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The effect of TeamSTEPPS® mobile-based learning on operating room efficiency
Fardin Amiri1, Mohammad Reza Sohrabi1, Seddigheh Hannani1
1Iran University of Medical Sciences , Tehran, Iran.
International Journal of Health Care Quality Assurance
|August 11, 2026
Summary
A mobile-based TeamSTEPPS® training improved operating room (OR) surgery start times but did not significantly impact other efficiency metrics. Further research should explore interactive, multidisciplinary interventions for broader OR effectiveness gains.
Area of Science:
- Healthcare Management
- Surgical Operations
- Medical Education Technology
Background:
- Optimizing operating room (OR) utilization is crucial for healthcare efficiency and cost reduction.
- Poor teamwork and communication are identified as significant barriers to OR efficiency.
- TeamSTEPPS® is a framework designed to improve teamwork and communication in healthcare settings.
Purpose of the Study:
- To evaluate the impact of a mobile-based TeamSTEPPS® learning intervention on key operating room (OR) effectiveness indicators.
- To assess changes in OR efficiency metrics following the implementation of a digital teamwork training program.
Main Methods:
- A quasi-experimental, pre-test/post-test design was utilized.
- The study involved 105 OR staff members across six medical education centers.
- Participants received TeamSTEPPS® training via SMS links over five weekly sessions; OR efficiency data were collected pre- and post-intervention.
Main Results:
- A statistically significant improvement was observed in the start time of the first surgery (p=0.05).
- No significant changes were found in the rate of surgery cancellation (p=0.09), case duration accuracy (p=0.08), or turnover time (p=0.67).
- The mobile-based intervention, delivered passively to a subset of OR staff, showed limited impact on overall OR operational effectiveness.
Conclusions:
- While mobile-based training can improve specific OR metrics like surgery start times, it may not significantly enhance broader operational efficiency.
- Future interventions should consider multidisciplinary inclusion, interactive learning modalities, and longer follow-up periods for greater impact.
- Enhancing teamwork and communication through targeted training can foster a safer patient environment and improve healthcare professional satisfaction.
