PMID- 24919598
OWN - NLM
STAT- MEDLINE
DCOM- 20170112
LR  - 20211021
IS  - 1555-824X (Electronic)
IS  - 1062-8606 (Linking)
VI  - 30
IP  - 5
DP  - 2015 Sep-Oct
TI  - Implementation of unit-based interventions to improve teamwork and patient safety 
      on a medical service.
PG  - 409-16
LID - 10.1177/1062860614538093 [doi]
AB  - In a prior study involving 2 medical units, Structured Interdisciplinary Rounds 
      (SIDRs) improved teamwork and reduced adverse events (AEs). SIDR was implemented 
      on 5 additional units, and a pre- versus postintervention comparison was 
      performed. SIDR combined a structured format for communication with daily 
      interprofessional meetings. Teamwork was assessed using the Safety Attitudes 
      Questionnaire (score range = 0-100), and AEs were identified using queries of 
      information systems confirmed by 2 physician researchers. Paired analyses for 82 
      professionals completing surveys both pre and post implementation revealed 
      improved teamwork (mean 76.8 +/- 14.3 vs 80.5 +/- 11.6; P = .02), which was driven 
      mainly by nurses (76.4 +/- 14.1 vs 80.8 +/- 10.4; P = .009). The AE rate was similar 
      across study periods (3.90 vs 4.07 per 100 patient days; adjusted IRR = 1.08; P = 
      .60). SIDR improved teamwork yet did not reduce AEs. Higher baseline teamwork 
      scores and lower AE rates than the prior study may reflect a positive cultural 
      shift that began prior to the current study.
CI  - (c) The Author(s) 2014.
FAU - O'Leary, Kevin J
AU  - O'Leary KJ
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL 
      keoleary@nmh.org.
FAU - Creden, Amanda J
AU  - Creden AJ
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL.
FAU - Slade, Maureen E
AU  - Slade ME
AD  - Northwestern Memorial Hospital, Chicago, IL.
FAU - Landler, Matthew P
AU  - Landler MP
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL.
FAU - Kulkarni, Nita
AU  - Kulkarni N
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL.
FAU - Lee, Jungwha
AU  - Lee J
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL.
FAU - Vozenilek, John A
AU  - Vozenilek JA
AD  - University of Illinois College of Medicine at Peoria, IL.
FAU - Pfeifer, Pamela
AU  - Pfeifer P
AD  - Northwestern Memorial Hospital, Chicago, IL.
FAU - Eller, Susan
AU  - Eller S
AD  - Stanford School of Medicine, Stanford, CA.
FAU - Wayne, Diane B
AU  - Wayne DB
AD  - Northwestern University Feinberg School of Medicine, Chicago, IL.
FAU - Williams, Mark V
AU  - Williams MV
AD  - University of Kentucky, Lexington, KY.
LA  - eng
GR  - R18 HS019630/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20140611
PL  - Netherlands
TA  - Am J Med Qual
JT  - American journal of medical quality : the official journal of the American 
      College of Medical Quality
JID - 9300756
SB  - IM
MH  - Adult
MH  - Chicago
MH  - Cooperative Behavior
MH  - Female
MH  - *Health Personnel
MH  - Hospitals, Teaching
MH  - Humans
MH  - Internship and Residency
MH  - Interpersonal Relations
MH  - Male
MH  - Middle Aged
MH  - Nurses
MH  - *Patient Care Team
MH  - Pharmacists
MH  - Physicians
MH  - Social Workers
MH  - Tertiary Care Centers
OTO - NOTNLM
OT  - hospital medicine
OT  - interprofessional care
OT  - patient safety
OT  - teamwork
EDAT- 2014/06/13 06:00
MHDA- 2017/01/14 06:00
CRDT- 2014/06/13 06:00
PHST- 2014/06/13 06:00 [entrez]
PHST- 2014/06/13 06:00 [pubmed]
PHST- 2017/01/14 06:00 [medline]
AID - 1062860614538093 [pii]
AID - 10.1177/1062860614538093 [doi]
PST - ppublish
SO  - Am J Med Qual. 2015 Sep-Oct;30(5):409-16. doi: 10.1177/1062860614538093. Epub 
      2014 Jun 11.