(385) Impact of Just-in-Time TeamSTEPPS® Training on Team Performance in a Pediatric Escape Room Simulation

Trainee Category: Graduate Student

Objective : To determine if just-in time Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) training improves teamwork and interprofessional attitudes in an interprofessional education (IPE) activity.

Methods: Fifty nine students from the Physician Assistant (PA) and pharmacy programs were divided into 15 teams each containing 3 PA and 1 pharmacy student. Teams were randomized to a control (7 teams) or an intervention arm (8 teams). The control arm started the escape room then completed TeamSTEPPS training, while the intervention arm first received TeamSTEPPS training then proceeded to the escape room. An abbreviated Self-report Performance Assessment for Communication and Teamwork Tool (PACT) and the Observer PACT were used to evaluate the TeamSTEPPS domains. A T-test was used to compare changes in the PACT tools between the intervention and control group.

Results: On the self-reported PACT, the intervention group reported significantly more instances of positive team behaviors such as huddles and briefs when compared to control arm. Leadership behaviors and mutual support were more frequently reported by the intervention groups versus the control group. On the interprofessional attitudes survey, no difference was found between the two groups. On the observer PACT scale, the observed leadership score was 29% higher, team structure was 30% higher, situation monitoring was 40% higher, and mutual support was 31% higher for the intervention group compared to the control group.

Conclusions: Just-in-time TeamSTEPPS training enhanced team behaviors. Self-reported and observed scores were significantly different across the two groups but there was no difference in interprofessional attitudes implying that both groups benefited from the IPE regardless of the timing of the TeamSTEPPS training.