Effects of a national team training intervention for operating theatre teams on patient and staff outcomes: a stepped-wedge cluster-randomised trial and mixed-methods study
Authors' conclusion
We achieved small improvements in teamwork by involving 41% of New Zealand operating theatre staff in team training.
Study context
- Population
- Operating theatre teams and surgical patients in New Zealand's 20 District Health Boards20 District Health Boards
- Comparison
- Post- vs pre-intervention team training
Methodological detailssemi-randomised, national, multidisciplinary in situ simulation
- Semi-randomised
- National
- Multidisciplinary in situ simulation
Primary result
As reported in the abstract
DAOH at 90 days (DAOH90), surgical patients · 90 days
Post-intervention increase in DAOH90 (days)
0.12
Further findings
| Outcome | Improvement (95% CI) | P value |
|---|---|---|
| Teamwork Perceptions Survey scores (5-point scale)Post-intervention vs Pre-intervention · Overall | 0.35 (0.10–0.59) | P = 0.006 |
| Teamwork Perceptions Survey scores (5-point scale)Post-intervention vs Pre-intervention · Communication and Shared Mental Model | 0.37 (0.12–0.63) | P = 0.006 |
| Teamwork Perceptions Survey scores (5-point scale)Post-intervention vs Pre-intervention · Trust and Accountability | 0.50 (0.22–0.78) | P < 0.001 |
Intervention uptake
- District Health Boards implementing training
- 19
- Eligible staff participated (of estimated 3800)
- 41%
Original publication
Effects of a national team training intervention for operating theatre teams on patient and staff outcomes: a stepped-wedge cluster-randomised trial and mixed-methods study. Br J Anaesth. Published 16 May 2025. doi:10.
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