Interdisciplinary team training identifies discrepancies in institutional policies and practices |
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| Authors: | Andreatta Pamela Frankel Jennifer Boblick Smith Sara Bullough Alexandra Marzano David |
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| Affiliation: | aDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI;bDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI;cDepartment of Pediatric Medicine, University of Michigan Medical School, Ann Arbor, MI;dDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI |
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| Abstract: | The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety. |
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| Keywords: | health care quality and safety interdisciplinary team training institutional policies and procedures obstetric emergencies |
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