Integrating team resource management program into staff training improves staff’s perception and patient safety in organ procurement and transplantation: the experience in a university-affiliated medical center in Taiwan

BMC Surgery

Research Article

Ching-Wen Chang¹  Ming-Yuan Hsieh¹  Ya-Chi Hsu¹  Li-Chin Chen¹  Jih-Shuin Jerng²  Kuan-Yu Hung³  Szu-Fen Huang⁴  Yueh-Ping Liu⁵ 

[1] Center for Quality Management, National Taiwan University, Taipei, Taiwan;Center for Quality Management, National Taiwan University, Taipei, Taiwan;Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan;Center for Quality Management, National Taiwan University, Taipei, Taiwan;Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan;Department of Internal Medicine, National Taiwan University Hospital, No. 7, Zhongshan South Road, 100, Taipei, Taiwan;Center for Quality Management, National Taiwan University, Taipei, Taiwan;Department of Nursing, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan;Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan;

关键词: Organ transplantation;    Teamwork;    Team resource management;    Patient safety;   

DOI  :  10.1186/1471-2482-14-51

 received in 2013-03-25, accepted in 2014-08-05,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundThe process involved in organ procurement and transplantation is very complex that requires multidisciplinary coordination and teamwork. To prevent error during the processes, teamwork education and training might play an important role. We wished to evaluate the efficacy of implementing a Team Resource Management (TRM) program on patient safety and the behaviors of the team members involving in the process.MethodsWe implemented a TRM training program for the organ procurement and transplantation team members of the National Taiwan University Hospital (NTUH), a teaching medical center in Taiwan. This 15-month intervention included TRM education and training courses for the healthcare workers, focused group skill training for the procurement and transplantation team members, video demonstration and training, and case reviews with feedbacks. Teamwork culture was evaluated and all procurement and transplantation cases were reviewed to evaluate the application of TRM skills during the actual processes.ResultsDuring the intervention period, a total of 34 staff members participated the program, and 67 cases of transplantations were performed. Teamwork framework concept was the most prominent dimension that showed improvement from the participants for training. The team members showed a variety of teamwork behaviors during the process of procurement and transplantation during the intervention period. Of note, there were two potential donors with a positive HIV result, for which the procurement processed was timely and successfully terminated by the team. None of the recipients was transplanted with an infected organ. No error in communication or patient identification was noted during review of the case records.ConclusionImplementation of a Team Resource Management program improves the teamwork culture as well as patient safety in organ procurement and transplantation.

【 授权许可】

Unknown   
© Hsu et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.