| A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. | |
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MedLine Citation:
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PMID: 20479349 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To create and test a reproducible method for measuring emotional climate, surgical team skills, and threats to patient outcome by conducting an observational study to assess the impact of a surgical team skills and communication improvement intervention on these measurements. DESIGN: Observational study. SETTING: Operating rooms in a high-volume thoracic surgery center from September 5, 2007, through June 30, 2008. PARTICIPANTS: Thoracic surgery operating room teams. INTERVENTIONS: Two 90-minute team skills training sessions focused on findings from a standardized safety culture survey administered to all participants and highlighting positive and problematic aspects of team skills, communication, and leadership. The sessions created an interactive forum to educate team members on the importance of communication and to role-play optimal interactive and communication strategies. MAIN OUTCOME MEASURES: Calculated indices of emotional climate, team skills, and threat to patient outcome. RESULTS: The calculated communication and team skills score improved from the preintervention to postintervention periods, but the improvement extinguished during the 3 months after the intervention (P < .001). The calculated threat-to-outcome score improved following the team training intervention and remained statistically improved 3 months later (P < .001). CONCLUSIONS: Using a new method for measuring emotional climate, teamwork, and threats to patient outcome, we were able to determine that a teamwork training intervention can improve a calculated score of team skills and communication and decrease a calculated score of threats to patient outcome. However, the effect is only durable for threats to patient outcome. |
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Authors:
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Michael Nurok; Stuart Lipsitz; Paul Satwicz; Andrea Kelly; Allan Frankel |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 145 ISSN: 1538-3644 ISO Abbreviation: Arch Surg Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-18 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: United States |
Other Details:
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Languages: eng Pagination: 489-95 Citation Subset: AIM; IM |
Affiliation:
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Division of Thoracic Anesthesia, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA. mnurok@partners.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Communication* Educational Measurement / methods* Emotions* Female Group Processes Humans Interprofessional Relations* Male Middle Aged Operating Rooms Outcome Assessment (Health Care) Patient Care Team / organization & administration* Reproducibility of Results Role Playing Social Environment Thoracic Surgery / education* |
| Comments/Corrections | |
Comment In:
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Arch Surg. 2010 May;145(5):495
[PMID:
20491165
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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