Patient safety: effective interdisciplinary teamwork through simulation and debriefing in the neonatal ICU.

According to the Institute of Medicine, team training is necessary to promote a safe and high-quality patient care environment. The complexity of the neonatal ICU requires that interdisciplinary teams collaborate, coordinate, and communicate to achieve common goals and support families. The use of strategies from the aerospace, nuclear power, and national defense industries-simulation, and debriefing-equips health care providers with the knowledge, skills, and behaviors necessary to perform effectively and safely. Families are encouraged to participate in simulation and debriefing so interdisciplinary teams can learn how to approach and support families when disclosing errors and to communicate sensitive information in a safe and nonthreatening environment.

[1]  José Orlando Gomes,et al.  Handoff strategies in settings with high consequences for failure: lessons for health care operations. , 2004, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[2]  R Flin,et al.  Anaesthetists' attitudes to teamwork and safety , 2003, Anaesthesia.

[3]  R L Helmreich,et al.  Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial , 2007, Journal of Perinatology.

[4]  J. Gurwitz,et al.  Health Plan Members' Views about Disclosure of Medical Errors , 2004, Annals of Internal Medicine.

[5]  R. Hughes.  Patient Safety and Quality: An Evidence-Based Handbook for Nurses , 2008 .

[6]  Pamela H. Mitchell,et al.  Defining Patient Safety and Quality Care , 2008 .

[7]  M. Leonard,et al.  The human factor: the critical importance of effective teamwork and communication in providing safe care , 2004, Quality and Safety in Health Care.

[8]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[9]  Jon R. Katzenbach,et al.  The Wisdom of Teams: Creating the High-Performance Organization , 1992 .

[10]  Wendy Levinson,et al.  Patients' and physicians' attitudes regarding the disclosure of medical errors. , 2003, JAMA.

[11]  Cherri Hobgood,et al.  Medical errors-what and when: what do patients want to know? , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[12]  David M. Musson,et al.  Team Training and Resource Management in Health Care: Current Issues and Future Directions , 2004 .

[13]  J. Arafeh,et al.  Making the Move: From Traditional Neonatal Education to Simulation‐Based Training , 2008, The Journal of perinatal & neonatal nursing.

[14]  John C. Morey,et al.  Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. , 2002, Health services research.

[15]  K. Sutcliffe,et al.  Communication Failures: An Insidious Contributor to Medical Mishaps , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[16]  L. Halamek,et al.  Simulation-based Training in Neonatal Resuscitation , 2005 .

[17]  D M Gaba,et al.  Time for a New Paradigm in Pediatric Medical Education: Teaching Neonatal Resuscitation in a Simulated Delivery Room Environment , 2000, Pediatrics.

[18]  Louis P Halamek,et al.  The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. , 2008, Seminars in fetal & neonatal medicine.

[19]  H. Turunen,et al.  Collaboration in the Operating Room: The Nurses’ Perspective , 2002, The Journal of nursing administration.

[20]  P. Aspden.  Patient Safety: Achieving a New Standard for Care , 2004 .

[21]  Elizabeth A Hunt,et al.  Team training: implications for emergency and critical care pediatrics , 2008, Current opinion in pediatrics.

[22]  Michelle O’Daniel,et al.  Professional Communication and Team Collaboration , 2008 .

[23]  William A. Knaus,et al.  A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators. , 1995, JAMA.

[24]  W. Hamman.  The complexity of team training: what we have learned from aviation and its applications to medicine , 2004, Quality and Safety in Health Care.

[25]  J. Beaubien,et al.  The use of simulation for training teamwork skills in health care: how low can you go? , 2004, Quality and Safety in Health Care.

[26]  P. Sharek,et al.  Simulation‐Based Medical Error Disclosure Training for Pediatric Healthcare Professionals , 2007, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[27]  C. Rushton.  Respect in Critical Care: A Foundational Ethical Principle , 2007, AACN advanced critical care.

[28]  L. Jansen.  Collaborative and interdisciplinary health care teams: ready or not? , 2008, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[29]  Eduardo Salas,et al.  Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs , 2006, Hum. Factors.

