Simulation-based training improves patient safety climate in acute stroke care (STREAM)

Neurological Research and Practice

Tanja Manser¹  Ferdinand O. Bohmann²  Joachim Guenther²  Helmuth Steinmetz²  Katharina Gruber²  Waltraud Pfeilschifter³ 

[1] FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Olten, Switzerland;University Hospital Frankfurt, Department of Neurology, Goethe University, Theodor-Stern-Kai 7, Frankfurt am Main, Germany;University Hospital Frankfurt, Department of Neurology, Goethe University, Theodor-Stern-Kai 7, Frankfurt am Main, Germany;Klinik für Neurologie und Klinische Neurophysiologie, Klinikum Lüneburg, Lüneburg, Germany;

关键词: Stroke;    Acute stroke care;    Patient safety;    Patient safety climate;    SAQ;   

DOI  :  10.1186/s42466-021-00132-1

来源: Springer

【 摘 要 】

BackgroundTreatment of acute stroke performed by a multiprofessional, interdisciplinary team is highly time dependent. Interface problems are preprogrammed and pitfalls relevant to patient safety are omnipresent. The Safety Attitudes Questionnaire (SAQ) is a validated and widely used instrument to measure patient safety. The objective of this study was to evaluate the influence of Simulation-based Training of the Rapid Evaluation and Management of Acute Stroke (STREAM) on patient safety measured by SAQ in the context of acute stroke care.MethodsDuring the STREAM trial at seven university hospitals in Germany from October 2017 to October 2018, an anonymous survey was conducted before and after the STREAM intervention centering around interdisciplinary simulation training. The questionnaire, based on the SAQ, included 33 items (5-point Likert scale, 1 = disagree to 5 = agree) and was addressed at the whole multiprofessional stroke team. Statistical analyses were used to examine psychometric properties as well as descriptive findings.ResultsIn total 167 questionnaires were completed representing an overall response rate of 55.2%, including especially physicians (65.2%) and nurses (26.3%). Safety climate was significantly improved (pre-interventional: 3.34 ± .63 vs. post-interventional: 3.56 ± .69, p = .028). The same applies for teamwork climate among stroke teams (pre-interventional: 3.76 ± .59 vs. post-interventional: 3.84 ± .57, p = .001). The perceived benefit was most relevant among nurses.ConclusionsThe STREAM intervention centering around interdisciplinary simulation training increases perceived patient safety climate assessed by the SAQ in acute stroke therapy. These results have the potential to be a basis for future quality improvement programs.

【 授权许可】

CC BY