Nav: Home

Team training can reduce patient mortality by 13 percent

March 13, 2018

When implemented correctly, health care team training can reduce patient mortality by 13 percent, according to a new review paper by a psychologist at Rice University.

"Transforming Health Care One Team at a Time: Ten Observations and the Trail Ahead" outlines existing evidence and theory on the science behind developing health care teams and how training improves outcomes for patients. The author, Eduardo Salas, the Allyn R. and Gladys M. Cline Chair of Psychology in Rice's School of Social Sciences, explained why team training is a critical part of medical care.

"When training is implemented correctly, the result is improved outcomes across the board, both for patients and employees," Salas said. "The most significant outcome is the reduction of patient mortality by 13 percent."

According to the paper, team training should incorporate considerations such as on-the-job skill building and simulations; leadership shared across members of a medical team; an environment that protects the psychological safety of team members (through showing others respect, active listening and encouraging others to speak up); debriefing on job situations; and measurement of outcomes for later assessment.

In addition to reducing patient mortality, Salas said, health care team training also achieved the following:
  • Reaction times to patient needs improved by 18 percent.
  • Employee learning increased by 29 percent.
  • Teamwork performance improved by 17 percent.
  • Clinical task performance improved by 32 percent.
  • Medical errors reduced by 18 percent.
  • Skill-based transfer increased by 26 percent.
  • Safety climate for both patients and employees improved by 11 percent.
  • Length of stay in a unit other than intensive-care decreased by 6 percent.
  • Patient satisfaction increased by 13 percent.
These results were based on 129 prior studies (with 23,018 total participants) conducted between 2013 and 2017. Participants included health care providers (physicians, nurse practitioners, physician assistants, etc.), allied health care personnel (nurses and therapists), health care staff (unit clerks) and health care students (medical students, nursing students, etc.) and came from facilities ranging from small clinics to large hospitals, both in the U.S. and abroad.

Despite these advances, gaps in understanding persist in many of the areas cited earlier, and challenges remain in applying the science to practice, said Salas, who is also a professor and chair of the Department of Psychology. He said health care organizations should focus on the following areas:
  • Sustaining and understanding unique organizational conditions that impact training.
  • Understanding multiteam systems (i.e., health care professionals from multiple departments working together) and creating a climate for teamwork.
  • Exploring alternative ways to implement training, incorporating more robust performance measurement and fostering multidisciplinary collaboration to better improve patient outcomes.
The paper will appear in an upcoming edition of Group and Organization Management. The research was funded by Rice University.
-end-
This news release can be found online at http://news.rice.edu/.

Follow Rice News and Media Relations via Twitter @RiceUNews.

Related materials:

Rice Department of Psychology: https://psychology.rice.edu/

Eduardo Salas profile: https://psychology.rice.edu/eduardo-salas

Photo link: http://news.rice.edu/files/2018/03/42518574_l-2l96wvx.jpg
Photo credit: http://www.123rf.com

Located on a 300-acre forested campus in Houston, Rice University is consistently ranked among the nation's top 20 universities by U.S. News & World Report. Rice has highly respected schools of Architecture, Business, Continuing Studies, Engineering, Humanities, Music, Natural Sciences and Social Sciences and is home to the Baker Institute for Public Policy. With 3,970 undergraduates and 2,934 graduate students, Rice's undergraduate student-to-faculty ratio is just under 6-to-1. Its residential college system builds close-knit communities and lifelong friendships, just one reason why Rice is ranked No. 1 for quality of life and for lots of race/class interaction and No. 2 for happiest students by the Princeton Review. Rice is also rated as a best value among private universities by Kiplinger's Personal Finance. To read "What they're saying about Rice," go to http://tinyurl.com/RiceUniversityoverview.

