TeamSTEPPS and other team training methodologies have been used by health care professionals across the United States as well as internationally. The research cataloged here describes some of the approaches used in specific settings of care, as well as evaluation efforts to quantify or qualify impact.

Anesthesiology

Chopra, V., Bovill, J., & Spierdijk, J. (1992). Reported significant observations during aneasthesia: A prospective analysis over an 18-month period. British Medical Journal 68, 13-7.

Fletcher, G., Flin, R., McGeorge, P., Glavin, R., Maran, N., & Patey, R. (2003). Anaesthestists' non-technical skills (ANTS) evaluation of a behavioural marker system. British Journal of Anaesthesiology 90(5), 580-8.

Flin, R., Fletcher, G., McGeorge, P., Sutherland, A., & Patey R. (2003). Anaesthetists' attitudes to teamwork and safety. Anaesthesiology 58, 233-42.

Gaba, D. (1989). Human error in anesthetic mishaps. International Anesthesiology Clinics 27(3), 137-47.

Gaba, D. M., Fish, K. J., & Howard, S. K. (1994). Crisis Management in Anesthesiology. New York: Churchill Livingstone.

Gaba, D. M., Howard, S. K., & Small, S. D. (1995). Situation awareness in anesthesiology. Human Factors 37, 20-31.

Howard, S., Gaba, D., Fish, K., Yang, G., & Sarnquist, F. (1992). Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents. Aviation, Space, and Environmental Medicine 63(9), 763-70.

Lingard L, Regehr G, Orser B, et al. (2008). Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Archives of Surgery 143(1), 12-17.

Russell, R., Burke, K., & Gattis, K. (2013). Implementing a regional anesthesia block nurse team in the perianesthesia care unit increases patient safety and perioperative efficiency. Journal of Perianesthesia Nursing: Official Journal of The American Society of Perianesthesia Nurses / American Society of Perianesthesia Nurses 28(1), 3-10.

Shear, T. D., Greenberg, S. B., & Tokarczyk, A. (2013). Does training with human patient simulation translate to improved patient safety and outcome? Current Opinion in Anesthesiology 26(2), 159-63.

Weinger, M. B., & Englund, C. E. (1990). Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology 73, 995-1021.

Yee, B., Naik, V., et al. (2005). Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology 103(2), 241-8.

Burnout and Resiliency

Sands, S. A., Stanley, P., & Charon, R. (2008). Pediatric narrative oncology: Interprofessional training to promote empathy, build teams, and prevent burnout. The Journal of Supportive Oncology 6(7), 307-12.

Smith, C. D., Balatbat, C., Corbridge, S., et al. (2018). Implementing optimal team-based care to reduce clinician burnout. NAM Perspectives.

Crew Resource Management Training

France, D., Stiles, R., Gaffney, E., et al. (2005). Crew resources management training: Clinicians' reactions and attitudes. Association of periOperative Registered Nurses Journal 82(2), 213-24.

Haller G, Garnerin P, Morales MA, et al. (2008). Effect of crew resource management training in a multidisciplinary obstetrical setting. International Journal of Quality Health Care 20(4), 254-63.

Morey, J., Simon R., Jay GD, & Rice MM. (2003). A transition of aviation crew resource management to hospital emergency departments: the MedTeams story. In the Proceedings of the 12th International Symposium on Aviation Psychology (pp. 826-31).

Paull, D. E., Deleeuw, L. D., Wolk, S., Paige, J. T., Neily, J., & Mills, P. D. (2013). The effect of simulation-based crew resource management training on measurable teamwork and communication among interprofessional teams caring for postoperative patients. Journal of Continuing Education in Nursing 44(11), 516-24.

Pratt, S., Mann, S., Salisbury, M., et al. (2007). John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric outcomes and clinicians; patient safety attitudes. Joint Commission Journal on Quality and Patient Safety 33(12), 720-5.

Shea-Lewis A. (2009). Teamwork: crew resource management in a community hospital. Journal of Healthcare Quality 31, 14-18.

Sundar, E., Sundar, S., Pawlowski, J., Blum, R., Feinstein, D., & Pratt, S. (2007). Crew resource management and team training. Anesthesiology Clinics 25(2), 283-300.

Comprehensive Unit-Based Safety Program

Timmel, J., Kent, P. S., Holzmueller, C. G., Paine, L. A., Schulick, R. D., & Pronovost, P. J. (2010). Impact of the comprehensive unit-based safety program (CUSP) on safety culture in a surgical inpatient unit. Joint Commission Journal on Quality and Patient Safety 36(6), 252-60.

Electronic Health Record (EHR)

Assis-Hassid, S., Grosz, B.J., Zimlichman, E., Rozenblum, R., & Bates, D.W. (2019). Assessing EHR use during hospital morning rounds: A multi-faceted study. PloS One 14(2).

Sieja, A., Markley, K., Pell, J., Gonzalez, C., Redig, B., Kneeland, P., & Lin C.T. (2019). Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden. Mayo Clinic Proceedings 94(5), 793-802.

Emergency Care

Bellomo, R., Goldsmith, S., Uchino, J., Buckmaster, J., Hart, G., Opdam, H., et al. (2004). Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Critical Care Medicine 32(4), 916-21.

Eppich, W. J., Brannen, M., & Hunt, E. A. (2008). Team training: implications for emergency and critical care pediatrics. Current Opinion in Pediatrics 20(3), 255-60.

Jones, D., Bellomo, R., & DeVita, M. A. (2009). Effectiveness of the medical emergency team: the importance of dose. Critical Care 13(5), 313.

Kipnis, A., Rhodes, K., Burchill, C., & Datner, E. (2013). The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. The Journal Of Emergency Medicine 45(5), 731-8.

Krug, S. E. (2008). The art of communication: strategies to improve efficiency, quality of care and patient safety in the emergency department. Pediatric Radiology 38(Suppl 4), S655-9.

Lisbon, D., Allin, D., Cleek, C., Roop, L., Brimacombe, M., Downes, C., & Pingleton, S. K. (2014). Improved Knowledge, Attitudes, and Behaviors After Implementation of TeamSTEPPS Training in an Academic Emergency Department: A Pilot Report. American Journal of Medical Quality 31(1), 86-90.

Morey, J., Simon, R., Jay, G. D., & Rice, M. M. (2003). A transition of aviation crew resource management to hospital emergency departments: the MedTeams story. In the Proceedings of the 12th International Symposium on Aviation Psychology (pp. 826-31).

