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The impact of improving teamwork on patient outcomes in surgery: a systematic review

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Title: The impact of improving teamwork on patient outcomes in surgery: a systematic review
Authors: Sun, R
Sykes, M
Marshall, D
Shalhoub, J
Maruthappu, M
Item Type: Journal Article
Abstract: Aim: To systematically review available literature assessing the effect of surgical teamwork on post-operative patient outcomes across a variety of surgical specialties. Methods: Two independent researchers systematically searched Medline and EMBASE in accordance with PRISMA guidelines. Studies were screened for relevance, then subjected to inclusion and exclusion criteria. Study characteristics and outcomes were reported and discussed qualitatively. Results: Following PRISMA guidelines, our initial search identified 2519 articles. 105 articles remained after duplicate removal and screening. 11 articles were fully reviewed following addition of exclusion and inclusion criteria. Six studies adopted the use of teamwork training intervention; three studies assessed outcomes based on the familiarity of teams, and two studies correlated teamwork quality with patient outcome. Overall, seven papers demonstrated a positive effect of teamwork on patient outcomes, of which five were significant. Two papers found mixed improvements and deteriorations, two papers found no correlation. There exists considerable heterogeneity in methodology, study characteristics and design. Conclusions: The positive effect of teamwork on surgical patient outcome is overall supported. Insignificant and opposing results are likely due to inadequate methodology and study design. Common reasons identified are cohort size, lack of a validated training programme, length of training and follow-up time, and non-randomization.
Issue Date: 1-Nov-2016
Date of Acceptance: 18-Mar-2016
URI: http://hdl.handle.net/10044/1/58330
DOI: https://dx.doi.org/10.1016/j.ijsu.2016.08.516
ISSN: 1743-9191
Publisher: Elsevier
Start Page: S35
End Page: S36
Journal / Book Title: International Journal of Surgery
Volume: 36
Copyright Statement: © 2016 Published by Elsevier Inc. Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: 1103 Clinical Sciences
Surgery
Publication Status: Published
Article Number: S1
Appears in Collections:Department of Surgery and Cancer