Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training

Am J Surg. 2009 Nov;198(5):675-8. doi: 10.1016/j.amjsurg.2009.07.008.


Background: The purpose of this study was to examine which factors at a medical team training learning session predict future success in the implementation of preoperative briefings and postoperative debriefings at health care facilities.

Methods: A Likert score rating for physician involvement, leadership support, and composition of the implementation team was recorded for 64 VHA facilities at the time of a learning session by 3 medical team training educators. At a mean follow-up period of 8.2 months (standard error, .4 mo), a briefing score was established from quarterly semistructured interviews with the facility's implementation team.

Results: In a multivariable regression, leadership involvement at the time of the learning session was the best predictor of future briefing/debriefing success (R = .34, P = .03).

Conclusions: Full implementation of the patient safety tool preoperative briefings and postoperative debriefings is dependent on facility leadership support.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Checklist*
  • Communication
  • Hospitals, Veterans / standards
  • Humans
  • Interviews as Topic
  • Leadership
  • Medical Errors / prevention & control
  • Patient Care Team / organization & administration*
  • Postoperative Period
  • Preoperative Period
  • Program Development
  • Surgical Procedures, Operative / standards*
  • United States
  • United States Department of Veterans Affairs