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Richter JP, McAlearney AS, Pennell ML. The influence of organizational factors on
patient safety: examining successful handoffs in health care.
Health Care Manage Rev
.
2016; 41(1):32-41. EBM level 3b............................................................................152-161
Summary
: This article presents an analysis of how teamwork across units improves
communication and handoffs.
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and
communication in the operating room? A systematic review.
Ann Surg
. 2013;
258(6):856-871. EBM level 3a................................................................................162-177
Summary
: This article is a systematic review of 20 articles on the effect of safety
checklists on teamwork/communication in the operating room. The authors found that
there is a perceived improvement on teamwork and communication; however,
conversely, when individuals have not “bought in” to the process, this may have a
negative effect on the team.
Shams A, Ahmed M, Scalzitti NJ, et al. How does TeamSTEPPS affect operating room
efficiency?
Otolaryngol Head Neck Surg
. 2016; 154(2):355-358. EBM
level 3b.....................................................................................................................178-181
Summary
: TeamSTEPPS is a patient safety tool developed by the Dept. of Defense and
the Agency for Healthcare Research and Quality to improve communication and
teamwork among healthcare teams. In the morning, 30 minutes prior to first case, the
operating room (OR) team–surgeon, anesthesiologist/CRNA, nurse, and OR tech–are
present to go through the day’s cases, and then debriefs occur at the end of every case.
This study looks at efficiency of the OR with the implementation of TeamSTEPPS and
finds that there is no difference between OR efficiency (turnover times, first start times,
and operative times) when comparing before and after implementation of TeamSTEPPS
in the ENT OR.
V.
Practice-Based Learning
A.
Maintenance of certification
Cook DA, Blachman MJ, West CP, Wittich CM. Physician attitudes about maintenance
of certification: a cross-specialty national survey.
Mayo Clin Proc
. 2016; 91(10):1336-
1345. EBM level 4...................................................................................................182-191
Summary
: Each member board of the American Board of Medical Specialties has
developed an maintenance of certification (MOC) program addressing professional
standing, lifelong learning and self-assessment, assessment of knowledge and skills, and
improvement in medical practice. Maintenance of certification has a sound theoretical
rationale, is favorably associated with some clinical quality measures, and many
physicians support its intent, yet substantive concerns have been raised about the
effectiveness, relevance, and value of current MOC programs. A cross-specialty national
survey of U.S. physicians was conducted to determine physicians’ perceptions of current
MOC activities and to explore how their perceptions vary across specialties, practice
models, certification status, and level of burnout.