Skip Navigation
The Collection >
Association between implementation of a medical team training program and surgical mortality. Classic icon
Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

Classic studies have demonstrated that operating rooms are rife with communication and teamwork problems, and suboptimal teamwork has been linked to poor postoperative patient outcomes. In this rigorously designed study, surgical teams at 74 Veterans Affairs (VA) hospitals underwent teamwork training through the VA's Medical Team Training program. The training also included implementation of preoperative and postoperative checklists. The teamwork training was associated with a striking reduction in mortality compared to other VA hospitals that had not yet implemented the program, and a dose–response effect was also evident, with continuing training resulting in further reductions in mortality. An accompanying editorial lauds this study as an example of how to conduct a rigorous, evidence-based evaluation of a safety intervention, and stresses that addressing teamwork and safety culture are as essential to improving safety as technical and procedural interventions such as checklists.

PubMed citation icon indicating hyperlink to external website
Free full text icon indicating hyperlink to external website
Related editorial icon indicating hyperlink to external website
white box
Related Resources
NEWSPAPER/MAGAZINE ARTICLE
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
STUDY
Incorrect surgical procedures within and outside of the operating room: a follow-up report.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
Find Related Resources by...
Resource Type   
 style=
Setting of Care  
 style=
Target Audience  
 style=
Clinical Area  
 style=
Safety Target  
 style=
Approach to Improving Safety  
 style=
Origin/Sponsor  
white box