Sawyer Taylor, Laubach Vickie Ann, Hudak Joseph, Yamamura Kelli, Pocrnich Amber
Tripler Army Medical Center, Honolulu, HI, USA.
Neonatal Netw. 2013 Jan-Feb;32(1):26-33. doi: 10.1891/0730-0832.32.1.26.
To determine the impact of interprofessional Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS ) training on teamwork skills during neonatal resuscitation.
Teams of physicians, nurses, and respiratory therapists participated in TeamSTEPPS training that included simulation with an event-based approach. During the simulations, scripted medication order and performance errors were used to test teamwork skills. Measures of teamwork skills were obtained before and after the training using a prospective pretest-posttest design.
Forty-two physicians, nurses, and respiratory therapists.
Teamwork skills.
Significant improvements in teamwork skills were seen in team structure, leadership, situation monitoring, mutual support, and communication (p ,.001). Challenges by nurses to a scripted medication order error doubled from 38 percent before the training to 77 percent after the training. The odds of a nurse challenging an incorrect medication dose from an attending neonatologist improved significantly. Detection and correction of inadequate chest compressions increased from 61.5 to 84.6 percent after the training.
确定跨专业团队策略与工具以提升绩效和患者安全（TeamSTEPPS）培训对新生儿复苏期间团队协作技能的影响。
医生、护士和呼吸治疗师团队参与了包括基于事件方法的模拟在内的TeamSTEPPS培训。在模拟过程中，使用书面药物医嘱和操作失误来测试团队协作技能。采用前瞻性前测-后测设计，在培训前后获取团队协作技能的测量数据。
42名医生、护士和呼吸治疗师。
团队协作技能。
在团队结构、领导能力、情况监测、相互支持和沟通方面，团队协作技能有显著改善（p <.001）。护士对书面药物医嘱错误提出质疑的比例从培训前的38%翻倍至培训后的77%。护士对新生儿科主治医生不正确药物剂量提出质疑的几率显著提高。培训后，胸外按压不足的发现和纠正从61.5%增加到84.6%。
