The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Risk-Adjusted Morbidity in Teaching Hospitals Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions
Abstract
BACKGROUND: Since the Institute of Medicine patient safety reports, a number of survey-based measures of organizational climate safety factors (OCSFs) have been developed. The goal of this study was to measure the impact of OCSFs on risk-adjusted surgical morbidity and mortality. STUDY DESIGN: Surveys were administered to staff on general/vascular surgery services during a year. Surveys included multiitem scales measuring OCSFs. Additionally, perceived levels of communication and collaboration with coworkers were assessed. The National Surgical Quality Improvement Program was used to assess risk-adjusted morbidity and mortality. Correlations between outcomes and OCSFs were calculated and between outcomes and communication/collaboration with attending and resident doctors, nurses, and other providers. RESULTS: Fifty-two sites participated in the survey: 44 Veterans Affairs and 8 academic medical centers. A total of 6,083 surveys were returned, for a response rate of 52%. The OCSF measures of teamwork climate, safety climate, working conditions, recognition of stress effects, job satisfaction, and burnout demonstrated internal validity but did not correlate with risk-adjusted outcomes. Reported levels of communication/collaboration with attending and resident doctors correlated with risk-adjusted morbidity. CONCLUSIONS: Survey-based teamwork, safety climate, and working conditions scales are not confirmed to measure organizational factors that influence risk-adjusted surgical outcomes. Reported communication/collaboration with attending and resident doctors on surgical services influenced patient morbidity. This suggests the importance of doctors' coordination and decision-making roles on surgical teams in providing high-quality and safe care. We propose risk-adjusted morbidity as an effective measure of surgical patient safety.
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Cites
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Self-citationMeasuring patient safety climate: a review of surveys
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Association Between Implementation of a Medical Team Training Program and Surgical Mortality
Neily, J., Mills, P. D., Young-Xu, Y., Carney, B. T., West, P., Berger, D. H., Mazzia, L. M., Paull, D. E., & Bagian, J. P. (2010) · JAMA · doi:10.1001/jama.2010.1506 · Cited by 1,040
Association between organisational and workplace cultures, and patient outcomes: systematic review
Braithwaite, J., Herkes, J., Ludlow, K., Testa, L., & Lamprell, G. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017708 · Cited by 532
Schmutz, J. B., Meier, L. L., & Manser, T. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-028280 · Cited by 454
Do team processes really have an effect on clinical performance? A systematic literature review
Schmutz, J., & Manser, T. (2013) · British Journal of Anaesthesia · doi:10.1093/bja/aes513 · Cited by 366
Metadata
- Authors
- Davenport, D. L., Henderson, W. G., Mosca, C. L., Khuri, S. F., & Mentzer, R. M.
- Venue
- Journal of the American College of Surgeons
- Published
- 2007-12
- Volume
- 205
- Issue
- 6
- Pages
- 778-784
- ISSN
- 1072-7515 (ISSN-L)
- OpenAlex
- W2095462521
- Cited by
- 278
- References
- 33
- FWCI
- 22.15
- Type
- journal article
- Language
- en
- Open access
- closed
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- Davenport, D. L., Henderson, W. G., Mosca, C. L., Khuri, S. F., & Mentzer, R. M. (2007). Risk-Adjusted Morbidity in Teaching Hospitals Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions. Journal of the American College of Surgeons. https://doi.org/10.1016/j.jamcollsurg.2007.07.039
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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