Creating a culture of safety in the emergency department: the value of teamwork training

J Nurs Adm. 2013 Apr;43(4):194-200. doi: 10.1097/NNA.0b013e31828958cd.


Objective: The purpose of this study was to determine if teamwork training improved employees' perception of the culture of safety in the emergency department.

Background: Communication failure is frequently the root cause of medication errors, delays in treatment, and wrong-site surgery, leading to an estimated 200 000 deaths annually in the United States.

Methods: Independent sample comparison study with a quantitative design was conducted with staff who received teamwork training. Posttraining perceptions were measured using the Agency for Healthcare Research and Quality's patient safety culture survey.

Results: The average score for the 12 domains increased by 9% in positive responses after training. One domain (nonpunitive response to error) had a decrease in the percentage positive score.

Conclusion: Training on teamwork skills can lead to a positive improvement of staff perception related to a culture of safety among emergency department staff.

Publication types

  • Evaluation Study

MeSH terms

  • Communication*
  • Cooperative Behavior*
  • Education
  • Emergency Nursing / education*
  • Emergency Nursing / organization & administration*
  • Emergency Service, Hospital / organization & administration*
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Patient Care Team / organization & administration*
  • Program Evaluation
  • Safety Management / methods*
  • Tennessee