Ward Marcia M, Zhu Xi, Lampman Michelle, Stewart Greg L
Department of Health Management & Policy, University of Iowa, Iowa City, IA, US.
Int J Health Care Qual Assur. 2015;28(3):234-44. doi: 10.1108/IJHCQA-10-2013-0124.
Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is being widely promoted in healthcare settings to train staff in evidence-based approaches that promote patient safety. It involves a comprehensive curriculum that spells out key principles and actionable tools for a culture change toward patient-safety-focussed teamwork. Activities begin with selected personnel attending TeamSTEPPS Master Trainer Training (MTT) and then organizing and providing TeamSTEPPS training for staff in their organization. The authors conducted interviews with respondents at community hospitals conducting TeamSTEPPS staff training. To structure the interviews, the authors used 11 key questions identified by Weaver et al. in their in-depth team training literature review. The purpose of this paper is to examine approaches taken by community hospital personnel and compare those to the best practices recommended by Weaver et al.
DESIGN/METHODOLOGY/APPROACH: The authors interviewed 57 staff and administrators at 22 community hospitals sending teams to TeamSTEPPS MTT.
The authors find that training implementation in community hospitals differs significantly from the established, research-based principles for effective team training described in the research literature, which is largely based in academic medical centers.
ORIGINALITY/VALUE: The current findings suggest that several TeamSTEPPS training features could be enhanced in community hospitals including: choosing staff who have the skills to be effective trainers in this train-the-trainer model; emphasizing active learning; and sustaining lessons through on-the-job application, practice and feedback. These principles apply to many training approaches employed in small healthcare organizations.
团队策略与工具以提升绩效和患者安全（TeamSTEPPS）正在医疗环境中广泛推广，用于培训员工采用促进患者安全的循证方法。它包含一门综合课程，阐明了实现以患者安全为重点的团队合作文化变革的关键原则和可操作工具。活动首先让选定人员参加TeamSTEPPS主培训师培训（MTT），然后在其组织内为员工组织并提供TeamSTEPPS培训。作者对开展TeamSTEPPS员工培训的社区医院的受访者进行了访谈。为构建访谈内容，作者使用了韦弗等人在其深入的团队培训文献综述中确定的11个关键问题。本文的目的是研究社区医院人员采取的方法，并将其与韦弗等人推荐的最佳实践进行比较。
设计/方法/途径：作者采访了22家派团队参加TeamSTEPPS MTT的社区医院的57名员工和管理人员。
作者发现，社区医院的培训实施与研究文献中描述的基于学术医疗中心的有效团队培训的既定、基于研究的原则有显著差异。
原创性/价值：当前研究结果表明，社区医院可以加强几个TeamSTEPPS培训特点，包括：在这种培训培训师模式中选择具备成为有效培训师技能的员工；强调主动学习；通过在职应用、实践和反馈来巩固所学内容。这些原则适用于小型医疗组织采用的许多培训方法。
