Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review

Mohamed Alsabri, Zoubir Boudi, Dominique Lauque, Roger Daglius Dias, Julia S. Whelan, Linda Ostlundh, Guillaume Alinier, Churchill Onyeji, Philippe Michel, Shan W. Liu, Carlos A. Camargo, Tobias Lindner, Anna Slagman, David W Bates, Karim Tazarourte, Sara J. Singer, Anita Toussi, Shamai Grossman, Abdelouahab Bellou

Research output: Contribution to journalReview articlepeer-review

27 Downloads (Pure)


Objectives: To narratively summaries literature reporting on the effect of teamwork and communication training interventions on culture and patient safety in emergency department (ED) settings.
Methods: We searched PubMed, EMBASE, Psych Info CINAHL, Cochrane, Science Citation Inc, Web of Science, and Educational Resources Information Centre for peer-reviewed journal articles published from January 1, 1988, until June 8, 2018 that assessed teamwork and communication interventions focusing on how they influence patient safety in the ED were selected. One additional search update was performed in July 2019.
Results: Sixteen studies were included from 8,700 screened publications. The studies’ design, interventions, and evaluation methods varied widely. The most impactful ED training interventions were End-of-Course Critique, TeamSTEPPS, and crisis resource management (CRM)-based training. CRM and TeamSTEPPS CRM-based training curriculum were used in most of the studies. Multiple tools, including the Kirkpatrick (KP) evaluation model, Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture, TeamSTEPPS Teamwork Attitudes Questionnaire, the Safety Attitudes Questionnaire, and the Communication and Teamwork Skills Assessment were used to assess the impact of such interventions. Improvements in one of the domains of safety culture and related domains were found in all studies. Four empirical studies established improvements in patient health outcomes that occurred following simulation CRM training (KP4), but there was no effect on mortality.
Conclusion: Overall, teamwork and communication training interventions improve the safety culture in ED settings and may positively affect patient outcome. The implementation of safety culture programs may be considered to reduce incidence of medical errors and adverse events.
Original languageEnglish
JournalJournal of Patient Safety
Early online date7 Sept 2020
Publication statusE-pub ahead of print - 7 Sept 2020


  • patient safety
  • teamwork training
  • Communication


Dive into the research topics of 'Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review'. Together they form a unique fingerprint.

Cite this