Family and Community Health Nursing Department, Faculty of Nursing, Menoufyia University, Menoufyia, Egypt.
Department of Nursing Administration, Faculty of Nursing, Menoufyia University, Menoufyia, Egypt.
Nurs Forum. 2021 Oct;56(4):849-859. doi: 10.1111/nuf.12627. Epub 2021 Jun 30.
The purpose of this study was to examine the effect of application of team strategies and tools to enhance performance and patient safety at primary healthcare units on patients' safety and outcomes. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) are specially intended to enhance patient safety through effective communication and teamwork skills. To examine, a quasi-experimental (pre-posttest) design was utilized. Six primary healthcare centers in Egypt were selected. The subjects included composed of two groups: (1) All-available healthcare providers (114) and (2) convenience sample of 108 clients. Four questionnaires were used, namely; the Hospital Survey on Patient Safety Culture (HSPSC), Perception of Teamwork Questionnaire, the Short Assessment of Patient Satisfaction Scale, and Patient's Adverse Events Questionnaire. Results showed that there was a highly significant decrease in the level of weakness and the need for potential improvement of all 11 domains of the HSPSC survey except the staffing domain (p < 0.001). The teamwork perceptions scores showed significant improvement post intervention (p < 0.001). In addition, a highly significant decrease in the frequency of patient-reported adverse events compared to a significant increase in patient satisfaction level was proved (p < 0.001). It may, hence, be concluded that Team STEPPS implementation had improved patient safety culture among healthcare providers and significantly improved patient outcomes.
本研究旨在探讨在初级医疗保健单位应用团队策略和工具以提高绩效和患者安全对患者安全和结果的影响。团队策略和工具以提高绩效和患者安全（Team STEPPS）旨在通过有效的沟通和团队合作技巧来提高患者安全性。为了进行检查，采用了准实验（前后测试）设计。在埃及选择了 6 个初级医疗保健中心。研究对象包括两组：（1）所有可用的医疗保健提供者（114 名）和（2）108 名患者的便利样本。使用了四个问卷，即医院患者安全文化调查（HSPSC）、团队合作感知问卷、简短患者满意度量表和患者不良事件问卷。结果表明，除人员配备领域外（p < 0.001），HSPSC 调查的所有 11 个领域的薄弱环节水平和潜在改进需求均有显著下降。团队合作感知评分显示干预后有显著改善（p < 0.001）。此外，与患者满意度水平的显著提高相比，患者报告的不良事件的频率有了显著下降（p < 0.001）。因此，可以得出结论，实施 Team STEPPS 提高了医疗保健提供者的患者安全文化，并显著改善了患者的结局。
