Risk-Adjusted Morbidity in Teaching Hospitals Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions

Davenport, Daniel L.; Henderson, William G.; Mosca, Cecilia; Khuri, Shukri F.; Mentzer, Robert M.

doi:10.1016/j.jamcollsurg.2007.07.039

Cited by 238 publications

(159 citation statements)

References 31 publications

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“…SAQ scores correlated with theatre efficiency, but not with an independent scoring system for communication3 17.…”

Section: Resultsmentioning

confidence: 75%

“…The most popular tool was the teamwork subsection or ‘climate’ of the SAQ2 3, 15, 16, 17, 18, 19, 20.…”

Section: Resultsmentioning

confidence: 99%

“…A number of tools contained evidence of content validity, although the SAQ was the only one that demonstrated high internal agreement by users (Cronbach's α = 0·78)3. The SAQ also had the benefit of translation from a well validated tool used in aviation, a feature shared with the Operating Room Management Attitudes Questionnaire (ORMAQ).…”

Section: Resultsmentioning

confidence: 99%

“…In addition to surgeons' technical proficiency, non‐technical skills have been implicated in clinical outcomes after surgery and operating theatre efficiency. These non‐technical skills include, in addition to teamwork, attitudes towards safety, situational awareness, decision‐making, communication and theatre environment1, 2, 3, 4, 5, 6, 7, 8, 9, 10. This review was designed to focus on teamwork.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of methods for quantifying teamwork in the operating theatre

Marshall

Sykes

et al. 2018

BJS Open

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BackgroundTeamwork in the operating theatre is becoming increasingly recognized as a major factor in clinical outcomes. Many tools have been developed to measure teamwork. Most fall into two categories: self‐assessment by theatre staff and assessment by observers. A critical and comparative analysis of the validity and reliability of these tools is lacking.MethodsMEDLINE and Embase databases were searched following PRISMA guidelines. Content validity was assessed using measurements of inter‐rater agreement, predictive validity and multisite reliability, and interobserver reliability using statistical measures of inter‐rater agreement and reliability. Quantitative meta‐analysis was deemed unsuitable.ResultsForty‐eight articles were selected for final inclusion; self‐assessment tools were used in 18 and observational tools in 28, and there were two qualitative studies. Self‐assessment of teamwork by profession varied with the profession of the assessor. The most robust self‐assessment tool was the Safety Attitudes Questionnaire (SAQ), although this failed to demonstrate multisite reliability. The most robust observational tool was the Non‐Technical Skills (NOTECHS) system, which demonstrated both test–retest reliability (P > 0·09) and interobserver reliability (Rwg = 0·96).ConclusionSelf‐assessment of teamwork by the theatre team was influenced by professional differences. Observational tools, when used by trained observers, circumvented this.

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“…SAQ scores correlated with theatre efficiency, but not with an independent scoring system for communication3 17.…”

Section: Resultsmentioning

confidence: 75%

“…The most popular tool was the teamwork subsection or ‘climate’ of the SAQ2 3, 15, 16, 17, 18, 19, 20.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of methods for quantifying teamwork in the operating theatre

Marshall

Sykes

et al. 2018

BJS Open

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“…While randomized controlled trials are lacking, observational studies document better patient outcomes are associated with higher ratings of collaboration and teamwork. [23][24][25] Future research should assess whether use of SIDR to improve collaboration also produces improvements in the safety of care and outcomes on inpatient medical units. The majority of providers agreed that SIDR improved patient care as well as the efficiency of their workday and attendance was high among all disciplines.…”

Section: Discussionmentioning

confidence: 99%

Improving teamwork: Impact of structured interdisciplinary rounds on a hospitalist unit

O’Leary

Haviley

Slade

et al. 2011

Journal of Hospital Medicine

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BACKGROUND:Effective collaboration and teamwork is essential in providing safe and effective care. Research reveals deficiencies in teamwork on medical units involving hospitalists.OBJECTIVE:The aim of this study was to assess the impact of an intervention, Structured Inter‐Disciplinary Rounds (SIDR), on nurses' ratings of collaboration and teamwork.METHODS:The study was a controlled trial involving an intervention and control hospitalist unit. The intervention, SIDR, combined a structured format for communication with a forum for regular interdisciplinary meetings. We asked nurses to rate the quality of communication and collaboration with hospitalists using a 5‐point ordinal scale. We also assessed teamwork and safety climate using a validated instrument. Multivariable regression analyses were used to assess the impact on length of stay (LOS) and cost using both a concurrent and historic control.RESULTS:A total of 49 of 58 (84%) nurses completed surveys. A larger percentage of nurses rated the quality of communication and collaboration with hospitalists as high or very high on the intervention unit compared to the control unit (80% vs. 54%; P = 0.05). Nurses also rated the teamwork and safety climate significantly higher on the intervention unit (P = 0.008 and P = 0.03 for teamwork and safety climate, respectively). Multivariable analyses demonstrated no difference in the adjusted LOS and an inconsistent effect on cost.CONCLUSIONS:SIDR had a positive effect on nurses' ratings of collaboration and teamwork on a hospitalist unit, yet no impact on LOS and cost. Further study is required to assess the impact of SIDR on patient safety measures. Journal of Hospital Medicine 2010. © 2010 Society of Hospital Medicine.

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