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Implementation of TeamSTEPPS in Orthopaedic Surgery.

Harpal S Khanuja1, Zan A Naseer, Lynne C Jones

  • 1Chief and Associate Professor, Johns Hopkins Bayview, Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland.

Instructional Course Lectures
|June 9, 2017
PubMed
Summary

Medical errors cause nearly 98,000 deaths annually in US hospitals. Implementing evidence-based tools and fostering teamwork, essential for patient safety, can significantly reduce these preventable medical errors.

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Area of Science:

  • Healthcare Quality and Safety
  • Medical Error Reduction
  • Teamwork in Medicine

Background:

  • A 2000 Institute of Medicine report highlighted the high mortality rate due to medical errors in US hospitals.
  • Medical errors were estimated to cause 98,000 deaths annually, prompting investigations into contributing factors and prevention strategies.
  • High-reliability organizations, like the airline industry, provided models for developing tools to mitigate human error and enhance safety.

Purpose of the Study:

  • To emphasize the critical role of orthopaedic surgeons in patient advocacy and leading cultural shifts towards improved safety.
  • To highlight the American Academy of Orthopaedic Surgeons' commitment to educating interdisciplinary teams on patient safety.
  • To underscore the importance of understanding teamwork and available resources for reducing harm and enhancing care quality.

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Main Methods:

  • Review of literature and reports on medical errors and patient safety initiatives.
  • Adoption of evidence-based tools and strategies inspired by high-reliability organizations.
  • Utilization of TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) for training.

Main Results:

  • Development of tools and strategies to minimize human risk factors in healthcare.
  • Fostering of essential skills such as teamwork and communication for patient safety and quality improvement.
  • Increased awareness and education among orthopaedic surgeons regarding teamwork and patient safety.

Conclusions:

  • Orthopaedic surgeons are uniquely positioned to lead cultural changes for patient safety.
  • Improved teamwork and communication are crucial for reducing medical errors and enhancing patient outcomes.
  • Educational initiatives, such as those using TeamSTEPPS, are vital for equipping healthcare professionals to improve care quality.