Morey, J. C., Simon, R., Jay, G. D., Wears, R. L., Salisbury, M., Dukes, K. A., & Berns, S. D. (2002). Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Services Research 37(6), 1553-81.

Mazzocato, P., Forsberg, H., & Schwarz, U. (2011). Team behaviors in emergency care: a qualitative study using behavior analysis of what makes team work. Scandinavian Journal Of Trauma, Resuscitation And Emergency Medicine 15, 19-70.

Patel, P., & Vinson, D. (2005). Team assignment system: expediting emergency department care. Annals of Emergency Medicine 46(6), 499-506.

Patterson, M. D., Geis, G. L., et al. (2013). In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Quality and Safety 22(6), 468-77.

Peters, V.K., Harvey, E.M., Wright, A., Bath, J., Freeman, D., & Collier, B. (2018). Impact of a TeamSTEPPS Trauma Nurse Academy at a Level 1 Trauma Center. Journal of Emergency Nursing 44(1), 19-25.

Turner, P. (2012). Implementation of TeamSTEPPS in the emergency department. Critical Care Nursing Quarterly 35(3), 208-12.

Intensive Care

Clarke D. (2010). Achieving teamwork in stroke units: the contribution of opportunistic dialogue. Journal of Interprofessional Care 24(3), 285-297.

Durbin, C. G. Jr. (2006). Team model: Advocating for the optimal method of care delivery in the intensive care unit. Critical Care Medicine 34(3 Suppl), S12-7.

Eppich, W. J., Brannen, M., & Hunt, E. A. (2008). Team training: implications for emergency and critical care pediatrics. Current Opinion in Pediatrics 20(3), 255-60.

Figueroa, M., Sepanski, R., Goldberg, S., & Shah, S. (2013). Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatric Cardiology 34(3), 612-619.

Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication in the ICU using daily goals. Journal of Critical Care 18(2), 71-5.

Huang, D. T., Clermont, G., Sexton, J. B., et al. (2007). Perceptions of safety culture vary across the intensive care units of a single institution. Critical Care Medicine 31(1), 165-76.

Kydona, C., Malamis, G., Giasnetsova, T., Tsiora, V., & Gritsi-Gerogianni, N. (2010). The level of teamwork as an index of quality in ICU performance. Hippokratia 14(2), 94-97.

Meurling, L., Hedman, L., Sandahl, C., Felländer-Tsai, L., & Wallin, C. (2013). Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions. BMJ Quality & Safety 22(6), 485-94.

Nunnink, L., Welsh, A., Abbey, M., & Buschel, C. (2009). In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit. Anaesthesia and Intensive Care 37(1), 74-78.

Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003). Improving communication in the ICU using daily goals. Journal of Critical Care 18(2),71-5.

Pronovost, P., Berenholtz, S., Goeschel, C., Thom, I., Watson, S., Holzmueller, C., et al. (2008). Improving patient safety in intensive care units in Michigan. Journal of Critical Care 23(2), 207-221.

Reader, T., Flin, R., Mearns, K., & Cuthbertson, B. (2009). Developing a team performance framework for the intensive care unit. Critical Care Medicine 37(5), 1787-1793.

Sandahl, C., Gustafsson, H., et al. (2013). Simulation team training for improved teamwork in an intensive care unit. International Journal of Health Care Quality Assurance 26(2), 174-88.

Sexton, J. B., Berenholtz, S. M., Goeschel, C. A., et al. (2011). Assessing and improving safety climate in a large cohort of intensive care units. Critical Care Medicine 39(5), 934-9.

Stahl, K., Palileo, A., Schulman, C., Wilson, K., Augenstein, J., Kiffin, C., et al. (2009). Enhancing patient safety in the trauma/surgical intensive care unit. Journal of Trauma 67(3), 430-3.

Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (2003). Discrepant attitudes about teamwork among critical care nurses and physicians. Critical Care Medicine 31(3), 956-9.

Interprofessional Education

Baker, M. J., & Durham, C. (2013). Interprofessional education: A survey of students' collaborative competency outcomes. Journal of Nursing Education 52(12), 713-718.

Best, J.A., & Kim, S. (2019). The FIRST Curriculum: Cultivating speaking behaviors in the clinical learning environment. Journal of Continuing Education in Nursing 50(8), 355-361.

Brock, D., Abu-Rish, E., Chiu, C., Hammer, D., Wilson, S., Vorvick, L., et al. (2013). Interprofessional education in team communication: working together to improve patient safety. BMJ Quality & Safety 22(5), 414-23.

Claramita, M., Riskiyana, R., Susilo Pratidina, A., Huriyati, E., Wahyuningsih, M.S.H., & Norcini, J.J. (2019). Interprofessional communication in socio-hierarchical culture: Development of the TRIO-O guide. Journal of Mutltidisciplinary Healthcare 12, 191-204.

Ekmekci, O., Plack, M., Pintz, C., Bocchino, J., Lelacheur, S., & Halvaksz, J. (2013). Integrating executive coaching and simulation to promote interprofessional education of health care students. Journal of Allied Health 42(1), 17-24.

Garbee, D. D., Paige, J., et al. (2013). Interprofessional teamwork among students in simulated codes: A quasi-experimental study. Nurse Education Perspectives 34(5), 339-44.

Jeffs, L., Abramovich, I. A., et al. (2013). Implementing an interprofessional patient safety learning initiative: Insights from participants, project leads and steering committee members. BMJ Quality and Safety 22(11), 923-30.

Liaw, S. Y., Zhou, W. T., Lau, T. C., Siau, C., & Chan, S. W. (2013). An interprofessional communication training using simulation to enhance safe care for a deteriorating patient. Nurse Education Today 34(2), 259-64.

Maraccini, A. M., Houmanfar, R. A., Kemmelmeier, M., Piasecki, M., & Slonim, A. D. (2018). An inter-professional approach to train and evaluate communication accuracy and completeness during the delivery of nurse-physician student handoffs. Journal of Interprofessional Education & Practice 12, 65-72.

Morison, S., Boohan, M., Moutray, M., & Jenkins, J. (2004). Developing pre-qualification inter-professional education for nursing and medical students: Sampling student attitudes to guide development. Nurse Education in Practice 4(1), 20-9.

Paige, J. T., Garbee D. D., et al. (2013). Getting a head start: High-fidelity, simulation-based operating room team training of interprofessional students. Journal of the American College of Surgeons 218(1), 140-9.

