TeamSTEPPS<sup>®</sup>: An evidence‐based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review

Parker, Antay L.; Forsythe, Lydia L.; Kohlmorgen, Ingrid K.

doi:10.1002/jhrm.21352

Cited by 41 publications

(22 citation statements)

References 21 publications

(48 reference statements)

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“…These results agree with the results of the integrative review carried out by Parker et al 31 who reported that there was a significant reduction in clinical error rates and improvement in patient satisfaction after Team STEPPS implementation. Furthermore, Farup 32 reported there was a negative association between the patient safety culture and adverse medical events.…”

Section: Discussionsupporting

confidence: 92%

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

et al. 2021

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The purpose of this study was to examine the effect of application of team strategies and tools to enhance performance and patient safety at primary healthcare units on patients' safety and outcomes. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) are specially intended to enhance patient safety through effective communication and teamwork skills. To examine, a quasi‐experimental (pre–posttest) design was utilized. Six primary healthcare centers in Egypt were selected. The subjects included composed of two groups: (1) All‐available healthcare providers (114) and (2) convenience sample of 108 clients. Four questionnaires were used, namely; the Hospital Survey on Patient Safety Culture (HSPSC), Perception of Teamwork Questionnaire, the Short Assessment of Patient Satisfaction Scale, and Patient's Adverse Events Questionnaire. Results showed that there was a highly significant decrease in the level of weakness and the need for potential improvement of all 11 domains of the HSPSC survey except the staffing domain (p < 0.001). The teamwork perceptions scores showed significant improvement post intervention (p < 0.001). In addition, a highly significant decrease in the frequency of patient‐reported adverse events compared to a significant increase in patient satisfaction level was proved (p < 0.001). It may, hence, be concluded that Team STEPPS implementation had improved patient safety culture among healthcare providers and significantly improved patient outcomes.

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Section: Discussionsupporting

confidence: 92%

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

et al. 2021

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“…Nevertheless, most errors arose in documentation, regardless employees’ status on qualification, work experience, training and working hours. In addition to frequent error management trainings, a starting point might be to approach new, innovative documentation technologies, such as interactive tools for electronic documentation transfers as shown in a recent systematic review by Hanratty and colleagues (Hanratty et al., 2019), or to implement newly developed data registry systems for nursing‐sensitive indicators as presented in an investigation by Sim and colleagues (Sim et al., 2019) or similar toolkits as revealed in the evidence‐based study approach by Parker and colleagues (Parker et al., 2019) to ensure and increase patient safety in home care services.…”

Section: Discussionmentioning

confidence: 99%

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services

2020

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Aim To identify factors for and perceived consequences of nursing errors by nursing staff in home care services in correlation with qualification, work experience, working hours and trainings. Background Patient safety has increasingly been brought into focus of politics and care practices over the past few years. However, little evidence has been provided yet on nursing errors in out‐of‐hospital settings. Design A cross‐sectional study. Methods Randomized sample of 107 home care services and 656 nurses and nursing assistants recruited from all 16 federal states in Germany. Results Missing trainings on error management within the past 2 years were identified to be an important factor for mistakes regarding hygienic measures and medication administration. However, most errors arose in documentation without any significant differences in qualification, work experience, training and working hours. Conclusion Findings indicate that insufficient hygiene and medication administration might be reduced by implementing error management trainings on a regular basis in home care services.

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“…The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®), developed by the U.S. Department of Defense (DOD) and the Agency for Healthcare Research and Quality (AHRQ) [3], is an evidence-based program contribute to improving quality and safety in health care. All these strategies and tools lead to promoting communication, reducing medical errors or adverse events, and improving patient satisfaction and outcomes [4].…”

Section: Introductionmentioning

confidence: 99%

Psychometric testing of the Iranian version of the TeamSTEPPS teamwork perception questionnaire: a cross-cultural validation study

Kakemam

Rouzbahani

Rajabi

et al. 2021

BMC Health Serv Res

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Background The use of validated questionnaires to assess the perception of teamwork can be an early step in improving team training activities. Team-STEPPS® Teamwork Perception Questionnaire (T-TPQ) has been adapted and validated for hospital setting use in several countries. Due to linguistic and cultural differences, there is need to test the psychometrics of the adapted versions. However, no research have not yet assessed the psychometric properties of the Persian T-TPQ. Therefore, this study aims to assess the internal consistency reliability and construct validity of an Iranian version of the Team-STEPPS® Teamwork Perception Questionnaire (IR-T-TPQ). Methods To conduct this study, we undertook a cross-sectional survey approach between May 2020 and January 2021. In total, 404 nurses were recruited by convenience sampling technique from 10 teaching hospitals in Tabriz, Iran. Internal consistency reliability was analyzed using Cronbach’s alpha coefficient. Confirmatory factor analysis was performed to test the construct validity of the instrument. Results Cronbach’s alpha coefficients for each subscale were acceptable, ranging from 0.84 to 0.92, as well as for the total IR-T-TPQ (α = 0.96). The confirmatory factor analysis demonstrated a five-factor model, all of whose fit indices were acceptable, except for the goodness-of-fit index and normed fit index (χ2 (df) 1332 (550), p < 0.001, Normed chi-square (χ2/df) = 2.423, RMSEA = 0.059, TLI = 0.897, CFI = 0.904, AGFI = 0.814). Conclusions The psychometric properties of the IR-T-TPQ resulted in acceptable levels of internal consistency reliability and construct validity, respectively, in Iranian hospital nurses. Further study is needed to compare the teamwork level of nurses in various settings or to evaluate the effectiveness of the teamwork intervention using this validated and reliable tool.

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TeamSTEPPS^®: An evidence‐based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review

Cited by 41 publications

References 21 publications

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services

Psychometric testing of the Iranian version of the TeamSTEPPS teamwork perception questionnaire: a cross-cultural validation study

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TeamSTEPPS®: An evidence‐based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review

Cited by 41 publications

References 21 publications

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services

Psychometric testing of the Iranian version of the TeamSTEPPS teamwork perception questionnaire: a cross-cultural validation study

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Product

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TeamSTEPPS^®: An evidence‐based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review