Perceptions of Teamwork Following TeamSTEPPS Implementation at Ambulatory Reproductive Healthcare Facilities [3G]

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TeamSTEPPS is an evidence-based teamwork system for healthcare professionals designed to improve patient safety. While team training has proven benefits in the hospital setting, it has not been well-studied in the ambulatory care environment. The objective of this project is to evaluate the impact of TeamSTEPPS in a network of ambulatory reproductive healthcare centers in the United States.


The Teamwork Perceptions Questionnaire (TPQ), a validated self-administered survey containing five domains of seven items each, was used to assess staff perceptions of teamwork within ambulatory reproductive healthcare centers. Unique participant codes linked responses at each time point. Comparisons were made between baseline and six-month assessments using paired t tests.


Fifty-seven pairs of surveys were obtained from seven centers. Six of the seven items in the Team Structure, Situation Monitoring, and Mutual Support domains showed improvement, though only four were statistically significant (all P≤.03). Six items in the Leadership domain showed worse scores at six months, and four were statistically significant (all P≤.01). In the Communication domain, five items showed improved scores, though none was statistically significant.


Six months after implementing TeamSTEPPS, improvements were seen in all domains with the exception of Leadership, though only eight items showed statistically significant change. Worsening perceptions of leadership may be due to increased awareness of best practices or indicate improvements in leadership are difficult. This short observation period may be inadequate to measure the extent of change from the TeamSTEPPS program. One-year assessments, as well as assessments of additional centers, are underway.

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