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01-12-2008 | Innovations in Education

A Multidisciplinary Teamwork Training Program: The Triad for Optimal Patient Safety (TOPS) Experience

Authors: Niraj L. Sehgal, MD, MPH, Michael Fox, RN, Arpana R. Vidyarthi, MD, Bradley A. Sharpe, MD, Susan Gearhart, RN, Thomas Bookwalter, PharmD, Jack Barker, PhD, Brian K. Alldredge, PharmD, Mary A. Blegen, PhD, RN, Robert M. Wachter, MD, The Triad for Optimal Patient Safety (TOPS) Project

Published in: Journal of General Internal Medicine | Issue 12/2008

ABSTRACT

INTRODUCTION

Communication and teamwork failures are a common cause of adverse events. Residency programs, with a mandate to teach systems-based practice, are particularly challenged to address these important skills.

AIM

To develop a multidisciplinary teamwork training program focused on teaching teamwork behaviors and communication skills.

SETTING

Internal medicine residents, hospitalists, nurses, pharmacists, and all other staff on a designated inpatient medical unit at an academic medical center.

PROGRAM DESCRIPTION

We developed a 4-h teamwork training program as part of the Triad for Optimal Patient Safety (TOPS) project. Teaching strategies combined didactic presentation, facilitated discussion using a safety trigger video, and small-group scenario-based exercises to practice effective communication skills and team behaviors. Development, planning, implementation, delivery, and evaluation of TOPS Training was conducted by a multidisciplinary team.

PROGRAM EVALUATION

We received 203 evaluations with a mean overall rating for the training of 4.49 ± 0.79 on a 1–5 scale. Participants rated the multidisciplinary educational setting highly at 4.59 ± 0.68.

DISCUSSION

We developed a multidisciplinary teamwork training program that was highly rated by all participating disciplines. The key was creating a shared forum to learn about and discuss interdisciplinary communication and teamwork.

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Title: A Multidisciplinary Teamwork Training Program: The Triad for Optimal Patient Safety (TOPS) Experience
Authors: Niraj L. Sehgal, MD, MPH
Michael Fox, RN
Arpana R. Vidyarthi, MD
Bradley A. Sharpe, MD
Susan Gearhart, RN
Thomas Bookwalter, PharmD
Jack Barker, PhD
Brian K. Alldredge, PharmD
Mary A. Blegen, PhD, RN
Robert M. Wachter, MD
The Triad for Optimal Patient Safety (TOPS) Project
Publication date: 01-12-2008
Publisher: Springer-Verlag
Published in: Journal of General Internal Medicine / Issue 12/2008
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-008-0793-8

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ABSTRACT

INTRODUCTION

AIM

SETTING

PROGRAM DESCRIPTION

PROGRAM EVALUATION

DISCUSSION

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