Abstract
Objective: To improve the cooperation efficiency of an anti-epidemic team and achieve infection control and safety management in an observation site by implementing the TeamSTEPPS (Team Strategies &Tools to Enhance Performance and Patient Safety Course) program. Methods: There were 41 staff members from hospitals, the district government, a health supervision institute, the Center for Disease Control and Prevention, public security, and hotels who participated in this program. The course was taught by a master trainer certified by The Agency for Healthcare Research and Quality (AHRQ). The project was evaluated by the Kirkpatrick Model which Including Level 1-reaction assessment (participants satisfaction), Level 2-learning assessment (team work attitude and cognition level), Level 3-behavior assessment (TeamSTEPPS tools and strategies using in workplace) and Level 4- results assessment (infection rate of isolation personnel and staff, incidence of safe adverse events, satisfaction of TeamSTEPPS practice in work). Results: After training and implementation of the TeamSTEPPS program, participants’ attitudes, perception, knowledge, and skills regarding teamwork, team structure, leadership, situation monitoring, mutual support, and communication had significantly increased (P < 0.01). Participants' satisfaction with the course was 99.02% and the application of TeamSTEPPS tools was effective. The actual application satisfaction of staff was 100%. Until now, the infection rate and the incidence of safety adverse events in this observation site were 0%. Conclusion: The TeamSTEPPS program is an effective strategy to improve interprofessional teamwork at the observation site, which contributes to safe COVID-19 management.
Highlights
Since December of 2019, multiple cases of coronavirus (COVID-19) have been found in Wuhan, Hubei Province, China, and the epidemic has spread rapidly throughout the whole country
Interprofessional team members at the observation site are temporarily assembled from various systems In the beginning, poor teamwork in the medical observation units was observed
We found that the TeamSTEPPS tools helped create a workplace safety culture
Summary
Since December of 2019, multiple cases of coronavirus (COVID-19) have been found in Wuhan, Hubei Province, China, and the epidemic has spread rapidly throughout the whole country. Shanghai has established medical observation sites requisitioned by the government to provide overseas travelers 14 days quarantine. Interprofessional team members at the observation site are temporarily assembled from various systems (including hospitals, the district government, health inspection centers, the CDC, public security, hotels, etc.) In the beginning, poor teamwork in the medical observation units was observed. This included an unclear distribution of labor, indistinct responsibilities, misunderstandings due to different professional backgrounds, difficulties reaching consensus, and interpersonal conflicts. These problems threatened staff and patient safety and made it more difficult to provide patient care
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