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The TeamSTEPPS Approach to Safety and Quality.

Howard R Epps1, Paul E Levin

  • 1*Department of Orthopaedic Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX †Department of Orthopaedic Surgery, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Bronx, NY.

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Summary
This summary is machine-generated.

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) improves healthcare safety by applying industry teamwork principles. This program enhances healthcare team performance and patient outcomes.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Teamwork in medicine

Background:

  • Medical errors and adverse events persist despite progress in patient safety.
  • High-risk industries with strong safety records offer models for healthcare.
  • The Institute of Medicine's 'To Err is Human' report highlighted the need for safety improvements.

Purpose of the Study:

  • To introduce Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) as a solution.
  • To adapt successful industrial teamwork strategies for the healthcare environment.
  • To improve patient safety and healthcare outcomes through enhanced teamwork.

Main Methods:

  • Development of the TeamSTEPPS program based on crew resource management principles.
  • Incorporation of teamwork strategies from high-risk industries.
  • Focus on improving healthcare team knowledge, skills, and attitudes.

Main Results:

  • Evidence supports TeamSTEPPS's ability to enhance safety and outcomes.
  • The program's core components (knowledge, skills, attitudes) are crucial.
  • Successful implementation fosters a transition to expert team functioning.

Conclusions:

  • TeamSTEPPS offers a structured approach to improving patient safety.
  • Effective teamwork is essential for reducing medical errors.
  • Shifting from individual expertise to team-based practice is key for healthcare advancement.