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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 SurgeonsPublished 14 November 2007
Daniel L. Davenport, William G. Henderson, Cecilia Mosca, Shukri F. Khuri, Robert M. Mentzer
Citations278
SJR quartileQ1
SJR score1.23
SNIP1.35

TL;DR

Survey-based teamwork, safety climate, and working conditions scales are not confirmed to measure organizational factors that influence risk-adjusted surgical outcomes, suggesting the importance of doctors' coordination and decision-making roles on surgical teams in providing high-quality and safe care.

Abstract

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.

Keywords

MedicineHealth Professions