Effectiveness of a program for improving teamwork in Operanting Rooms

  • Ana Carolina Amaya-Añas Promotion y Prevention, Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), Bogotá, Colombia
  • Douglas Idarraga Universidad Industrial de Santander, Bucaramanga, Colombia
  • Vanessa Giraldo Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), Bogotá, Colombia
  • Luz María Gómez Scientific Vice-Director, Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), Bogotá, Colombia
Keywords: Patient Safety, Operating Rooms, Obstetrics, General Surgery, Work


Introduction: The purpose of the trial was to establish whether a training program could improve teamwork in the Operating Rooms and the Obstetric Suite at a healthcare institution.

Method: Quasi-experimental before and after study - A multiphase and multi-method training program was implemented for improving teamwork, measured with the OTAS-S instrument in 40 surgical procedures, pre and post intervention. Training was given to 80% of the population. The descriptive analysis was abased on the data collected from each stage and the effectiveness was determined based on the comparison of the scores obtained.

Results: Post-intervention measurements revealed differences in the scores obtained by the teamwork between the two stages (MW U-test; z = 48.879, P = .0000). This effectiveness was shown in the surgical and obstetrics area. Two or more points of improvement in the average OTAS-S scores was identified in every phase, behaviors and sub-teams.

Conclusion: Intervention was effective for improving teamwork in the operating rooms and in the obstetrics suites in the short term. Further research is suggested including a control group and a more extended follow-up to establish long-term effectiveness.


1. Amaya Arias AC, Narvaéz R, Eslava-Schmalbach JH. Trabajo en equipo como factor contribuyente en la ocurrencia de errores médicos o eventos adversos. Rev Colomb Cir. 2013;28:297-310.
2. Gaitán-Duarte H, Eslava-Schmalbach J, Rodríguez-Malagon N, Forero-Supelano V, Santofimio-Sierra D, Altahona H. Incidencia y Evitabilidad de Eventos Adversos en Pacientes Hospitalizados en tres Instituciones Hospitalarias en Colombia, 2006. Rev Salud Pública. 2008;10:215-26.
3. Morey J, Simon R, Jay G, Jay GD, Wears RL, Salisbury M, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37:1553-81.
4. Ahmed K, Khan N, Anderson D, Watkiss J, Challacombe B, Khan M, et al. The productive operating theatre (TPOT) programme - is it effective? J Urol. 2012;187:e112.
5. Wauben LS, Dekker-van Doorn CM, van Wijngaarden JD, Goossens RH, Huijsman R, Klein J, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. Int J Qual Health Care. 2011;23:159-66.
6. Gordon S, Mendenhall P, O'Connor BB. Beyond the checklist: what else health care can learn from aviation teamwork and safety. Ithaca, NY: Cornell University Press; 2012.
7. Flin R, Patey R. Non-technical skills for anaesthetists: developing and applying ANTS. Best Pract Res Clin Anesthesiol. 2011;25:215-27.
8. Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS system: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Qual Saf Health Care. 2009;18:104-8.
9. Yule S, Flin R, Maran N, Rowley D, Youngson G, Paterson-Brown S. Non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Surg. 2008;32:548-56.
10. Hull L, Arora S, Kassab E, Kneebone R, Sevdalis N. Observational teamwork assessment for surgery: content validation and tool refinement. J Am Coll Surg. 2011;212:234-43, e231-235.
11. Forse RA, Bramble JD, McQuillan R. Team training can improve operating room performance. Surgery. 2011;150:771-8.
12. Mayer CM, Cluff L, Lin WT, Willis TS, Stafford RE, Williams C, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Commun J Qual Patient Saf. 2011;37:365-74.
13. Grogan EL, Stiles RA, France DJ, Speroff T, Morris JA Jr, Nixon B, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg. 2004;199:843-8.
14. Flórez L. Psicología Social de la Salud: Promoción y Prevención. Bogotá: Manual Moderno; 2007.
15. Amaya Arias AC, Eslava-Schmalbach J, Barajas R, Gaitán-Duarte H, Hull L, Wheelock A, et al. Psychometric properties of Observational Teamwork Assessment for Surgery (OTAS) for observational assess teamwork in Colombian surgical teams. Seoul, Korea: 10th Health Technology Assessment international (HTAi); 2013.
16. Amaya Arias AC, Barajas R, Eslava-Schmalbach J, Wheelock A, Gaitán-Duarte H, Hull L, et al. Translation, cultural adaptation and content re-validation of the Observational Teamwork Assessment for Surgery tool. Int J Surg. 2014, http://dx.doi.org/10.10167j.ijsu.2014.10.001 [in press].
17. Hull L, Arora S, Amaya Arias AC, Wheelock A, Gaitán- Duarte H, Vincent C, et al. Building and strengthening global capacity for patient safety: a training programme incorporating the WHO core competencies for patient safety research. Int J Surg. 2012;10:493-9.
18. Martin LD, Rampersad SE, Low DKW, Reed MA. Mejoramiento de los procesos en el quirófano mediante la aplicación de la metodología Lean de Toyota. Rev Colomb Anestesiol. 2014;42:220-8, http://dx.doi.org/10.10167j.rca.2014.02.007.
19. Bagnulo H, Barbato M, Godino M, Basso J. Evaluación del riesgo en eventos adversos. Rev Med Urug. 2010;26:55-7.
20. Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature F review. AORN J. 2010;92:642-57.
21. McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98:469-79.
22. Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214:214-30.
23. Haugen AS, S0fteland E, Eide GE, Sevdalis N, Vincent CA, Nortvedt MW, et al. Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. Br J Anaesth. 2013;110:807-15.
24. Collazos C, Bermudez L, Quintero A, Quintero L, Díaz M. Checklist verification for surgery safety from the patient's perspective. Rev Colomb Anestesiol.
25. Gómez Buitrago LM. La lista de chequeo: un estándar de cuidado. Rev Colomb Anestesiol. 2013;41:182-3, http://dx.doi.org/10.1016/j.rca.2013.07.001.
26. Vertino KA. Evaluation of a TeamSTEPPS© Initiative on Staff Attitudes Toward Teamwork. J Nurs Adm. 2014;44: 97-102.
How to Cite
Amaya-Añas AC, Idarraga D, Giraldo V, Gómez LM. Effectiveness of a program for improving teamwork in Operanting Rooms. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2022Jul.6];43(1):68 -75. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/486


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How to Cite
Amaya-Añas AC, Idarraga D, Giraldo V, Gómez LM. Effectiveness of a program for improving teamwork in Operanting Rooms. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2022Jul.6];43(1):68 -75. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/486

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