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Improving patient safety in two French hospitals: why teamwork training is not enough

Abstract : Purpose The persistent challenges that healthcare organizations face as they strive to keep patients safe attests to a need for continued attention. To contribute to better understanding the issues currently defying patient safety initiatives, this paper reports on a study examining the aftermath of implementing a national team training program in two hospital units in France. Design/methodology/approach Data were drawn from a longitudinal qualitative study analyzing the implementation of a French patient safety program aimed at improving teamwork in hospitals. Data collection took place over a four-year period (2015–2019) in two urban hospitals in France and included multiple interviews with 31 participants and 150 h of observations. Originality/value This paper exposes patient safety as misleadingly consensual and identifies a lack of alignment between stakeholders in the complex system that is a hospital. This ultimately interferes with patient safety objectives and highlights that even well-equipped, frontline actors cannot achieve long-term results without more systemic organizational changes. Findings Despite explicit efforts to improve inter-professional teamwork, three main obstacles interfered with healthcare professionals' attempts at safeguarding patients: perspectival variations in what constituted “patient safety”, a paradoxical injunction to do more with less and conflicting organizational priorities.
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Submitted on : Monday, August 10, 2020 - 1:45:38 PM
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Odessa Petit Dit Dariel, Paula Cristofalo. Improving patient safety in two French hospitals: why teamwork training is not enough. Journal of Health Organization and Management, 2020, ahead-of-print (ahead-of-print), ⟨10.1108/JHOM-02-2020-0045⟩. ⟨hal-02913726⟩



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