Team training programs in hospitals produce sustained improvements in teamwork knowledge, skills, attitudes, and behaviors on the job, up to 12 months after training¶

Claim · All claims
Evidence · 1 study (3 entries) · review r2 · q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Ten of 20 reviewed studies provided evidence of improved team KSAs on the job at least 30 days after team training. → Costar 2020 q2 i? Sustained knowledge gains were reported at 30-day follow-up (CRM knowledge 61%–66%, P = 0.026) and on 14 of 21 TeamSTEPPS knowledge items at 90 days (P < 0.05). → Costar 2020 (2) q2 i? Perceptions of teamwork and communication improved and remained significant at follow-ups up to 12 months, though one study found no significant improvement over baseline. → Costar 2020 (3)

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 20 included studies, most using quasiexperimental premeasure/postmeasure designs (75%), reports transfer-level evidence: "10 studies in the review provide evidence of improved team KSAs on the job a minimum of 30 days after team training initiatives."

"Consistent with Kirkpatrick’s transfer level criteria, 10 studies in the review provide evidence of improved team KSAs on the job a minimum of 30 days after team training initiatives, 4 demonstrate improvement on clinical processes, and 3 support an increase in patient safety."

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 two studies measuring sustained knowledge: CRM knowledge rose from "61%–66%, P = 0.026" at 30 days, and 14 of 21 TeamSTEPPS Knowledge Test items remained significantly improved at 90 days. Only test statistics are printed; no effect sizes.

"Levy et al15 reported that overall knowledge of CRM had significantly increased at 30-day follow-up (61%–66%, P = 0.026), whereas Lisbon et al16 documented longer maintenance of knowledge, as significant improvements were noted on 14 of 21 TeamSTEPPS Knowledge Test items 90 days after training (P < 0.05)."

Costar 2020 (3)¶

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 narrates a TeamSTEPPS study in surgical and pediatric intensive care units where teamwork perceptions improved on all 6 dimensions at 30 days and "remained significant on 5 of the 6 dimensions at a 12-month follow-up (P < 0.01)." One other study found no significant improvement over baseline.

"Mayer et al19 reported that perceptions of teamwork significantly improved on the 6 dimensions measured 30 days after the training (P < 0.01) and remained significant on 5 of the 6 dimensions at a 12-month follow-up (P < 0.01)."

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
• Reflective and cognitively oriented CPR approaches show potential for enhancing long-term skill retention, particularly at follow-up
• Condensed TeamSTEPPS training coupled with simulation exercises reduced weighted adverse outcome scores, whereas training alone did not — related
• Team training in hospitals was associated with improved clinical processes, including guideline compliance, decision accuracy, and reduced delays — related
• NTS training for emergency department professionals is associated with consistent pre- to post-training improvements in knowledge, teamwork attitudes, and self-confidence (low to moderate certainty). — related
• Delivery-quality improvements are highest in the medium term (6–12 months) and decrease by 12 months — related
• Workshop, simulation, and team-review methods significantly improve teamwork behaviors, while the pooled effect of didactic education alone was not significant — related
• In situ simulation training was associated with a statistically significant and persistent 37% improvement in perinatal morbidity, while didactic-only and control hospitals showed no significant change — related
• In situ simulation improved teamwork behaviours in 12 of 14 domains during the simulation phase, but benefits returned to baseline when the program was discontinued — related
• Teamwork training showed significant effects on teamwork behaviors when two or more teamwork dimensions were targeted, but not when only one was — related
• Simulation-based CRM training transfers to the workplace: three of four studies found simulation-enhanced CRM training significantly more effective than no intervention or didactic teaching — a narrower finding that bears on this claim