Five types of incongruent hospital policies or procedures governing clinical practice identified

Significant reduction in surgical morbidity (20.2% vs 11%*) and mortality (2.7% vs 1%*)

Significant improvement in 4 of 6 SQIP measures*

Room turnover time decreased significantly (43 vs 35.5 min*), percentage of on-time first case starts improved (69% to 81%+)

Patient willingness to recommend significantly improved (77% to 89.3%*)

Evidence of some decay over 1 year post-training follow-up for mortality, morbidity, on-time starts and patient satisfaction, while SQIP remained improved

Decreased number of adverse events (22.2 vs 18.2 events⁺)

83% decrease in medication and transfusion errors (7.1 vs 1.2*), 70% decrease in needlestick injury and exposures (4.0 vs 1.2*), 65% decrease communication incidents (5.2 vs 1.8*)

No significant decrease in incidents related to three other teamwork competencies

Trained teams adhered to predefined obstetric procedures more frequently than non-trained teams (83% vs 46%*)

Regardless of modality that clinical management skills were also taught, all participating teams improved clinical management scores*

Nosocomial infections decreased slightly⁺

Average time for placing patients on extracorporeal membrane oxygenation (ECMO) decreased (23 vs 14 min*)

No significant change in length of rapid response team events

50% greater reduction in risk-adjusted surgical mortality for MTT group versus control (RR=1.49)*

Reduction of 0.5 deaths per 1000 procedures associated with every quarter that teamwork intervention was in place*

Qualitative interviews suggested improvements in overall perioperative efficiency, reduced length of procedures, improved first case on-time start times and equipment use

Patient safety event rate decreased (2–3 annually vs 1000 days since safety event, 12 m post)

Decrease in adverse outcome index (AOI) (0.052 pre vs 0.043 post)

No significant change in patient satisfaction

Weighted adverse outcome score (WAOS)—an index of perinatal harm—decreased 37% for full intervention group only (1.15 pre vs 0.72 post*)

Variability in WAOS scores was decreased post-training for full intervention group only

16% reduction in ED resuscitation time*, 76% increase in completeness of clinical tasks*

No significant changes in mean hospital length of stay, ICU days or deaths

Significantly more post-training than pretraining charts met guideline recommendations and standards of care for timing, inpatient duration and prophylaxis use beyond discharge*

20% greater reduction in risk-adjusted surgical morbidity in the MTT group versus control (RR=1.20)*