Interdisciplinary team training identifies discrepancies in institutional policies and practices

Autor: David Marzano, Alexandra S. Bullough, Pamela Andreatta, Jennifer Frankel, Sara Boblick Smith
Rok vydání: 2011
Předmět:
Zdroj: American Journal of Obstetrics and Gynecology. 205:298-301
ISSN: 0002-9378
DOI: 10.1016/j.ajog.2011.02.022
Popis: The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.
Databáze: OpenAIRE