Sands, S. A., Stanley, P., & Charon, R. (2008). Pediatric narrative oncology: Interprofessional training to promote empathy, build teams, and prevent burnout. The Journal of Supportive Oncology 6(7), 307-12.

Sawyer, T., Laubach, V. A., Hudak, J., Yamamura, K., & Pocrnich, A. (2013). Improvements in teamwork during neonatal resuscitation after interprofessional TeamSTEPPS training. Neonatal Network 32(1), 26-33.

Salas, E., Lazzara, E. H., Benishek, L. E. & King, H. (2013). On being a team player: Evidence-based heuristic for teamwork in interprofessional education. The Journal of the International Association of Medical Science Educators 23(3S), 524-531.

Just Culture

Marx, D. (2001, April 17). Patient Safety and the “Just Culture”: A Primer for Health Care Executives (Rep.). Retrieved http://www.chpso.org/sites/main/files/file-attachments/marx_primer.pdf.

Norman, D. (2013). The Design of Everyday Things: Revised and Expanded Edition. New York: Basic Books.

Sentinel Event Alert, Issue 60 (2018). Developing a reporting culture: Learning from close calls and hazardous conditions. Retrieved https://www.jointcommission.org/assets/1/18/SEA_60_Reporting_culture_FINAL.pdf.

Labor and Delivery

Block M., Ehrenworth J. F., et al. (2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Joint Commission Journal on Quality and Patient Safety 39(5), 213-20.

Borckardt, J.J., Annan-Coultas, D., Catchpole, K., Wise, H., Mauldin, M., Ragucci, K., Scheurer, D., & Kascak, K. (2020). Preliminary evaluation of the impact of TeamSTEPPS® training on hospital quality indicators. J Interprof Educ Pract 18. 

Clark, S. (2008). Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. American Journal of Obstetrics and Gynecology 199(2), 105:e1-7.

Daniels, K. & Auguste, T. (2013). Moving forward in patient safety: Multidisciplinary team training. Seminars in Perinatology 37(3), 146-50.

Daniels, K., Lipman, S., Harney, K., Arafeh, J., & Druzin, M. (2008). Use of simulation based team training for obstetric crises in resident education. Simulation in Healthcare 3(3), 154-60.

Gardner, R., Walzer, T. B., Simon, R., Raemer, D. B. (2008). Obstetric simulation as a risk control strategy: course design and evaluation. Simulation in Healthcare 3(2), 119-27.

Grunebaum A., Chervenak F., Skupski D. (2011). Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. American Journal of Obstetrics Gynecology 204(2), 97-105.

Haller, G., Garnerin P., Morales M. A., et al. (2008). Effect of crew resource management training in a multidisciplinary obstetrical setting. International Journal of Quality Health Care 20(4), 254-63.

Mann, S., et al. (2006). Assessing quality obstetrical care: development of standardized measures. Joint Commission Journal on Quality Patient 32, 497-505.

Mann, S., & Pratt, S. D. (2008). Team approach to care in labor and delivery. Clinical Obstetrics and Gynecology 51(4), 666-79.

Maxfield, D. G., Lyndon, A., Kennedy, H. P., O'Keeffe, D. F. & Zlatnik, M. G. (2013). Confronting safety gaps across labor and delivery teams. American Journal of Obstetrics and Gynecology 209(5), 402-408.e3.

Morgan, P., Pittini, R., Regehr, G., Marrs, C., & Haley, M. (2007). Evaluating teamwork in a simulated obstetric environment. Anesthesiology 106(5), 907-15.

Nielsen, P. E., Goldman M. B., Mann S., et al. (2007). Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstetrics and Gynecology 109(1), 48-55.

Pettker, C. M., Thung, S. F., Norwitz, E.R., et al. (2009). Impact of a comprehensive patient safety strategy on obstetric adverse events. American Journal of Obstetrics and Gynecology 200(5), 492.e1-8.

Pratt, S., Mann, S., Salisbury, M., et al. (2007). John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric outcomes and clinicians; patient safety attitudes. Joint Commission Journal on Quality and Patient Safety 33(12), 720-5.

Riley, W., David S., Miller, K., et al. (2011). Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Joint Commission Journal on Quality and Patient Safety 37(8), 357-64.

Simpson, K. R., James, D. C., & Knox, G. E. (2006). Nurse-physician communication during labor and birth: implications for patient safety. Journal of Obstetrics and Gynecology, Neonatal Nursing 35(4), 547-56.

Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (2004). Translating teamwork behaviours from aviation to healthcare: Development of behavioural markers for neonatal resuscitation. Quality & Safety in Health Care 13(Suppl 1), i57-64.

Veltman, L. L. (2007). Disruptive behavior in obstetrics: a hidden threat to patient safety. American Journal of Obstetrics and Gynecology 196(6), 587 e1-4.

Neonatal Intensive Care Unit

Barbosa, V. (2013). Teamwork in the Neonatal Intensive Care Unit. Physical & Occupational Therapy in Pediatrics 33(1), 5-26.

Brodsky, D., Gupta, M., et al. (2013). Building collaborative teams in neonatal intensive care. BMJ Quality and Safety 22(5), 374-82.

Brown, M. S., Ohlinger, J., Rusk, C., Delmore, P., Ittmann, P., & CARE Group. (2003). Implementing potentially better practices for multidisciplinary team building: creating a neonatal intensive care unit culture of collaboration. Pediatrics 111(4 Pt 2), e482-8.

Ohlinger, J., Brown, M. S., Laudert, S., Swanson, S., Fofah, O., & CARE Group. (2003). Development of potentially better practices for the neonatal intensive care unit as a culture of collaboration: communication, accountability, respect, and empowerment. Pediatrics 111(4 Pt 2), e471-81.

Sawyer, T., Laubach, V. A., Hudak, J., Yamamura, K. & Pocrnich, A. (2013). Improvements in teamwork during neonatal resuscitation after interprofessional TeamSTEPPS training. Neonatal Network 32(1), 26-33.

Thomas, E. J., Sherwood, G. D., Mulhollen, M. A., Sexton, J. B., & Helreich, R. L., (2004). Working together in the neonatal intensive care unit: provider perspective. Journal of Perinatology 24(9), 552-9.

Patient and Family Engagement

Cox, E.D., Jacobsohn, G.C., Rajamanickam, V.P., Carayon, P., Kelly, M.M., Wetterneck, T.B., Rathouz, P.J., & Brown R.L. (2017). A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics 139(5).

