Evaluating Efforts to Optimize TeamSTEPPS Implementation in Surgical and Pediatric Intensive Care Units

摘要: Article-at-a-Glance Background An evidence-based teamwork system, TeamSTEPPS®, was implemented in an academic medical center's pediatric and surgical ICUs. Methods A multidisciplinary change team of unit- department-based leaders formed to champion the initiative; develop a customized action plan for implementation; train frontline staff; identify process, outcome, clinical outcome objectives intervention. The evaluation consisted interviews with key staff, observations, staff surveys, data. Results All PICU, SICU, respiratory therapy received TeamSTEPPS training. Staff reported improved experience posttraining evaluated implementation as effective. Observed performance significantly all core areas competency at 1 month postimplementation remained most 6 12 months postimplementation. Survey data indicated improvements perceptions communication openness both units. From pre- posttraining, average time placing patients on extracorporeal membrane oxygenation (ECMO) decreased significantly. duration adult surgery rapid response events 33% longer versus pre-implementation. rate nosocomial infections below upper control limit seven out eight PICU SICU. Conclusions 2.5-hour version training program two areas—the SICU—that had demonstrated successful ability innovate suggests that successful.