Portuguese Abstracts for Volume 32, Issue 9, 2020

Abstract

Abstract Objective: To assess the impact of implementation of the TeamSTEPPS teamwork improvement concept on patient safety culture. Design: Pre–post culture assessment using the Hospital Survey on Patient Safety Culture, at baseline and 1 year after implementation of TeamSTEPPS. Setting: Two maternity wards within the same 480-bed multisite teaching hospital. Intervention: Implementation of the TeamSTEPPS teamwork improvement concept. Main Outcome Measures: Analysis of variation of the percentage of positive responses (score) in both wards (intervention and control) was conducted. Results: There was a significant increase in scores in three dimensions of patient safety culture in the intervention ward: Supervisor/Manager Expectations and Actions Promoting Safety increased from 48.7% in 2015 to 70.8% in 2016 (P < 0.005); Teamwork Within Units increased from 35.5% in 2015 to 54.5% in 2016 (P < 0.005); Nonpunitive Response to Errors increased from 16.7% in 2015 to 32.3% in 2016 (P < 0.005). Other dimensions showed no significant changes. In the control ward, there was a significant decrease in scores in one dimension. A secondary analysis of differences in differences still shows significant improvement in one dimension (Supervisor/Manager Expectations and Actions Promoting Safety P < 0.005). Conclusion: After implementing the TeamSTEPPS teamwork concept, patient safety culture significantly improved for 3 of 12 dimensions in the intervention group. When controlling for differences in baseline scores between implementation and control wards, a significant improvement remains in one dimension. This suggests that TeamSTEPPS could be considered when seeking to enhance patient safety culture, especially in high-risk environments such as maternity wards.