Khan, A., Spector, N. D., Baird, J. D., et al. (2018). A Patient safety after implementation of a coproduced family centered communication programme: Multicenter before and after intervention study. BMJ 363, k4764.

Kilpatrick, K., Tchouaket, É., Paquette, L., Guillemette, C., Jabbour, M., Desmeules, F., Landry, V., & Fernandez, N. (2019). Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation. BMC Health Services Research 19(1), 9.

Kim, J.M., Suarez-Cuervo, C., Berger, Z., Lee, J., Gayleard, J., Rosenberg, C., Nagy, N., Weeks, K., & Dy, S. (2018). Evaluation of Patient and Family Engagement Strategies to Improve Medication Safety. Patient 11(2), 193-206.

Pediatric Care

Eppich, W. J., Brannen, M., & Hunt, E. A. (2008). Team training: implications for emergency and critical care pediatrics. Current Opinion in Pediatrics 20(3), 255-60.

Patel, D. R., Pratt, H. D., & Patel, N. D. (2008). Team process and team care for children with developmental disabilities. Pediatric Clinics of North America 5(6), 1375-90, ix.

Rosen, P., Stenger, E., Bochkoris, M., Hannon, M. J., & Kwoh, C. K. (2009). Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics 123(4), e603-8.

Sands, S. A., Stanley, P., & Charon, R. (2008). Pediatric narrative oncology: Interprofessional training to promote empathy, build teams, and prevent burnout. The Journal of Supportive Oncology 6(7), 307-12.

Perioperative Care

Rhee et al. (2017). Team training in the perioperative arena: A methodology for implementation and auditing behavior. American Journal of Medical Quality 32(4), 369-375.

Tyerman, Z., Mehaffey, J.H., Hawkins, R.B., Diop, M., Carroll, N.D., Howell, A.M., Kern, J.A., Ailawadi, G., & Teman, N. (2019). Nightly perioperative huddle email improves perioperative efficiency. The Annals of Thoracic Surgery.

Physician/Nurse Collaboration

Dechairo-Marino, A., Jordan-Marsh, M., Traiger, G., & Saulo, M. (2001). Nurse/physician collaboration: action research and the lessons learned. The Journal of Nursing Administration 31(5), 223-232.

Lingard, L., Regehr, G., Orser, B., et al. (2008). Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Archives of Surgery 143(1), 12-17.

Makary, M. A., Sexton, J. B., Freischlag, J. A., et al. (2006). Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. Journal of the American College of Surgeons 202(5), 746-52.

Rosenstein, A. H., et al. (2002). Disruptive physician behavior contributes to nursing shortage. Study links bad behavior by doctors to nurses leaving the profession. Physician Executive 28(6), 8-11.

Saxton, R., Hines, T., & Enriquez, M. (2009). The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. Journal of Patient Safety 5(3), 180-3.

Simpson, K. R., James, D. C., Knox, G. E. (2006). Nurse-physician communication during labor and birth: implications for patient safety. Journal of Obstetrics and Gynecology, Neonatal Nursing 35(4), 547-56.

Primary Care

Abu, O., & Ní Riain, A. (2012). Implementation of the primary care strategy 2005: a study of the experiences of team work among members of primary care teams in County Wexford in 2011. Irish Medical Journal 105(2), 60-61.

Adam, P., Brandenburg, D., Bremer, K., & Nordstrom, D. (2010). Effects of team care of frequent attendees on patients and physicians. Families, Systems & Health: The Journal of Collaborative Family Healthcare 28(3), 247-257.

Bilello, L.A., Scuderi, C., Haddad, C.J., Smotherman, C., & Shahady, E. (2018). Practice transformation: Using team-based care training to improve diabetes outcomes Journal of Primary Care & Community Health 9.

Delva, D., Jamieson, M., & Lemieux, M. (2008). Team effectiveness in academic primary health care teams. Journal of Interprofessional Care 22(6), 598-611.

Fiscella K, Mauksch L, Bodenheimer T, & Salas E. (2017). Improving care teams' functioning: recommendations from team science. Joint Commission Journal on Quality and Patient Safety 43(7), 361-368.

Gannon, M., Qaseem, A., Snooks, Q., & Snow, V. (2012). Improving adult immunization practices using a team approach in the primary care setting. American Journal of Public Health 102(7), e46-e52.

Goldberg, D., Beeson, T., Kuzel, A., Love, L., & Carver, M. (2013). Team-Based Care: A Critical Element of Primary Care Practice Transformation. Population Health Management 16(3), 150-6.

Jesmin, S., Thind, A., & Sarma, S. (2012). Does team-based primary health care improve patients' perception of outcomes? Evidence from the 2007-08 Canadian Survey of Experiences with Primary Health. Health Policy (Amsterdam, Netherlands) 105(1), 71-83.

Kroner, B., Shanahan, R., & Vogel, E. (2011). Description of a team-based job improvement process within a large geographically dispersed primary care clinical pharmacy service. Journal of the American Pharmacists Association: Japha 51(1), 95-99.

Parker, A. L., Forsythe, L. L., & Kohlmorgen, I. K. (2018). TeamSTEPPS®: An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review. Journal of Healthcare Risk Management 38(4), 19-31.

Paul, M., Dodge, L., Intondi, E., Ozcelik, G., Plitt, K., & Hacker, M. (2017). Integrating TeamSTEPPS® into ambulatory reproductive health care: Early successes and lessons learned. Journal of Healthcare Risk Management 36(4), 25-36.

Samuelson, M., Tedeschi, P., Aarendonk, D., De La Cuesta, C., & Groenewegen, P. (2012). Improving interprofessional collaboration in primary care: Position Paper of the European Forum for Primary Care. Quality in Primary Care 20(4), 303-312.

Safety Culture and Safety Improvement

Bognàr, A., Barach, P., Johnson, J. K., et al. (2008). Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Annals of Thoracic Surgery 85(4) 1374-81.

Colla, J., Bracken, A., Kinney, L.m & Weeks, W. (2005). Measuring patient safety climate: A review of surveys. Quality and Safety in Health Care 14(5) 364-6.

Cooke, M. (2016). TeamSTEPPS for health care risk managers: Improving teamwork and communication. Journal of Healthcare Risk Management 36(1), 35-45.

Huang, D. T., Clermont, G., Sexton, J. B., et al. (2007). Perceptions of safety culture vary across the intensive care units of a single institution. Critical Care Medicine 31(1) 165-76.

Jones, K., Skinner, A., High, R., & Reiter-Palmon, R. (2013). A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Quality & Safety 22(5), 394-404.

