods for measuring quality of care should be applied in future studies. For instance, studies that rely on observer-based ratings of work processes and interactions in practice consultations, which have already been performed in hospital settings [ 46 , 47 ], could provide more objective assessments of slips and lapses or social interactions with patients among MAs. Further, social interactions could be rated by the patients and could be contrasted with the rating of the corresponding health care professional.…”

Section: Discussionmentioning

confidence: 99%

Associations between Psychosocial Working Conditions and Quality of Care (i.e., Slips and Lapses, and Perceived Social Interactions with Patients)—A Cross-Sectional Study among Medical Assistants

Mambrey

Vu-Eickmann

Angerer

et al. 2021

IJERPH

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Adverse psychosocial working conditions in the health care sector are widespread and have been associated with a reduced quality of patient care. Medical assistants (MA) assume that their unfavorable working conditions predominantly lead to a poorer quality of care in terms of slips and lapses, and poorer social interactions with patients. We examined those associations for the first time among MAs. A total of 944 MAs in Germany participated in a survey (September 2016–April 2017). Psychosocial working conditions were measured by the effort-reward imbalance (ERI) questionnaire and a questionnaire specifically designed for MAs. Slips and lapses (3 items, e.g., measurement or documentation errors) and the quality of interactions (3 items) with patients were measured by a questionnaire developed by the study team based on prior qualitative research. We ran Poisson regression to estimate multivariable prevalence ratios (PRs). The ERI ratio and MA-specific working conditions were significantly associated with frequent self-reported slips and lapses (PR = 2.53 and PR ≥ 1.22, respectively) or poor interactions with patients (PR = 3.62 and PR ≥ 1.38, respectively) due to work stress. Our study suggests that various types of adverse psychosocial working conditions are associated with perceptions of slips and lapses or poorer interaction with patients due to work stress among MAs.

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Interdisziplinäre Teamarbeit im Operationssaal: Das Beobachtungsverfahren OTAS-D und erste Anwendungsergebnisse aus Deutschland

Cited by 4 publications

References 19 publications

Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

Psychosocial working conditions as determinants of slips and lapses, and poor social interactions with patients among medical assistants in Germany: A cohort study

Associations between Psychosocial Working Conditions and Quality of Care (i.e., Slips and Lapses, and Perceived Social Interactions with Patients)—A Cross-Sectional Study among Medical Assistants

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