Team Performance: Improve Patient Safety and Quality

2307 Words10 Pages

I. Background

II. Literature Review

III. Nursing Implications

IV. Strategies to Address Issue

V. Conclusion


A culture of safety requires the commitment of leadership to positively impact outcomes. Recent emphasis on the new CMS guidelines and third party reimbursement initiatives associated with patient outcomes, has grabbed the attention of leadership at all healthcare organizations. Additionally, our system wide organization’s employee culture of safety survey has shown that communication and teamwork are areas were improvements are needed. Years of research on communication and teamwork in highly reliable organizations support a correlation with safety. (XX) One of the most important and highly touted Joint Commission, National Patient Safety Goals is to improve communication across the healthcare continuum. (JC .com) Additionally, the organization’s patient occurrences were reviewed through root cause analysis and the source is often linked to a failure to effectively communicate and role confusion. Well defined roles within the team model can help improve communication, including mitigating variables such as distractions, individual emphasis on the wrong information, and a breakdown in communication. (XXX) Implementation of a formal teamwork program is one way to systematically approach risk reduction within an organization. (Botwinick, L., Bisognano, M., & Harden, C., 2006) (Leonard, M., Frankel, A., Federico, F., Frush, K., & Haraden, C., 2013)


Healthcare is focused on safety and quality outcomes, with a new emphasis on financial sanctions if positive outcomes are not achieved. Consumers are armed with information about outcomes and satisfaction. This has motivat...

... middle of paper ...

...Kohn LT, Corrigan & JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press, 1999.

Leonard, M., Frankel, A., Federico, F., Frush, K., & Haraden, C., (2013) The Essential Guide for Patient Safety Officers (2 ed.)Oakdale Terrace, Illinois: The Joint Commission Recourses Inc.

Manser, T. (2008), Teamwork and patient safety in dynamic domains of healthcare: a review of

the literature, Acta Anaesthesiologica Scandinavica, February, 53(2), 143-151.

National Patient Safety Goals. TheJointCommission.

information/npsgs.aspx. Accessed December 6, 2013.

Mazzocco, K, Petitti, D, Fong, K.T., Bonacum, D. Brookery, J., Graham, S., Laskey, R.E., Sexton, J. B., &Thomas, E., (2009) Surgical team behaviors and patient outcomes, The American Journal of Surgery197(5),678-685.
Open Document