Kachalia, A., Sands, K., Niel, M. V., et al. (2018). Effects Of A Communication-And-Resolution Program On Hospitals’ Malpractice Claims And Costs. Health Affairs 37(11), 1836-1844.

Maxfield, D. G., Lyndon, A., Kennedy, H. P., O'Keeffe, D. F. & Zlatnik, M. G. (2013). Confronting safety gaps across labor and delivery teams. American Journal of Obstetrics and Gynecology 209(5), 402-408.e3.

Pronovost, P. J., Weast, B., Bishop, K., et al. (2004). Senior executive adopt-a-work unit: A model for safety improvement. Joint Commission Journal on Quality and Safety 30(2) 59-68.

Sexton, J. B., Berenholtz, S. M., Goeschel, C. A., et al. (2011). Assessing and improving safety climate in a large cohort of intensive care units. Critical Care Medicine 39(5) 934-9.

Sexton, J. B., Helmreich, R. L., Neilands, T. B., et al. (2006). The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Services Research 6, 44.

Sexton, J. B., Thomas, E., & Pronovost, P. J. (2005). The context of care and the patient care team: The safety attitudes questionnaire. In P. P. Reid, W.D. Compton, J. H. Grossman, G. Fanjiant (Eds.), Building a Better Delivery System: A New Engineering/Health Care Partnership (pp. 119-23). Washington, DC: National Academies Press.

Sentinel Event Alert, Issue 40: Behaviors that undermine a culture of safety. Joint Commission 2008.

Timmel, J., Kent, P. S., Holzmueller, C. G., Paine, L. A., Schulick, R. D., & Pronovost, P. J. (2010). Impact of the comprehensive unit-based safety program (CUSP) on safety culture in a surgical inpatient unit. Joint Commission Journal on Quality and Patient Safety 36(6), 252-60.

Thomas, L. & Galla, C. (2013). Building a culture of safety through team training and engagement. BMJ Quality and Safety 22(5), 425-34.

Weaver, S. J., Lyons, R., et al. (2010). The anatomy of health care team training and the state of practice: A critical review. Academy Medicine: Journal of the Association of American Medical Colleges 85(11), 1746-60.

Weaver, S. J., Lubomksi, L. H., et al. (2013). Promoting a culture of safety as a patient safety strategy: A systematic review. Annals of Intern Medicine 158(5 Pt 2), 369-74.

Simulation

Daniels, K. & Auguste, T. (2013). Moving forward in patient safety: Multidisciplinary team training. Seminars in Perinatology 37(3), 146-50.

Daniels K, Lipman S, Harney K, Arafeh J, & Druzin M. (2008). Use of simulation based team training for obstetric crises in resident education. Simulation in Healthcare 3, 154-60.

Davis, S., Miller, K., & Riley, W. (2008). Reducing patient harm through interdisciplinary team training with in situ simulation. Paper presented at Improving Patient Safety Conference. Cambridge, UK: Robinson College.

Ekmekci, O., Plack, M., Pintz, C., Bocchino, J., Lelacheur, S., & Halvaksz, J. (2013). Integrating executive coaching and simulation to promote interprofessional education of health care students. Journal of Allied Health 42(1), 17-24.

Eppich, W., Howard, V., Vozenilek, J., Curran, I. (2011). Simulation-based team training in healthcare. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare Suppl:S14-9.

Figueroa, M., Sepanski, R., Goldberg, S., & Shah, S. (2013). Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatric Cardiology 34(3), 612-619.

Figueroa, J., Mccracken, C., Hebbar, K., & Colman, N. (2019). Simulation-Based Team Training Improves Team Performance among Pediatric Intensive Care Unit Staff. Journal of Pediatric Intensive Care 8(2), 83-91.

Garbee, D. D., Paige, J., et al. (2013). Interprofessional teamwork among students in simulated codes: A quasi-experimental study. Nurse Education Perspectives 34(5), 339-44.

Greer, J.A., Haischer-Rollo, G., Delorey, D., Kiser, R., Sayles, T., Bailey, J., Blosser, C., Middlebrooks, R., & Ennen, C.S. (2019). In-situ interprofessional perinatal drills: The impact of a structured debrief on maximizing training while sensing patient safety threats. Cureus 11(2), e4096.

Harvey, E., Wright, A., Taylor, D., Bath, J. & Collier, B. (2013). TeamSTEPPS® simulation-based training: An evidence-based strategy to improve trauma team performance. Journal of Continuing Education in Nursing 44(11), 484-485.

Martinelli, S. M., Chen, F., Hobbs, G., et al. (2018). The Use of Simulation to Improve Family Understanding and Support of Anesthesia Providers. Cureus 10(3).

Meier, A. H., Boehler, M. L., et al. (2012). A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Archives of Surgery 147(8), 761-6.

Moorthy, K., Munz, Y., Adams, S., Pandey, V., & Darzi, A. (2005). A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Annals of Surgery 242(5), 631-8.

Morgan, P., Pittini, R., Regehr, G., Marrs, C., & Haley, M. (2007). Evaluating teamwork in a simulated obstetric environment. Anesthesiology 106, 907-15.

Meurling, L., Hedman, L., Sandahl, C., Felländer-Tsai, L., & Wallin, C. (2013). Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions. BMJ Quality & Safety 22(6), 485-94.

Naik, V. N., & Brien, S. E. (2013). Review article: Simulation: A means to address and improve patient safety. Canadian Journal of Anaesthesia 60(2), 192-200.

Nguyen, N., Watson, W.D., & Dominguez E. (2019). Simulation-Based Communication Training for General Surgery and Obstetrics and Gynecology Residents Journal of Surgical Education 76(3), 856-863.

Nunnink, L., Welsh, A., Abbey, M., & Buschel, C. (2009). In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit. Anaesthesia and Intensive Care 37(1), 74-78.

Palmer, E., Labanti, A.L., Edwards, T.F., & Boothby, J. (2019). A collaborative partnership for improving newborn safety: Using simulation for neonatal resuscitation training. Journal of Continuing Education in Nursing 50(7), 319-324.

Patterson, M. D., Geis, G. L., et al. (2013). In situ simulation: Detection of safety threats and teamwork training in a high risk emergency department. BMJ Quality & Safety 22(6), 468-77.

Paull, D. E., Deleeuw, L. D., Wolk, S., Paige, J. T., Neily, J., & Mills, P. D. (2013). The effect of simulation-based crew resource management training on measurable teamwork and communication among interprofessional teams caring for postoperative patients. Journal of Continuing Education in Nursing 44(11), 516-24.

