What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training

TY - JOUR

T1 - What makes maternity teams effective and safe?

T2 - Lessons from a series of research on teamwork, leadership and team training

AU - Siassakos, Dimitrios

AU - Fox, Robert

AU - Bristowe, Katherine

AU - Angouri, Jo

AU - Hambly, Helen

AU - Robson, Lauren

AU - Draycott, Timothy J

PY - 2013/11

Y1 - 2013/11

N2 - We describe lessons for safety from a synthesis of seven studies of teamwork, leadership, and team training across a healthcare region. Two studies identified successes and challenges in a unit with embedded team training: a staff survey demonstrated a positive culture but a perceived need for greater senior presence; training improved actual emergency care, but wide variation in team performance remained. Analysis of multicenter simulation records showed that variation in patient safety and team efficiency correlated with their teamwork but not individual knowledge, skills or attitudes. Safe teams tended to declare the emergency earlier, hand over in a more structured way, and use closed-loop communication. Focused and directed communication was also associated with better patient-actor perception of care. Focus groups corroborated these findings, proposed that the capability and experience of the leader is more important than seniority, and identified teamwork and leadership issues that require further research.

AB - We describe lessons for safety from a synthesis of seven studies of teamwork, leadership, and team training across a healthcare region. Two studies identified successes and challenges in a unit with embedded team training: a staff survey demonstrated a positive culture but a perceived need for greater senior presence; training improved actual emergency care, but wide variation in team performance remained. Analysis of multicenter simulation records showed that variation in patient safety and team efficiency correlated with their teamwork but not individual knowledge, skills or attitudes. Safe teams tended to declare the emergency earlier, hand over in a more structured way, and use closed-loop communication. Focused and directed communication was also associated with better patient-actor perception of care. Focus groups corroborated these findings, proposed that the capability and experience of the leader is more important than seniority, and identified teamwork and leadership issues that require further research.

U2 - 10.1111/aogs.12248

DO - 10.1111/aogs.12248

M3 - Article

C2 - 23980798

SN - 0001-6349

VL - 92

SP - 1239

EP - 1243

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

IS - 11

M1 - N/A

ER -