Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care

Am J Med Qual. Jan-Feb 2014;29(1):78-82. doi: 10.1177/1062860613485281. Epub 2013 May 7.


This interrupted time-series study evaluated the impact of multiprofessional scenario-based training on the safety culture and teamwork climate of 3 surgical wards during a time of reduced financial resources. The authors ran 22 team training sessions for teams of 4 to 5 medical and nursing staff over a 4-month period on 3 surgical wards, using 2 scenarios based on a previously successful obstetric training program. Safety culture was measured before and after training using a validated psychometric questionnaire. After training there was a statistically significant improvement in safety culture (P = .036) on the wards. Teamwork climate improved, but the evidence was not as strong (P = .052). Perceptions of hospital management and adequacy of staffing levels showed significant deterioration. Simple, low-resource interventions can have a significant positive impact on safety culture and possibly teamwork climate on surgical wards. This could be of great value in maintaining patient safety at times of financial constraint.

Keywords: multiprofessional; safety culture; simulation; teamwork climate.

MeSH terms

  • Education, Medical, Continuing / methods*
  • Humans
  • Obstetrics / education*
  • Obstetrics / methods
  • Obstetrics / organization & administration
  • Obstetrics / standards
  • Patient Care Team / organization & administration*
  • Patient Care Team / standards
  • Patient Safety / standards
  • Quality Improvement* / organization & administration
  • Quality of Health Care / organization & administration*
  • Quality of Health Care / trends
  • Surveys and Questionnaires