Powers, K., Rehrig, S., Irias, N., et al. (2008). Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surgical Endoscopy 22(4), 885-900.

Riley, W., David, S., Miller, K., et al. (2011). Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Joint Commission Journal on Quality and Patient Safety 37(8), 357-64.

Sandahl, C., Gustafsson, H., et al. (2013). Simulation team training for improved teamwork in an intensive care unit. International Journal of Health Care Quality Assurance 26(2), 174-88.

Salas, E., Wilson, K. A., Burke, C. S., & Priest, H. A. (2005). Using simulation-based training to improve patient safety: What does it take? Journal of Quality and Patient Safety 31(7), 363-71.

Schmidt, E., Goldhaber-Fiebert, S., Ho, L., & McDonald, K. (2013). Simulation exercises as a patient safety strategy: a systematic review. Annals of Internal Medicine 158(5 Pt 2), 426-432.

Shear, T., Greenberg, S., & Tokarczyk, A. (2013). Does training with human patient simulation translate to improved patient safety and outcome? Current Opinion in Anaesthesiology 26(2), 159-163.

Yee, B., Naik, V., et al. (2005). Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology 103(2), 241-8.

Surgical Care and OR

This is a list of resources for surgical care and OR. Return to the main list to explore other topic areas.


Allen, R.W., Taaffe, K.M., Neilley, V., & Busby, E. (2019). First case on-time starts measured by incision on-time and no grace period: A case study of operating room management. Journal of Healthcare Management 64(2), 111-121.

Awad, S., Fagan, S., Bellows, C., et al. (2005). Bridging the communication gap in the operating room with medical team training. American Journal of Surgery 190(5), 770-4.

Bleakley, A., Allard, J., & Hobbs, A. (2013). 'Achieving ensemble': communication in orthopaedic surgical teams and the development of situation awareness-an observational study using live videotaped examples. Advances in Health Sciences Education 18(1), 33-56.

Bognàr, A., Barach, P., Johnson, J. K., et al. (2008). Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Annals of Thoracic Surgery 85(4), 1374-81.

Dedy, N. J., Zevin, B., Bonrath, E. M., Grantcharov, T. P. (2013). Current concepts of team training in surgical residency: A survey of North American program directors. Journal of Surgical Education 70(5), 578-84.

Greenberg, C. C., Regenbogen, S. E., Studdert, D. M., et al. (2007). Patterns of communication breakdowns resulting in injury to surgical patients. Journal of the American College of Surgeons 204(4), 533-40.

Guerlain, S., Adamns, R., Turrentine, F., et al. (2005). Assessing team performance in the operating room: Development and use of a “black-box” recorder and other tools for the intraoperative environment. Journal of the American College of Surgeons 200(1), 29-37.

Healey, A., Undre, S., & Vincent, C. (2004). Developing observational measures of performance in surgical teams. Quality and Safety in Health Care 13, 133-40.

Healey, A., Undre, S., & Vincent, C. (2006). Defining the technical skills of teamwork in surgery. Quality and Safety in Health Care 15, 231-4.

Healey, G. B., Barker, J., & Madonna, G. (2006). Error reduction through team leadership: The surgeon as leader. Bulletin of the American College of Surgeons 91(11), 26-9.

Helmreich, R. L., Schaefer. H. G. (1994). Team performance in the operating room. In M. S. Bogner (Ed.) Human Error in Healthcare (pp 225-253). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

Hoang, T. N., Kang, J., et al. (2013). Filling in the gaps of predeployment fleet surgical team training using a team-centered approach. Journal of Special Operations Medicine 13(4), 22-33.

Lingard, L., Espin, S., Whyte, S., et al. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. Quality and Safety in Health Care 13(5), 330-4.

Lingard L, Regehr G, Orser B, et al. (2008). Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Archives of Surgery 143(1), 12-17.

Makary, M. A., Holzmueller, C. G., Thompson, D. A., et al. (2006). Operating Room briefings: Working on the same page. Joint Commission Journal on Quality and Safety 32(6), 351-5.

Makary, M. A., Sexton, J. B., Freischlag, J. A., et al. (2006). Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. Journal of the American College of Surgeons 202(5), 746-52.

Mazzocco, K., Petitti, D., Fong, K., et al. (2009). Surgical team behaviors and patient outcomes. American Journal of Surgery 197(5), 678-85.

Meier, A. H., Boehler, M. L., et al. (2012). A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Archives of Surgery 147(8), 761-6.

Mills, P., Neily, J., & Dunn, E. (2008). Teamwork and Communication in surgical teams: Implications for patient safety. Journal of the American College of Surgeons 206(I), 107-12.

Mishra, A., Catchpole, K., & McMulloch, P. (2009). The Oxford NOTECHS system: Reliability and validity of a tool for measuring teamwork behavior in the operating theatre. Quality and Safety in Health Care 18(2), 104-8.

Moorthy, K., Munz, Y., Adams, S., Pandey, V., & Darzi, A. (2005). A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Annals of Surgery 242(5), 631-8.

Nundy, S., Mukherjee, A., Sexton, J., et al. (2008). Impact of preoperative briefings on operating room delays: a preliminary report. Archives of Surgery 143(11), 1068-72.

Paige, J. T., Garbee D. D., et al. (2013). Getting a head start: High-fidelity, simulation-based operating room team training of interprofessional students. Journal of the American College of Surgeons 218(1), 140-9.

Paull, D. E., Deleeuw, L. D., Wolk, S., Paige, J. T., Neily, J. & Mills, P. D. (2013). The effect of simulation-based crew resource management training on measurable teamwork and communication among interprofessional teams caring for postoperative patients. Journal of Continuing Education in Nursing 44(11), 516-24.

Powers, K., Rehrig, S., Irias, N., et al. (2008). Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surgical Endoscopy 22(4), 885-90.

Sevdalis, N., Lyons, M., Healey, A., Undre, S., Darzi, A., & Vincent, C. (2009). Observational teamwork assessment for surgery: Construct validation with expert versus novice raters. Annals of Surgery 249(6), 1047-51.

Sexton, J., Makary, M., Tersigni, A., et al. (2006). Teamwork in the operating room: Frontline perspectives among hospitals and operating room personnel. Anesthesiology 105(5), 877-84.

