How to facilitate a rapid response system in Japan: a promotion course based on TeamSTEPPS
| Autor: | Megumi Moriyasu, Hsiang Chin Hsu, Kazuaki Atagi, Kenichiro Taneda, Shigeki Fujitani, Takaki Naito, Shinsuke Fujiwara, Alan Kawarai Lefor |
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| Rok vydání: | 2020 |
| Předmět: |
TeamSTEPPS
media_common.quotation_subject Control (management) 03 medical and health sciences Patient safety 0302 clinical medicine Promotion (rank) Kotter’s 8‐step model Medicine 030212 general & internal medicine Curriculum Implementation media_common Medical education business.industry rapid response system General Engineering Medical safety In‐hospital emergency 030208 emergency & critical care medicine Original Articles Intervention (law) Original Article business medical emergency team Rapid response system |
| Zdroj: | Acute Medicine & Surgery Epub 2020 Feb 11 |
| ISSN: | 2052-8817 |
| DOI: | 10.1002/ams2.488 |
| Popis: | Aim In Japan, the number of facilities introducing a rapid response system (RRS) has been increasing. However, many institutions have had unsuccessful implementations. In order to implement RRS smoothly, a plan that meets the needs of each hospital is needed. Methods Rapid response system teams from each hospital, including a physician and staff in charge of medical safety, from the RRS online registry were invited to attend a workshop. The workshop aimed to develop and implement RRS. The course curriculum was based on the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) developed in the USA. Participating facilities were required to formulate an RRS introduction plan referring to Kotter’s 8‐step change model to overcome barriers in the implementation of RRS. The change in medical emergency team activations comparing the intervention and control group hospitals was compared. Results Sixteen institutions were eligible for this study. After participating in the workshop, there was a tendency toward more frequent activation of medical emergency teams in the intervention group (P = 0.075). According to a self‐evaluation from each facility, there is great difficulty in overcoming the 5th step of Kotter’s model (empower people to act the vision). Conclusion This step‐by‐step evaluation clearly identified a problem with implementation and provided measures for resolution corresponding to each facility. There was a major barrier to overcome the 5th step of Kotter’s model in leading change, which represents the attitude toward implementing RRS in institutions. This study investigated the effectiveness of the rapid response system (RRS) promotion course based on TeamSTEPPS to overcome barriers to RRS implementation. We identified the 5th step as the major barrier to introducing RRS using Kotter’s 8‐step strategy to promote RRS. |
| Databáze: | OpenAIRE |
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