Team training in hospitals was associated with improved clinical processes, including guideline compliance, decision accuracy, and reduced delays¶

Claim · All claims
Evidence · 1 study · quant-synthesis r2 · q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Four team training studies found positive impacts on clinical processes relevant to their settings, including more accurate patient-related decisions, faster ECMO placement, improved time-out compliance, and reduced surgical case delays. → Costar 2020

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? · quant-synthesis · r2

The review reports four studies of clinical process improvements after team training; for example, time-out compliance rose from "47%–86%, P < 0.05" six months after CRM training, and surgical case delays were significantly reduced at 12 months (P < 0.0001).

"Another study reported that staff compliance with all elements of time-outs had significantly improved 6 months after CRM training (47%–86%, P < 0.05)."

Discussion¶

Related Claims¶

• 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
• 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 — a narrower finding that bears on this claim
• Team training programs in hospitals produce sustained improvements in teamwork knowledge, skills, attitudes, and behaviors on the job, up to 12 months after training — related