Stahl, K., Palileo, A., Schulman, C., Wilson, K., Augenstein, J., Kiffin, C., et al. (2009). Enhancing patient safety in the trauma/surgical intensive care unit. Journal of Trauma 67, 430-5.

Timmel, J., Kent, P. S., Holzmueller, C. G., Paine, L. A., Schulick, R. D., & Pronovost, P. J. (2010). Impact of the comprehensive unit-based safety program (CUSP) on safety culture in a surgical inpatient unit. Joint Commission Journal on Quality and Patient Safety 36(6), 252-60.

Weaver, S., Rosen, M., DiazGranados, D., et al. (2010). Does teamwork improve performance in the operating room? A multilevel evaluation. Joint Commission Journal on Quality and Patient Safety 35(8), 398-405.

Weld, L. R., et al. (2016). TeamSTEPPS improves operating room efficiency and patient safety. American Journal of Medical Quality 31(5), 408-14.

Teams in Health Care

Baker, D. P., Salas, E., & Barach, P. (2003). Medical teamwork and patient safety: The evidence-based relation. Final Report 2003. Washington, DC: Center for Quality Improvement and Patient Safety and AHRQ and The Department of Defense.

Baker, D. P., Salas, E., Barach, P., Battles, J., & Kin, H. (2007). The relation between teamwork and patient safety. In P. Carayon (Ed.), Handbook of Human Factors and Ergonomics in Health Care and Patient Safety (pp. 259-271). Mahwah, NJ: Erlbaum.

Bisbey, T.M., Reyes, D.L., Taylor, A.M., & Salas, E. (2019). Teams of psychologists helping teams: The evolution of the science of team training. American Psychologist 74(3), 279-289.

Burke, C. S., Stagl, K. C., Klien, C., Goodwin, G. F., Salas, E., & Halpin, S. M. (2006). What type of leadership behaviors are functional in teams? A meta-analysis. Leadership Quarterly 17, 288-307.

Burke, C. S., Stagl, K. C., Salas, E., Pierce, L., & Kendall, D. (2006). Understanding team adaption: A conceptual analysis and model. Journal of Applied Psychology 91(6), 1189-1207.

Harris, K, Treanor, C., & Salisbury, M. (2006). Improving patient safety with team coordination: Challenges and strategies of implementation. Journal of Obstetric, Gynecologic, & Neonatal Nursing 35(4), 557-66.

Heslin, M.J., Singletary, B.A., Benos, K.C., Lee, L.R., Fry, C. & Lindeman, B. (2019). Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Annals of Surgery 270(3), 463-472.

Jeffcott, S. A., & MacKenzie, C. F. (2008). Measuring team performance in healthcare: Review of research and implications for patient safety. Journal of Critical Care 23(2), 188-96.

Johnson, H. L. & Kimsey, D. (2012). Patient safety: Break the silence. AORN Journal 95(5), 591-601.

Lerner, S., Magrane, D., & Friedman, E. (2009). Teaching teamwork in medical education. The Mount Sinai Journal of Medicine, New York 76(4), 318-329.

Mager, D. R. & Lange, J. (2013). Teambuilding across healthcare professions: The ELDER project. Applied Nurse Research 27(2), 141-3.

Maxfield, D., Grenny, J., McMillan, R., et al. (2005). Silence Kills; The seven crucial conversations for healthcare. Nursing 35(4), 33.

Morey, J. C., & Salisbury, M. (2002). Introducing teamwork training into healthcare organizations: Implementation issues and solutions. In Proceedings of the Human Factors and Ergonomics Society 46th Annual Meeting (pp. 2069-73). Santa Monica, CA: Human Factors and Ergonomics Society.

Morrison, G., Goldfarb, S., & Lanken, P. N. (2009). Team training of medical students in the 21st century: Would Flexner approve? Academic Medicine 85(2), 254-9.

O’Connell, M. T. & Pascoe, J. M. (2004). Undergraduate medical education for the 21st century: Leadership and teamwork. Family Medicine 36(Suppl), S51-6.

Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., Haraden, C. (2003). Improving communication in the ICU using daily goals. Journal of Critical Care 18(2), 71-5.

Reiss-Brennan, B., Brunisholz, K.D., Dredge, C., Briot, P., Grazier, K., Wilcox, A., Savitz, L., & James, B. (2016). Association of integrated team-based care with health care quality, utilization, and cost. JAMA 316(8): 826-834. 

Salas, E. & Frush, K. (Eds.). (2012). Improving patient safety through teamwork and team training. New York, NY: Oxford University Press.

Salas, E., Lazzara, E. H., Benishek, L. E. & King, H. (2013). On being a team player: Evidence-based heuristic for teamwork in interprofessional education. The Journal of the International Association of Medical Science Educators 23(3S), 524-531.

Salas, E., Almeida, S., Salisbury, M., et al. (2009). What are the critical success factors for implementing team training in health care? Joint Commission Journal on Quality & Patient Safety 35(8), 398-405.

Shea-Lewis A. (2009). Teamwork: crew resource management in a community hospital. Journal of Healthcare Quality 31(5), 14-18.

Sheppard, F., Williams, M. & Klein V. R. (2013). TeamSTEPPS and patient safety in healthcare. Journal of Healthcare Risk Management 32(3), 5-10.

Shortell, S. M., Marsteller, J. A., Lin, M., et al. (2004). The role of perceived team effectiveness in improving chronic illness care. Medical Care 42(11), 1040-48.

Sonesh, S. C., et al. (2015). Team training in obstetrics: A multi-level evaluation. Families, Systems, & Health 33(3), 250-261.

Strasser, D. C., Smits, S. J., Falconer, J. A., Herrin, J. S., & Bowen, S. E. (2002). The influence of hospital culture on rehabilitation team functioning in VA hospitals. Journals of Rehabilitation Research and Development 39(1), 115-25.

Weaver, S. J., Lyons, R., et al. (2010). The anatomy of health care team training and the state of practice: A critical review. Academy Medicine: Journal of the Association of American Medical Colleges 85(11), 1746-60.

Wilson, K. A., Burke, C. S., Priest, H. A., & Salas, E. (2005). Promoting health care safety through tracking high reliability teams. Quality and Safety in Health Care 14(4), 303-9.

TeamSTEPPS Research and Tools

Agency for Healthcare Research and Quality (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization. AHRQ Publication No. 06-0020-4.

Andersen, P., Coverdale, S., Kelly, M., & Forster, S. (2018). Interprofessional Simulation: Developing Teamwork Using a Two-Tiered Debriefing Approach. Clinical Simulation in Nursing 20, 15-23.

