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Purpose <p>Safe surgical care depends on a team’s ability to communicate and function as one unit. We utilized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) curriculum and updated operative checklists to pilot a Culture of Safety Initiative in Calixto-Garcia Hospital (CGH) in Havana, Cuba. The aim of this quality improvement study was to improve teamwork, communication, and checklist adherence.</p> Methods <p>Our study used two focus groups to evaluate teamwork and communication at CGH in June 2022 utilizing simulation-based teaching modules through TeamSTEPPS. Focus group participants were chosen with convenience sampling, and thematic analysis was used to identify common themes. Concurrently, institutional operative checklists were updated by a panel of multidisciplinary representatives (surgeons, anesthesiologists, residents, nurse manager and department nurse).</p> Results <p>The TeamSTEPPS modules were adapted for utilization in Cuba. The panel of 7 taught the modules and led two focus groups of 12 medical students who identified three key issues: (a) unclear communication, (b) experience level and autonomy, and (c) limited comprehension of the protocols and guidelines. Proposed solutions included daily briefings and trauma meetings. The existing operative checklists at CGH were also updated to include all disciplines (surgery, anesthesia, nursing).</p> Conclusions <p>We sought to foster a cohesive environment among operative teams at CGH using updated multiphase operative checklists and team-based communication training. These changes revealed poor interlevel communication and inadequate knowledge of clinical protocols. Results of this study prompted hospital-wide changes including multidisciplinary morning conferences and changes regarding team dynamics.</p>

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Culture of patient safety and team communication in the operating room of a university hospital in Cuba

  • 期刊论文

  • 发表日期：

    2025年2月1日

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  • Ana J. Johnson Escauriza,
  • Jaclyn A. Gellings,
  • Katherine R. Iverson,
  • Berenice Ramirez Leal,
  • Geydis Costa Ortiz,
  • Magnalena M. Garcia,
  • Wilfredo M. Santiesteban Herrera,
  • Arianna L. Guelmes Lavandero,
  • Nerli Montero Laffita,
  • Alicia Sende Oduardo,
  • Jara McLarren,
  • Yamile Valdes,
  • Marc A. De Moya,
  • Babyle Medina Vega

摘要

Purpose

Safe surgical care depends on a team’s ability to communicate and function as one unit. We utilized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) curriculum and updated operative checklists to pilot a Culture of Safety Initiative in Calixto-Garcia Hospital (CGH) in Havana, Cuba. The aim of this quality improvement study was to improve teamwork, communication, and checklist adherence.

Methods

Our study used two focus groups to evaluate teamwork and communication at CGH in June 2022 utilizing simulation-based teaching modules through TeamSTEPPS. Focus group participants were chosen with convenience sampling, and thematic analysis was used to identify common themes. Concurrently, institutional operative checklists were updated by a panel of multidisciplinary representatives (surgeons, anesthesiologists, residents, nurse manager and department nurse).

Results

The TeamSTEPPS modules were adapted for utilization in Cuba. The panel of 7 taught the modules and led two focus groups of 12 medical students who identified three key issues: (a) unclear communication, (b) experience level and autonomy, and (c) limited comprehension of the protocols and guidelines. Proposed solutions included daily briefings and trauma meetings. The existing operative checklists at CGH were also updated to include all disciplines (surgery, anesthesia, nursing).

Conclusions

We sought to foster a cohesive environment among operative teams at CGH using updated multiphase operative checklists and team-based communication training. These changes revealed poor interlevel communication and inadequate knowledge of clinical protocols. Results of this study prompted hospital-wide changes including multidisciplinary morning conferences and changes regarding team dynamics.