Addresses one step in the process of moving from teamwork training to teamwork practices that improve outcomes of care: identifying outcomes that are most likely to be affected as teamwork practices improve in an implementing organization. Discusses a literature search, methods for selecting and testing candidate measures, measures highly rated by clinical experts, and results of measure testing on administrative data of the DoD health system.
The Department of Defense (DoD) has been one of the leaders in actions toimprove teamwork, which it has pursued with the goal of achieving safer care andreducing adverse events for patients served by its military hospitals. DoD and theAgency for Healthcare Research and Quality (AHRQ) have worked together to developtools that can be used to evaluate how improved teamwork in delivering care is achievingsafer outcomes for its patients. In 2004, AHRQ modified its Patient Safety EvaluationCenter contract with RAND to add an analytic study to identify and test measures thathave the potential to capture improvements in teamwork practices. The funding for thisstudy was provided by DoD through an Interagency Agreement with AHRQ.