Measurement and Training of TeamSTEPPS® Dimensions Using the Medical Team Performance Assessment Tool

Lineberry, Matthew; Bryan, E. W.; Brush, Timothy; Carolan, Thomas F.; Holness, David; Salas, Eduardo; King, Heidi B.

doi:10.1016/s1553-7250(13)39013-8

Cited by 14 publications

(9 citation statements)

References 7 publications

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“…TeamSTEPPS is perhaps the most widely used model for training for health care teams (Lineberry et al, 2013). This program has been adapted to primary care, but there are scant empirical data related to its implementation or impact within primary care.…”

Section: What We Need To Knowmentioning

confidence: 99%

The complexity, diversity, and science of primary care teams.

Fiscella

McDaniel

2018

American Psychologist

108

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This article examines the past, present and future of primary care and teamwork. It begins with a definition and description of primary care-its uniqueness, diversity and complexity, including the historical role of teams within primary care. The article then reviews the emergence of innovative primary care teams, including those grounded in new processes such as the Patient-Centered Medical Home and interprofessional teams that include new types of health professionals, particularly psychologists and other integrated behavioral health clinicians. The article describes key factors that support or hinder primary care teamwork, as well as evidence of the impact of these team-based models on patient outcomes, costs, and team members. It also discusses the role of primary care teams within multiteam systems (or 'teams of teams'), which are organized around the needs of patients and families, and the unique challenges these systems pose to coordinating care. The article concludes with recommendations for advancing teams in primary care, including changes in payment, descriptions of team competencies, models for primary care team training, and research necessary to inform the gaps in scientific knowledge. (PsycINFO Database Record

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Section: What We Need To Knowmentioning

confidence: 99%

The complexity, diversity, and science of primary care teams.

Fiscella

McDaniel

2018

American Psychologist

108

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“…defined the ‘Big Five’ in teamwork, which was then expanded to eight ‘critical teamwork competencies’: team leadership, mutual performance monitoring, backup behaviour, adaptability, team orientation, shared mental models, mutual trust and closed‐loop communication. These competencies have guided the content of curricula for team training interventions in education and health care, including TeamSTEPPS ® (Team Strategies and Tools to Enhance Performance and Patient Safety) . However, as discussed above, the evidence supporting this model (and other models) of effective teamwork comes largely from pre/post intervention studies that do not have a comparison intervention, so this model and its individual components lack experimental validation.…”

Section: Components Of ‘Effective Teamwork’mentioning

confidence: 99%

“…These competencies have guided the content of curricula for team training interventions in education and health care, including TeamSTEPPS â (Team Strategies and Tools to Enhance Performance and Patient Safety). [27][28][29] However, as discussed above, the evidence supporting this model (and other models) of effective teamwork comes largely from pre/post intervention studies that do not have a comparison intervention, so this model and its individual components lack experimental validation. This type of validation is important because there are data to suggest that some of the proposed teamwork competencies, such as collaborative decision making (or 'shared mental models'), can also impair decision making and performance.…”

Section: Components Of 'Effective Teamwork'mentioning

confidence: 99%

Are we at risk of groupthink in our approach to teamwork interventions in health care?

et al. 2016

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In reality, teamwork and IPE are not inherently good, bad or neutral; instead, as with any intervention, their effect is modified by the persons involved, the situation and the interaction between persons and situation. Thus, rather than assume better outcomes with teamwork and IPE interventions, as clinicians and educators we must demonstrate that our interventions improve the delivery of health care.

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“…Although there are reports of audit tools being used to help give feedback to health care teams, the authors have not seen a published description of audit methodology for TeamSTEPPS behaviors used in an operating room or incorporation of TeamSTEPPS into a SSC. 28 Sustainability is an ongoing challenge for team building in health care. Although TeamSTEPPS training can improve communication among operating room providers and lower surgical morbidity and mortality, these benefits can wane in the months following TeamSTEPPS implementation.…”

Section: Discussionmentioning

confidence: 99%

Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior

et al. 2016

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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 χ and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.

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Measurement and Training of TeamSTEPPS® Dimensions Using the Medical Team Performance Assessment Tool

Cited by 14 publications

References 7 publications

The complexity, diversity, and science of primary care teams.

The complexity, diversity, and science of primary care teams.

Are we at risk of groupthink in our approach to teamwork interventions in health care?

Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior

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