P039: IMPLEMENTING TEAMSTEPPS IN A PEDIATRIC OPERATING ROOM SUITE WITH ANESTHESIOLOGY DEPARTMENT TO IMPROVE COMMUNICATION AND MUTUAL RESPECT USING SIMULATION OBSERVATION TESTING AS A PATIENT SAFETY PROJECT
Carlos A Archilla, MD1*, Candace Eden, DNP, LHRM1*, Christopher Blackwell, PhD2; 1Nemours Children's Hospital, 2University of Central Florida
Introduction/Background: The purpose of this continuous improvement project was to assess the current state of teamwork and communication skill among the operating room team, then provide an evidence-based patient safety program training session to improve those constructs.
Methods: The project design included a pre- and post-simulation observation assessment with a high fidelity mannequin as the OR team engaged in a validated true life scenario. The intervention was done using the TeamSTEPPS modules and a post education evaluation was done with the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ). After simulation sessions post intervention, a measure of that experience was done with the Satisfaction in Simulation Experience (SSES) tool. Three months later a short survey (T-TAQ 2) was done to assess sustainability
Results: T-TAQ scores were significantly positive from the anesthesia team as compared to the OR team (p=0.227). The results of the SSES tool indicated a high percentage (98%-100%) of participants agreed that the experience was satisfactory. The T-TAQ 2 revealed 66% of the participants indicated improvement in communication and mutual support. Pre- intervention scores for communication were 65%, post 89% and mutual support was 67% pre and 90% post.
Discussion/Conclusion: The main gain from this intervention was three-fold. First, this provided an opportunity for the anesthesia team to practice their new skills in a safe environment for patients. Secondly, it provided the simulation excellence team an evaluation of their sessions with a validated, reliable tool. Lastly, it inspired spread of this patient safety program within the organization.