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学术急诊科实施团队策略与工具增强绩效系统(TeamSTEPPS)培训后知识、态度和行为的改善:一项初步报告

Improved Knowledge, Attitudes, and Behaviors After Implementation of TeamSTEPPS Training in an Academic Emergency Department: A Pilot Report.

作者信息

Lisbon David, Allin Dennis, Cleek Carol, Roop Lori, Brimacombe Michael, Downes Courtney, Pingleton Susan K

机构信息

University of Kansas Medical Center, Kansas City, KS.

University of Kansas Hospital, Kansas City, KS.

出版信息

Am J Med Qual. 2016 Jan-Feb;31(1):86-90. doi: 10.1177/1062860614545123. Epub 2014 Aug 20.

Abstract

TeamSTEPPS is a validated, formal patient safety curriculum created by the Agency for Healthcare Research and Quality (AHRQ) for the development of high-functioning multidisciplinary teams. TeamSTEPPS was implemented in an academic emergency department (ED), including all ED hospital staff as well as physicians and residents. It was hypothesized that extensive interprofessional education combined with implementation of specific tools would increase knowledge of TeamSTEPPS principles, attitudes, and behaviors. The TeamSTEPPS knowledge test and the AHRQ Hospital Survey attitude test were administered at 0, 45, and 90 days after training. Behaviors were evaluated using an observation tool that was developed to document huddle occurrence. Knowledge and attitudes significantly improved 45 days from baseline (P < .05) and were sustained by day 90. In this pilot study, the implementation of TeamSTEPPS training in a multidisciplinary team in an academic ED led to increased knowledge and improved communication attitudes. Adoption of a specific behavior, the huddle, also was observed.

摘要

团队策略与工具提升患者安全(TeamSTEPPS)是美国医疗保健研究与质量局(AHRQ)创建的一项经过验证的正式患者安全课程,用于培养高效能的多学科团队。团队策略与工具提升患者安全(TeamSTEPPS)在一家学术性急诊科(ED)实施,涵盖了急诊科所有医院工作人员以及医生和住院医师。研究假设,广泛的跨专业教育与特定工具的实施相结合,将增加对团队策略与工具提升患者安全(TeamSTEPPS)原则、态度和行为的了解。在培训后的第0、45和90天进行团队策略与工具提升患者安全(TeamSTEPPS)知识测试和美国医疗保健研究与质量局(AHRQ)医院调查态度测试。使用一种为记录碰头会发生情况而开发的观察工具对行为进行评估。知识和态度在基线后的45天有显著改善(P < 0.05),并在第90天保持稳定。在这项试点研究中,在学术性急诊科的多学科团队中实施团队策略与工具提升患者安全(TeamSTEPPS)培训导致知识增加和沟通态度改善。还观察到采用了一种特定行为,即碰头会。

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