TY - JOUR
T1 - Interdisciplinary team training identifies discrepancies in institutional policies and practices
AU - Andreatta, Pamela
AU - Frankel, Jennifer
AU - Smith, Sara Boblick
AU - Bullough, Alexandra
AU - Marzano, David
N1 - Funding Information:
This project was funded by a GME Innovations Grant from the University of Michigan Medical School Office of Graduate Medical Education .
PY - 2011/10
Y1 - 2011/10
N2 - The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.
AB - The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.
KW - Health care quality and safety
KW - Institutional policies and procedures
KW - Interdisciplinary team training
KW - Obstetric emergencies
UR - http://www.scopus.com/inward/record.url?scp=84855173441&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2011.02.022
DO - 10.1016/j.ajog.2011.02.022
M3 - Review article
C2 - 21457920
AN - SCOPUS:84855173441
SN - 0002-9378
VL - 205
SP - 298
EP - 301
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
IS - 4
ER -