{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:45:03Z","timestamp":1780494303874,"version":"3.54.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the impact of implementation of the TeamSTEPPS teamwork improvement concept on patient safety culture.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Pre-post culture assessment using the Hospital Survey on Patient Safety Culture, at baseline and one year after implementation of TeamSTEPPS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Two maternity wards within the same 480-bed multisite teaching hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Intervention<\/jats:title>\n                  <jats:p>Implementation of the TeamSTEPPS teamwork improvement concept.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Analysis of variation of the percentage of positive responses (score) in both wards (intervention and control) was conducted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a significant increase in scores in three dimensions of patient safety culture in the intervention ward: Supervisor\/Manager Expectations and Actions Promoting Safety increased from 48.7% in 2015 to 70.8% in 2016 (P &amp;lt; 0.005); Teamwork Within Units increased from 35.5% in 2015 to 54.5% in 2016 (P &amp;lt; 0.005); Nonpunitive Response to Errors increased from 16.7% in 2015 to 32.3% in 2016 (P &amp;lt; 0.005). Other dimensions showed no significant changes. In the control ward, there was a significant decrease in scores in one dimension. A secondary analysis of differences in differences still shows significant improvement in one dimension (Supervisor\/Manager Expectations and Actions Promoting Safety P &amp;lt; 0.005).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>After implementing the TeamSTEPPS teamwork concept, patient safety culture significantly improved for three of twelve dimensions in the intervention group. When controlling for differences in baseline scores between implementation and control wards, a significant improvement remains in one dimension. This suggests that TeamSTEPPS could be considered when seeking to enhance patient safety culture, especially in high-risk environments such as maternity wards.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/intqhc\/mzz062","type":"journal-article","created":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T21:03:06Z","timestamp":1561064586000},"page":"618-624","source":"Crossref","is-referenced-by-count":20,"title":["Impact of TeamSTEPPS on patient safety culture in a Swiss maternity ward"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0569-3371","authenticated-orcid":false,"given":"Anthony","family":"Staines","sequence":"first","affiliation":[{"name":"Quality and Safety Unit, Riviera-Chablais Hospital, Vevey, Switzerland"},{"name":"IFROSS Institute, University of Lyon 3, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estelle","family":"L\u00e9cureux","sequence":"additional","affiliation":[{"name":"Stat\u2019Elite Statistics Institute, Nyon, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Rubin","sequence":"additional","affiliation":[{"name":"Executive Board, Riviera-Chablais Hospital, Vevey, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Baralon","sequence":"additional","affiliation":[{"name":"Quality and Safety Unit, Riviera-Chablais Hospital, Vevey, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Farin","sequence":"additional","affiliation":[{"name":"Quality and Safety Unit, Riviera-Chablais Hospital, Vevey, Switzerland"},{"name":"Obstetrics and Gynecology; Riviera-Chablais Hospital, Vevey, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"2021012912443707000_mzz062C1","volume-title":"To Err Is Human, Building a Safer Health System","author":"Institute of Medicine","year":"2000"},{"key":"2021012912443707000_mzz062C2","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Institute of Medicine","year":"2001"},{"key":"2021012912443707000_mzz062C3","volume-title":"Medical Teamwork and Patient Safety: The Evidence-Based Relation","author":"Baker","year":"2003"},{"key":"2021012912443707000_mzz062C4","first-page":"501","volume-title":"Making Health Care Safer A Critical Analysis of Patient Safety Practices","author":"Pizzi","year":"2001"},{"key":"2021012912443707000_mzz062C5","volume-title":"Advances in Patient Safety: New Directions and Alternative Approaches","author":"King","year":"2008"},{"key":"2021012912443707000_mzz062C6","volume-title":"Improving Patient Safety Through Teamwork and Team Training","author":"Salas","year":"2012"},{"key":"2021012912443707000_mzz062C7","author":"Battles","year":"2013"},{"key":"2021012912443707000_mzz062C8","first-page":"133","article-title":"Does teamwork improve performance in the operating room? A multilevel evaluation","volume":"36","author":"Weaver","year":"2010","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"2021012912443707000_mzz062C9","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1177\/1062860615583671","article-title":"TeamSTEPPS improves operating room efficiency and patient safety","volume":"31","author":"Weld","year":"2015","journal-title":"Am J Med Qual"},{"key":"2021012912443707000_mzz062C10","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/j.jsurg.2010.06.006","article-title":"Teamwork training improves the clinical care of trauma patients","volume":"67","author":"Capella","year":"2010","journal-title":"J Surg Educ"},{"key":"2021012912443707000_mzz062C11","doi-asserted-by":"crossref","first-page":"492.e1","DOI":"10.1016\/j.ajog.2009.01.022","article-title":"Impact of a comprehensive patient safety strategy on obstetric adverse events","volume":"200","author":"Pettker","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"2021012912443707000_mzz062C12","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1001\/jama.2010.1506","article-title":"Association