Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care

30 August 2018


Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care


Helen Anne van der Nelson, Dimitrios Siassakos, Joanne Bennett, Mandy Godfrey, Liz Spray, Tim Draycott, Fiona Donald

Published journal

American Journal of Medical Quality


This interrupted time-series study evaluated the impact of multiprofessional scenario-based training on the safety culture and teamwork climate of 3 surgical wards during a time of reduced financial resources. The authors ran 22 team training sessions for teams of 4 to 5 medical and nursing staff over a 4-month period on 3 surgical wards, using 2 scenarios based on a previously successful obstetric training program. Safety culture was measured before and after training using a validated psychometric questionnaire. After training there was a statistically significant improvement in safety culture (P = .036) on the wards. Teamwork climate improved, but the evidence was not as strong (P = .052). Perceptions of hospital management and adequacy of staffing levels showed significant deterioration. Simple, low-resource interventions can have a significant positive impact on safety culture and possibly teamwork climate on surgical wards. This could be of great value in maintaining patient safety at times of financial constraint.

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American Journal of Medical Quality, January/February 2014; vol. 29, 1: pp. 78-82., May 7, 2013
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