Baker, D. P., Amodeo, A. M., Krokos, K. J., Slonim, A., Herrera, H. (2010). Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Quality & Safety in Health Care 19(6), e49.

Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Journal of Nursing Measurement 20(3), 186-98.

Clarke, D., Werestiuk, K., Schoffner, A., et al. (2012). Achieving the 'perfect handoff' in patient transfers: Building teamwork and trust. Journal of Nursing Management 20(5), 592-8.

De Meester, K., Verspuy, M., Monsieurs, K. G., & Van Bogaert, P. (2013). SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention study. Resuscitation 84(9), 1192-6.

Dodge, L. E., Nippita, S., Hacker, M. R., Intondi, E. M., Ozcelik, G., & Paul, M. E. (2019). Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Journal of Healthcare Risk Management 38(4), 44-54.

Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: a shared mental model for improving communication between clinicians. Joint Commission Journal on Quality and Patient Safety 32(3), 167-75.

Lineberry, M., Bryan, E., Brush, T., Carolan, T., Holness, D., Salas, E., & King, H. (2013). Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Joint Commission Journal On Quality And Patient Safety 39(2), 89-95.

Makary, M. A., Holzmueller, C. G., Thompson, D. A., et al. (2006). Operating Room briefings: Working on the same page. Joint Commission Journal On Quality And Patient Safety 32(6), 351-5.

Nundy, S., Mukherjee, A., Sexton, J., et al. (2008). Impact of preoperative briefings on operating room delays: A preliminary report. Archives of Surgery 143(11), 1068-72.

Sheppard, F., Williams, M. & Klein, V. (2013). TeamSTEPPS and patient safety in healthcare. Journal of Healthcare Risk Management 32(3), 5-10.

Stead, K., Kumar, S., et al. (2009). Teams communicating through STEPPS. Medical Journal of Australia 190, S128-32.

Thompson, D., Holzmueller, C., Hunt, D., Cafeo, C., Sexton, B., & Pronovost, P. (2005). A morning briefing: setting the stage for a clinically and operationally good day. Joint Commission Journal on Quality and Safety 31(8), 476-9.

Trauma

Barach, P., & Weinger, M. B. (2007). Trauma team performance. In W. C. Wilson, C. M. Grande, & D. B. Hoyt (Eds.),Trauma. Vol I. Resuscitation, Anesthesia and Emergency Surgery (pp. 101-13). New York, NY: Taylor & Francis.

Capella, J., Smith, S., et al. (2010). Teamwork training improves the clinical care of trauma patients. Journal of Surgical Education 67(6), 439-43.

Harvey, E., Wright, A., Taylor, D., Bath, J. & Collier, B. (2013). TeamSTEPPS® simulation-based training: An evidence-based strategy to improve trauma team performance. Journal of Continuing Education in Nursing 44(11), 484-485.

Klein, K. J. (2006). Teamwork in a shock trauma unit: New lessons in leadership. Knowledge@Wharton.

Peters, V.K., Harvey, E.M., Wright, A., Bath, J., Freeman, D., & Collier, B. (2018). Impact of a TeamSTEPPS trauma nurse academy at a level 1 trauma center. Journal of Emergency Nursing 44(1), 19-25.

Stahl, K., Palileo, A., Schulman, C., Wilson, K., Augenstein, J., Kiffin, C., et al. (2009). Enhancing patient safety in the trauma/surgical intensive care unit. Journal of Trauma 67(3), 430-5.

Yin, S., Farah, S., & Sims, H. P. (2005). Contingent leadership and effectiveness of trauma resuscitation teams. Journal of Applied Psychology 90(6), 1288-96.

Additional Resources

Babiss, F., Thomas, L., & Fricke, M. M. (2017). Innovative Team Training for Patient Safety: Comparing Classroom Learning to Experiential Training. The Journal of Continuing Education in Nursing 48(12), 563-569.

Beaudan, E. (2006). Making Change Last: How To Get Beyond Change Fatigue. Ivey Business Journal.

Beiler, J., Opper, K., & Weiss, M. (2019). Integrating Research and Quality Improvement Using TeamSTEPPS: A Health Team Communication Project to Improve Hospital Discharge. Clinical Nurse Specialist 33(1), 22-32.

Castner, J., Foltz-Ramos, K., Schwartz, D. G. & Ceravolo, D. J. (2012). A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. The Journal of Nursing Administration 42(10), 467-72.

Daniels, T., Earlywine, M., & Breeding, V. (2019). Environmental services impact on health care–associated Clostridium difficile reduction. American Journal of Infection Control 47(4), 400-405.

Frankel, A., Grillo, S. P., Pittman, M., et al. (2008). Revealing and resolving patient safety defects: The impact of leadership walkarounds on frontline caregivers assessments of patient safety. Health Services Research 43(6), 2050-66.

Kotter, J. P. (1996). Leading Change. Boston: Harvard Business School Press.

Li, A. (2013). Teamwork climate and patient safety attitudes: Associations among nurses and comparison with physicians in Taiwan. Journal of Nursing Care Quality 28(1), 60-67.

Nolan, T. W. (2000). System changes to improve patient safety. British Medical Journal 320, 771-3.

Pronovost, P. J., Thompson, D. A., Holzmueller, C. G., et al. (2006). Toward learning from patient safety reporting systems. Journal of Critical Care 21(4), 305-15.

Sheppard, F., Williams, M., & Klein, V. R. (2013). TeamSTEPPS and patient safety in healthcare. Journal of Healthcare Risk Management 32(3), 5-10.

Shojania, K. G., Duncan, B. W., McDonald, K. M., et al. (2001). Making health care safer: a critical analysis of patient safety practices. Evidence report/technology assessment (Summary) Issue 43.

Spiva, L., Robertson, B., et al. (2013). Effectiveness of team training on fall prevention. Journal of Nursing Care Quality Issue 43.

van Beuzekom, M., Boer, F., Akerboom, S., & Dahan, A. (2013). Perception of patient safety differs by clinical area and discipline. British Journal of Anaesthesia 110(1), 107-114.

Ward, M. M., Zhu, X., Lampman, M., & Stewart, G. L. (2015). TeamSTEPPS implementation in community hospitals. International Journal of Health Care Quality Assurance 28(3), 234-244.

Wolk, C. B., et al. (2019). The implementation of a team training intervention for school mental health: Lessons learned. Psychotherapy (Chic) 56(1), 83-90.

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