Quality Improvement in Surgery Combining Lean Improvement Methods with Teamwork Training: A Controlled Before-After Study

Eleanor Robertson, Lauren Morgan, Steve New, Sharon Pickering, Mohammed Hadi, Gary Collins, Oliver Rivero Arias, Damian Griffin and Peter McCulloch

PLOS ONE, 2015, vol. 10, issue 9, 1-13

Abstract: Background: To investigate the effectiveness of combining teamwork training and lean process improvement, two distinct approaches to improving surgical safety. We conducted a controlled interrupted time series study in a specialist UK Orthopaedic hospital incorporating a plastic surgery team (which received the intervention) and an Orthopaedic theatre team acting as a control. Study Design: We used a 3 month intervention with 3 months data collection period before and after it. A combined teamwork training and lean process improvement intervention was delivered by an experienced specialist team. Before and after the intervention we evaluated team non-technical skills using NOTECHS II, technical performance using the glitch rate and WHO checklist compliance using a simple 3 point scale. We recorded complication rate, readmission rate and length of hospital stay data for 6 months before and after the intervention. Results: In the active group, but not the control group, full compliance with WHO Time Out (T/O) increased from 14 to 71% (p = 0.032), Sign Out attempt rate (S/O) increased from 0% to 50% (p

Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0138490

DOI: 10.1371/journal.pone.0138490

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