Center Team Training Success Stories

Working to address communication issues, improve teamwork for rapid response calls, decrease length of stay and prevent medication errors, Security Forces Hospital in Makkah, Saudi Arabia, first conducted a survey on patient safety culture from the Agency for Healthcare Research and Quality. Based on identified areas for improvement, the hospital began a comprehensive TeamSTEPPS implementation.

Background

  • Established in 2013 by the Saudi Arabia Ministry of Interior to serve the western region of the country.
  • After hospital’s Patient Safety Supervisor Dr. Muhammad Eltawansi attended a TeamSTEPPS Master Training course in 2016, formed a change team to apply training in the hospital.
  • In 2018, implemented TeamSTEPPS to enhance patient safety culture and reduce clinical errors.
Security Forces Hospital

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Approach & Goals

  • Identifying opportunities for improvement in teamwork and formulating a vision for TeamSTEPPS implementation.
  • Providing TeamSTEPPS training to 350-plus hospital employees.
  • Sustaining education and training by regularly monitoring and measuring the program’s effectiveness and offering refresher training sessions.
  • The core change team was formulated with the following members: Dr. Muhammad Eltawansi, Patient Safety Supervisor and Project leader; Dr. Mohamed Emam, Quality Manager; Dr. Ahmed Elsheikh, Quality and Patient Safety Director; and Dr. Khalid Alzahrani, Deputy Program Director General.

Actions Taken

  • By end of 2023, had used TeamSTEPPS to train more than 240 hospital caregivers.
  • Measures training effectiveness through rounding, occurrence variance reporting and conducting periodic surveys.
  • Customizes TeamSTEPPS to match hospital teams’ processes and make training more interactive; delivers training in different lengths and formats to meet audience need.

Positive Outcomes

  • Showed improvement in nine composite measures of patient safety culture in AHRQ survey.
  • Increased the overall patient safety grade from 57% in 2015 to 89% in 2022.
  • Decreased pediatric intensive care unit length of stay from 5.8 to 2.3 days.
  • In operating rooms, improved communication and increased administration of properly timed prophylactic antibiotics prior to incision to 100%.
  • Decreased percentage of medical imaging reporting that exceeds 48 hours from 21.4% to 4.14%.

Recommendations

  • Readiness assessment and vision casting are essential first steps.
  • The support of top management is key.
  • Have a strong plan with practical steps for sustainment.
 
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