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Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.

Publication ,  Journal Article
Gupta, RT; Sexton, JB; Milne, J; Frush, DP
Published in: AJR Am J Roentgenol
January 2015

OBJECTIVE: The goal of this study was to implement an evidence-based teamwork system to improve communication and teamwork skills among health care professionals (TeamSTEPPS) into an academic interventional ultrasound program and to assess safety and team-work climate across team members both before and after implementation. MATERIALS AND METHODS: Members of a change team (including master trainers) selected specific tools available within TeamSTEPPS to implement into an academic interventional ultrasound service. Tools selected were based on preimplementation survey data obtained from team members (n = 64: 11 attending faculty physicians, 12 clinical abdominal imaging fellows or residents, 17 sonographers, 19 nurses, and five technologist aides or administrative personnel). The survey included teamwork climate and safety climate domains from the Safety Attitudes Questionnaire. Four months after implementation, respondents were resurveyed and post-implementation data were collected. RESULTS: Teamwork climate scores improved from a mean of 67.9 (SD, 12.8) before implementation to a mean of 87.8 (SD, 14.1) after implementation (t = -7.6; p < 0.001). Safety climate scores improved from a mean of 76.5 (SD, 12.8) before implementation to a mean of 88.3 (SD, 13.4) after implementation (t = -4.6; p < 0.001). In particular, teamwork items about "input being well received" and "speaking up" were the most responsive to the intervention. CONCLUSION: The implementation of TeamSTEPPS tools was associated with statistically significant improvements in safety and teamwork metrics in an academic interventional ultrasound practice. The most notable improvements were seen in communication among team members and role clarification. We think that this model, which has been successfully implemented in many nonradiologic areas in medical care, is also applicable in imaging practice.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

January 2015

Volume

204

Issue

1

Start / End Page

105 / 110

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Safety Management
  • Quality Improvement
  • Program Evaluation
  • Patient Care Team
  • Nuclear Medicine & Medical Imaging
  • North Carolina
  • Guidelines as Topic
  • Critical Pathways
  • Academic Medical Centers
 

Citation

APA
Chicago
ICMJE
MLA
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Gupta, R. T., Sexton, J. B., Milne, J., & Frush, D. P. (2015). Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. AJR Am J Roentgenol, 204(1), 105–110. https://doi.org/10.2214/AJR.14.12775
Gupta, Rajan T., J Bryan Sexton, Judy Milne, and Donald P. Frush. “Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.AJR Am J Roentgenol 204, no. 1 (January 2015): 105–10. https://doi.org/10.2214/AJR.14.12775.
Gupta, Rajan T., et al. “Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.AJR Am J Roentgenol, vol. 204, no. 1, Jan. 2015, pp. 105–10. Pubmed, doi:10.2214/AJR.14.12775.
Gupta RT, Sexton JB, Milne J, Frush DP. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. AJR Am J Roentgenol. 2015 Jan;204(1):105–110.

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

January 2015

Volume

204

Issue

1

Start / End Page

105 / 110

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Safety Management
  • Quality Improvement
  • Program Evaluation
  • Patient Care Team
  • Nuclear Medicine & Medical Imaging
  • North Carolina
  • Guidelines as Topic
  • Critical Pathways
  • Academic Medical Centers