Does Team Training Enhance the Culture of Safety in the Operating Room?

1Albert Einstein College of Medicine‐Beth Israel Medical Center, New York, NY
2Albert Einstein College of Medicine‐Beth Israel Medical Center, new York, NY
3Albert Einstein College of MEdicine, New York, NY

Meeting: Hospital Medicine 2014, March 24-27, Las Vegas, Nev.

Abstract number: 81


Team Strategies to Enhance Performance and Patient Safety (TeamSTEPPS ™) is an evidence‐based system aimed at creating a culture of safety in any healthcare delivery system. Developed by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ), the basis of the program is to improve communication and teamwork skills among healthcare professionals through a comprehensive set of ready‐to‐use materials and training curriculum. The purpose of this study was to determine if TeamSTEPPS™ training in the Operating Room (OR) would enhance the culture of safety in the OR utilizing the AHRQ Hospital Survey on Patient Safety Culture (HSOPSC).


Surgeons, nurses, anesthesiologists, and residents who use both inpatient and outpatient operating rooms were trained using all five models of the TeamSTEPPS™ Essentials Course. This included both didactic and simulation training. Sessions were led by master trainers from the departments of Surgery, Anesthesiology, Nursing, and Simulation Center. Simulation training included clinical scenarios from the OR, which were meant enforce TeamSTEPPS® skills. Each simulation scenario was specific to the surgical discipline being trained and was followed by constructive and immediate feedback provided by the instructors. Training was not provided to medical specialists.


605 surgical providers were trained over a one‐year period. The HSOPSC was administered one year prior to the training to both operating room staff as well as similar providers in nonsurgical areas. The survey was re‐administered one month after all TeamSTEPPS™training was completed.

Dramatic improvements were noted in the HSOPSC administered to OR personnel in the following areas: supervisor/manager expectations and actions promoting patient safety, management support for patient safety, feedback and communication error, teamwork across units, hand offs and transitions. The only improvements noted in the HSOPC administered to non‐operating room personnel were in two areas: frequency of events reported and handoffs/transitions. The overall grade on patient safety went from 45% to 61% in the perioperative domain compared to Medicine that went down from 67% to 61% for the very good or excellent categories (P <0.05).


Team training has had a positive impact on the perception of the culture of safety for OR personnel at our institution. This systematic training approach clearly increase communication and feedback among healthcare professionals.

To cite this abstract:

Leitman I, Capossela A, Bernard D, Karpeh M, Mills C, Koppolu S, Teitelbaum S, Sivaprasad L. Does Team Training Enhance the Culture of Safety in the Operating Room?. Abstract published at Hospital Medicine 2014, March 24-27, Las Vegas, Nev. Abstract 81. Journal of Hospital Medicine. 2014; 9 (suppl 2). Accessed September 20, 2019.

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