Interdisciplinary team training identifies discrepancies in institutional policies and practices

Pamela Andreatta, Jennifer Frankel, Sara Boblick Smith, Alexandra Bullough, David Marzano

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations


The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.

Original languageEnglish (US)
Pages (from-to)298-301
Number of pages4
JournalAmerican journal of obstetrics and gynecology
Issue number4
StatePublished - Oct 2011

Bibliographical note

Funding Information:
This project was funded by a GME Innovations Grant from the University of Michigan Medical School Office of Graduate Medical Education .

Copyright 2017 Elsevier B.V., All rights reserved.


  • Health care quality and safety
  • Institutional policies and procedures
  • Interdisciplinary team training
  • Obstetric emergencies


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