Rice University

Related Rice Articles:

New rice fights off drought
Scientists at the RIKEN Center for Sustainable Resource Science (CSRS) have developed strains of rice that are resistant to drought in real-world situations.
Domesticated rice goes rogue
We tend to assume that domestication is a one-way street and that, once domesticated, crop plants stay domesticated.
Protecting rice crops at no extra cost
A newly identified genetic mechanism in rice can be utilized to maintain resistance to a devastating disease, without causing the typical tradeoff -- a decrease in grain yield, a new study reports.
Every grain of rice: Ancient rice DNA data provides new view of domestication history
Now, using new data collected samples of ancient, carbonized rice, a team of Japanese and Chinese scientists have successfully determined DNA sequences to make the first comparisons between modern and ancient rice.
Four newly identified genes could improve rice
A Japanese research team have applied a method used in human genetic analysis to rice and rapidly discovered four new genes that are potentially significant for agriculture.
Infants who ate rice, rice products had higher urinary concentrations of arsenic
Although rice and rice products are typical first foods for infants, a new study found that infants who ate rice and rice products had higher urinary arsenic concentrations than those who did not consume any type of rice, according to an article published online by JAMA Pediatrics.
New resource for managing the Mexican rice borer
A new article in the Journal of Integrated Pest Management provides information on the biology and life cycle of the Mexican rice borer (Eoreuma loftini), and offers suggestions about how to manage them.
Fighting rice fungus
Plant scientists are uncovering more clues critical to disarming a fungus that leads to rice blast disease and devastating crop losses.
The origin and spread of 'Emperor's rice'
Black rice was prized in ancient times for its color and is prized in modern times for its high levels of antioxidants, but its early history has been shrouded in mystery until now.
Trigger found for defense to rice disease
Biologists have discovered how the rice plant's immune system is triggered by disease, in a discovery that could boost crop yields and lead to more disease-resistant types of rice.

Related Rice Reading:

Blood Communion: A Tale of Prince Lestat (Vampire Chronicles)
by Anne Rice (Author)

Chicken Soup with Rice Board Book: A Book of Months
by Maurice Sendak (Author), Maurice Sendak (Illustrator)

Transmission (The Invasion Chronicles—Book One): A Science Fiction Thriller

Everybody Cooks Rice (Picture Books)
by Norah Dooley (Author), Peter J. Thornton (Illustrator)

Arrival (The Invasion Chronicles—Book Two): A Science Fiction Thriller

One Grain Of Rice: A Mathematical Folktale
by Demi (Author)

Rice, Noodle, Fish: Deep Travels Through Japan's Food Culture
by Matt Goulding (Author)

The Witching Hour (Lives of Mayfair Witches)
by Anne Rice (Author)

Every Grain of Rice: Simple Chinese Home Cooking
by Fuchsia Dunlop (Author)

Ramses the Damned: The Passion of Cleopatra
by Anne Rice (Author), Christopher Rice (Author)

Best Science Podcasts 2018

We have hand picked the best science podcasts for 2018. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Dying Well
Is there a way to talk about death candidly, without fear ... and even with humor? How can we best prepare for it with those we love? This hour, TED speakers explore the beauty of life ... and death. Guests include lawyer Jason Rosenthal, humorist Emily Levine, banker and travel blogger Michelle Knox, mortician Caitlin Doughty, and entrepreneur Lux Narayan.
Now Playing: Science for the People

#491 Frankenstein LIVES
Two hundred years ago, Mary Shelley gave us a legendary monster, shaping science fiction for good. Thanks to her, the name of Frankenstein is now famous world-wide. But who was the real monster here? The creation? Or the scientist that put him together? Tune in to a live show from Dragon Con 2018 in Atlanta, as we breakdown the science of Frankenstein, complete with grave robbing and rivers of maggots. Featuring Tina Saey, Lucas Hernandez, Travor Valle, and Nancy Miorelli. Moderated by our own Bethany Brookshire. Related links: Scientists successfully transplant lab-grown lungs into pigs, by Maria Temming on Science...