Zsofia Vigh, Paula A Johnson, Hsin-Yi Weng, Elizabeth J Thomovsky, Aimee C Brooks
Interstitial glucose monitoring has acceptable clinical accuracy in juvenile dogs
Journal of the American Veterinary Medical Association
objective evaluate effectiveness training institutionalizing teamwork behaviors drawn aviation crew resource management crm programs emergency department ed staff organized caregiver teams study setting nine teaching community hospital eds study design prospective multicenter evaluation using quasiexperimental untreated control group design one pretest two posttests emergency team coordination course tm etcc experimental group comprised 684 physicians nurses technicians received etcc implemented formal teamwork structures processes assessments occurred prior training intervals four eight months training three outcome constructs evaluated team behavior ed performance attitudes opinions trained observers rated ed staff team behaviors made observations clinical errors measure ed performance staff patients eds completed surveys measuring attitudes opinions data collection hospital eds units analysis seven outcome measures prior aggregating data hospital level scale properties surveys eventrelated observations evaluated respondent case level principal findings statistically significant improvement quality team behaviors shown experimental control groups following training p 012 subjective workload affected intervention p 668 clinical error rate significantly decreased 309 percent 44 percent experimental group p 039 experimental group ed staffs attitudes toward teamwork increased p 047 staff assessments institutional support showed significant increase p 040 conclusion findings point effectiveness formal teamwork training improving team behaviors reducing errors improving staff attitudes among etcctrained hospitals