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

Author

Listed:
  • Eleanor Robertson
  • Lauren Morgan
  • Steve New
  • Sharon Pickering
  • Mohammed Hadi
  • Gary Collins
  • Oliver Rivero Arias
  • Damian Griffin
  • Peter McCulloch

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

Suggested Citation

  • Eleanor Robertson & Lauren Morgan & Steve New & Sharon Pickering & Mohammed Hadi & Gary Collins & Oliver Rivero Arias & Damian Griffin & Peter McCulloch, 2015. "Quality Improvement in Surgery Combining Lean Improvement Methods with Teamwork Training: A Controlled Before-After Study," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-13, September.
    • Handle: RePEc:plo:pone00:0138490
    DOI: 10.1371/journal.pone.0138490
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