between implementation of a medical team training program and surgical mortality","volume":"304","author":"Neily","year":"2010","journal-title":"JAMA"},{"key":"2021012912443707000_mzz062C13","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.surg.2011.07.076","article-title":"Team training can improve operating room performance","volume":"150","author":"Forse","year":"2011","journal-title":"Surgery"},{"key":"2021012912443707000_mzz062C14","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1136\/bmjqs-2012-001011","article-title":"Building a culture of safety through team training and engagement","volume":"22","author":"Thomas","year":"2013","journal-title":"BMJ Qual Saf"},{"key":"2021012912443707000_mzz062C15","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/jhrm.21099","article-title":"TeamSTEPPS and patient safety in healthcare","volume":"32","author":"Sheppard","year":"2013","journal-title":"J Healthc Risk Manag"},{"key":"2021012912443707000_mzz062C16","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1945-1474.2011.00134.x","article-title":"Comprehensive perinatal safety initiative to reduce adverse obstetric events","volume":"34","author":"Wagner","year":"2012","journal-title":"J Healthc Qual"},{"key":"2021012912443707000_mzz062C17","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1037\/fsh0000148","article-title":"Team training in obstetrics: a multi-level evaluation","volume":"33","author":"Sonesh","year":"2015","journal-title":"Fam Syst Health"},{"key":"2021012912443707000_mzz062C18","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/01.NUMA.0000465404.30709.a5","article-title":"TeamSTEPPS implementation in the LD\/NICU settings","volume":"46","author":"Beitlich","year":"2015","journal-title":"Nurs Manage"},{"key":"2021012912443707000_mzz062C19","author":"Hollnagel","year":"2014"},{"key":"2021012912443707000_mzz062C20","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-25559-0","volume-title":"Safer Healthcare","author":"Vincent","year":"2016"},{"key":"2021012912443707000_mzz062C21","doi-asserted-by":"crossref","first-page":"50","DOI":"10.7748\/ns2013.06.27.43.50.e7280","article-title":"The effect of organisational culture on patient safety","volume":"27","author":"Kaufman","year":"2013","journal-title":"Nurs Stand"},{"key":"2021012912443707000_mzz062C22","doi-asserted-by":"crossref","DOI":"10.4324\/9781315688404","volume-title":"Changing organizational culture: Cultural change work in progress","author":"Alvesson","year":"2015"},{"key":"2021012912443707000_mzz062C23","article-title":"Preventing infant death and injury during delivery","author":"The Joint Commission","year":"2004","journal-title":"Sentinel Event Alert"},{"key":"2021012912443707000_mzz062C24","first-page":"159","article-title":"TeamSTEPPS: des outils de travail en \u00e9quipe pour la s\u00e9curit\u00e9 des patients","volume":"XIII","author":"Staines","year":"2016","journal-title":"Risques Qual en Milieu de Soins"},{"key":"2021012912443707000_mzz062C25"},{"key":"2021012912443707000_mzz062C26","volume-title":"Hospital Survey on Patient Safety Culture.(Prepared by Westat, under Contract no. 290-96-0004). AHRQ Publication no. 04\u20130041","author":"Sorra","year":"2004"},{"key":"2021012912443707000_mzz062C27","author":"Haute autorit\u00e9 de sant\u00e9","year":"2011"},{"key":"2021012912443707000_mzz062C28","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1016\/j.jclinepi.2011.02.008","article-title":"Numbering questionnaires had no impact on the response rate and only a slight influence on the response content of a patient safety culture survey: a randomized trial","volume":"64","author":"Kundig","year":"2011","journal-title":"J Clin Epidemiol"},{"key":"2021012912443707000_mzz062C29","article-title":"Internal consistency, factor structure and construct validity of the French version of the Hospital Survey on Patient Safety Culture","author":"Perneger","year":"2013","journal-title":"BMJ Qual Saf"},{"key":"2021012912443707000_mzz062C30","author":"Famolaro","year":"2016"},{"key":"2021012912443707000_mzz062C31"},{"key":"2021012912443707000_mzz062C32","doi-asserted-by":"crossref","first-page":"72","DOI":"10.12927\/hcq.2008.19653","article-title":"Effectiveness of an adapted SBAR communication tool for a rehabilitation setting","volume":"11","author":"Velji","year":"2008","journal-title":"Healthc Q"},{"key":"2021012912443707000_mzz062C33","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1177\/1062860613485281","article-title":"Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care","volume":"29","author":"van der Nelson","year":"2014","journal-title":"Am J Med Qual"},{"key":"2021012912443707000_mzz062C34","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1093\/ije\/dyh299","article-title":"Regression to the mean: what it is and how to deal with it","volume":"34","author":"Barnett","year":"2005","journal-title":"Int J Epidemiol"}],"container-title":["International Journal for Quality in Health Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/intqhc\/article-pdf\/32\/9\/618\/36144939\/mzz062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/intqhc\/article-pdf\/32\/9\/618\/36144939\/mzz062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T12:44:50Z","timestamp":1611924290000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/intqhc\/article\/32\/9\/618\/5536103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,19]]},"references-count":34,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,11,16]]}},"URL":"https:\/\/doi.org\/10.1093\/intqhc\/mzz062","relation":{},"ISSN":["1353-4505","1464-3677"],"issn-type":[{"value":"1353-4505","type":"print"},{"value":"1464-3677","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,11]]},"published":{"date-parts":[[2019,7,19]]}}}