[30]  Deric M. Park,et al.  How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. , 1996, Archives of internal medicine.

[31]  E. Hunt,et al.  Simulation: translation to improved team performance. , 2007, Anesthesiology clinics.

[32]  J. Sexton,et al.  Teamwork and quality during neonatal care in the delivery room , 2006, Journal of Perinatology.

[33]  S. Weiss,et al.  Validity and Reliability of the Collaborative Practice Scales , 1985, Nursing research.

[34]  Alan H Rosenstein,et al.  Nurse-Physician Relationships: Impact on Nurse Satisfaction and Retention , 2002 .

[35]  William Riley,et al.  In Situ Simulation: A Method of Experiential Learning to Promote Safety and Team Behavior , 2008, The Journal of perinatal & neonatal nursing.

[36]  Ann Page,et al.  Keeping patients safe. , 2011, Consumer reports.

[37]  S Chevret,et al.  Half the families of intensive care unit patients experience inadequate communication with physicians , 2000, Critical care medicine.

[38]  D. France,et al.  An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. , 2008, American journal of surgery.

[39]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[40]  A. Greiner,et al.  Health Professions Education: A Bridge to Quality , 2003 .

[41]  K. Shojania,et al.  The Many Faces of Error Disclosure: A Common Set of Elements and a Definition , 2007, Journal of General Internal Medicine.

[42]  Edie McConaughey,et al.  Crew Resource Management in Healthcare: The Evolution of Teamwork Training and MedTeams® , 2008, The Journal of perinatal & neonatal nursing.

[43]  Martha M Perryman,et al.  Creating a culture for health care quality and safety. , 2007, The health care manager.

[44]  B. Weiner,et al.  Parental Preferences for Error Disclosure, Reporting, and Legal Action After Medical Error in the Care of Their Children , 2005, Pediatrics.

[45]  R. Helmreich.  On error management: lessons from aviation , 2000, BMJ : British Medical Journal.

[46]  L. Leape.  Full disclosure and apology--an idea whose time has come. , 2006, Physician executive.

[47]  A. Rosenstein,et al.  Original Research: Disruptive Behavior and Clinical Outcomes: Perceptions of Nurses and Physicians: Nurses, physicians, and administrators say that clinicians’ disruptive behavior has negative effects on clinical outcomes. , 2005 .

[48]  S. Powell.  When things go wrong: responding to adverse events: a consensus statement of the Harvard hospitals. , 2006, Lippincott's case management : managing the process of patient care.

[49]  James T. Reason,et al.  Behavioural markers of surgical excellence , 2003 .

[50]  Carrie E. Murphy,et al.  What Crew Resource Management Training Will Not Do for Patient Safety: Unless??? , 2007 .

[51]  Stephen E. Muething,et al.  Reliability science and patient safety. , 2006, Pediatric clinics of North America.

[52]  M. Makary,et al.  Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. , 2006, Journal of the American College of Surgeons.

[53]  Carol Fowler Durham,et al.  Enhancing Patient Safety in Nursing Education Through Patient Simulation , 2008 .

[54]  L. Kohn,et al.  COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA , 2000 .

[55]  J. Sexton,et al.  Error, stress, and teamwork in medicine and aviation: cross sectional surveys , 2000, BMJ : British Medical Journal.

[56]  E. Henneman,et al.  Collaboration: a concept analysis. , 1995, Journal of advanced nursing.

[57]  Susan V. White,et al.  Handoffs: Implications for Nurses , 2008 .

[58]  W. Levinson,et al.  Choosing your words carefully: how physicians would disclose harmful medical errors to patients. , 2006, Archives of internal medicine.

[59]  John Whittington,et al.  SBAR: a shared mental model for improving communication between clinicians. , 2006, Joint Commission journal on quality and patient safety.

[60]  Marvin C. Alkin,et al.  What Have We Learned? , 2019, Stumbling Blocks Against Unification.

[61]  L. Halamek,et al.  Educational Perspectives: Simulation-based Training in Neonatal Resuscitation , 2005 .