Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project
| Autor: | Niraj L. Sehgal, Brian K. Alldredge, Robert M. Wachter, Judith H. Maselli, Mary A. Blegen, Eric Vittinghoff, Andrew D. Auerbach |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Safety Management media_common.quotation_subject MEDLINE Phase (combat) California Interviews as Topic Patient safety Nursing Intervention (counseling) Outcome Assessment Health Care Health care Humans Medicine Prospective Studies Prospective cohort study Aged media_common Aged 80 and over Patient Care Team Teamwork Multi-Institutional Systems business.industry Health Policy Middle Aged Treatment Outcome Communication Intervention Female Interdisciplinary Communication business |
| Zdroj: | BMJ Quality & Safety. 21:118-126 |
| ISSN: | 2044-5423 2044-5415 |
| DOI: | 10.1136/bmjqs-2011-000311 |
| Popis: | Background Improving communication between caregivers is an important approach to improving safety. Objective To implement teamwork and communication interventions and evaluate their impact on patient outcomes. Design A prospective, interrupted time series of a three-phase intervention: a run-in period (phase 1), during which a training programme was given to providers and staff on each unit; phase 2, which focused on unit-based safety teams to identify and address care problems using skills from phase 1; and phase 3, which focused on engaging patients in communication efforts. Setting General medical inpatient units at three northern California hospitals. Patients Administrative data were collected from all adults admitted to the target units, and a convenience sample of patients interviewed during and after hospitalisation. Measurements Readmission, length of stay and patient reports of teamwork, problems with care, and overall satisfaction. Results 10 977 patients were admitted; 581 patients (5.3% of total sample) were interviewed in hospital, and 313 (2.9% overall, 53.8% of interviewed patients) completed 1-month surveys. No phase of the study was associated with adjusted differences in readmission or length of stay. The phase 2 intervention appeared to be associated with improvement in reports of whether physicians treated them with respect, whether nurses treated them with respect or understood their needs (p |
| Databáze: | OpenAIRE |
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