2017 HSC Section 2 - Practice Management

Richter JP, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: examining successful handoffs in health care. Health Care Manage Rev . 2016; 41(1):32-41. EBM level 3b............................................................................152-161

Summary : This article presents an analysis of how teamwork across units improves communication and handoffs.

Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg . 2013; 258(6):856-871. EBM level 3a................................................................................162-177 Summary : This article is a systematic review of 20 articles on the effect of safety checklists on teamwork/communication in the operating room. The authors found that there is a perceived improvement on teamwork and communication; however, conversely, when individuals have not “bought in” to the process, this may have a negative effect on the team. Shams A, Ahmed M, Scalzitti NJ, et al. How does TeamSTEPPS affect operating room efficiency? Otolaryngol Head Neck Surg . 2016; 154(2):355-358. EBM level 3b.....................................................................................................................178-181 Summary : TeamSTEPPS is a patient safety tool developed by the Dept. of Defense and the Agency for Healthcare Research and Quality to improve communication and teamwork among healthcare teams. In the morning, 30 minutes prior to first case, the operating room (OR) team–surgeon, anesthesiologist/CRNA, nurse, and OR tech–are present to go through the day’s cases, and then debriefs occur at the end of every case. This study looks at efficiency of the OR with the implementation of TeamSTEPPS and finds that there is no difference between OR efficiency (turnover times, first start times, and operative times) when comparing before and after implementation of TeamSTEPPS in the ENT OR. Cook DA, Blachman MJ, West CP, Wittich CM. Physician attitudes about maintenance of certification: a cross-specialty national survey. Mayo Clin Proc . 2016; 91(10):1336- 1345. EBM level 4...................................................................................................182-191 Summary : Each member board of the American Board of Medical Specialties has developed an maintenance of certification (MOC) program addressing professional standing, lifelong learning and self-assessment, assessment of knowledge and skills, and improvement in medical practice. Maintenance of certification has a sound theoretical rationale, is favorably associated with some clinical quality measures, and many physicians support its intent, yet substantive concerns have been raised about the effectiveness, relevance, and value of current MOC programs. A cross-specialty national survey of U.S. physicians was conducted to determine physicians’ perceptions of current MOC activities and to explore how their perceptions vary across specialties, practice models, certification status, and level of burnout.

V.

Practice-Based Learning A. Maintenance of certification