Implementation of Unit-Based Interventions to Improve Teamwork and Patient Safety on a Medical Service

Kevin J. O’Leary, Amanda J. Creden, Maureen E. Slade, Matthew P. Landler, Nita Kulkarni, Jungwha Lee, John A. Vozenilek, Pamela Pfeifer, Susan Eller, Diane B. Wayne, Mark V. Williams

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

In a prior study involving 2 medical units, Structured Interdisciplinary Rounds (SIDRs) improved teamwork and reduced adverse events (AEs). SIDR was implemented on 5 additional units, and a pre- versus postintervention comparison was performed. SIDR combined a structured format for communication with daily interprofessional meetings. Teamwork was assessed using the Safety Attitudes Questionnaire (score range = 0-100), and AEs were identified using queries of information systems confirmed by 2 physician researchers. Paired analyses for 82 professionals completing surveys both pre and post implementation revealed improved teamwork (mean 76.8 ± 14.3 vs 80.5 ± 11.6; P =.02), which was driven mainly by nurses (76.4 ± 14.1 vs 80.8 ± 10.4; P =.009). The AE rate was similar across study periods (3.90 vs 4.07 per 100 patient days; adjusted IRR = 1.08; P =.60). SIDR improved teamwork yet did not reduce AEs. Higher baseline teamwork scores and lower AE rates than the prior study may reflect a positive cultural shift that began prior to the current study.

Original languageEnglish
Pages (from-to)409-416
Number of pages8
JournalAmerican Journal of Medical Quality
Volume30
Issue number5
DOIs
StatePublished - Sep 27 2015

Keywords

  • hospital medicine
  • interprofessional care
  • patient safety
  • teamwork

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