Performance support tools (briefings, handoffs, and checklists) introduced in the work setting produced sustained improvements in teamwork processes for 6 to 18 months after implementation¶

Claim · All claims
Evidence · 1 study (2 entries) · review r2 · q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Across studies, low-cost tools demonstrated positive impacts on measured processes, with sustained improvements reported 6 to 18 months after implementation. → Costar 2020 q2 i? Preprocedural checklist compliance reached 96% immediately after introduction and remained at 96% at an 18-month audit. → Costar 2020 (2)

Evidence¶

Costar 2020¶

Costar, D. M., & Hall, K. K. (2020). Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000746

q2 · i? · review · r2

The review's synthesis of tool studies (three briefings, two handoffs, three checklists) implemented in surgical units, intensive care units, emergency departments, and perinatal units concludes "sustained improvements reported 6 to 18 months after implementation."

"Across studies, these low-cost tools demonstrated positive impacts on the processes and clinical outcomes measured, with sustained improvements reported 6 to 18 months after implementation."

Costar 2020 (2)¶

Costar, D. M., & Hall, K. K. (2020). Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000746

q2 · i? · review · r2

The review reports an operating-room preprocedural checklist study in which "compliance remained at 96%" at an 18-month audit, and team member self-introductions occurred 94% of the time initially, rising slightly to 97% (P < 0.0001).

"Compliance significantly increased to 96% immediately after the introduction of the preprocedural checklist was sustained at an 18-month audit, where compliance remained at 96%."

Discussion¶

Learner Variables¶

• Collaboration — outcome: instruction changes it

Related Claims¶

• Use of a surgical safety checklist alongside team training was associated with the lowest adverse event rate compared with a historical control and team training without a checklist
• Team training in hospitals was associated with improved clinical processes, including guideline compliance, decision accuracy, and reduced delays
• Team training programs in hospitals produce sustained improvements in teamwork knowledge, skills, attitudes, and behaviors on the job, up to 12 months after training