Background <p>Patient safety is threatened by errors in medicine. The human factor is a&#xa0;reason for avoidable errors. These avoidable errors can be positively influenced by improving communication and teamwork [<CitationRef CitationID="CR21">21</CitationRef>, <CitationRef CitationID="CR34">34</CitationRef>]. Human factors are still not researched enough in emergency medicine. With that said the 7‑4‑7 briefing for emergency medicine workers was developed in which seven topics are discussed within seven minutes. This briefing aims to strengthen teamwork in order to reduce avoidable errors in patient care.</p> Materials and methods <p>This study implemented the 7‑4‑7 briefing for 2&#xa0;months in Germany for in-flight and ground-based emergency medicine teams. The briefing was evaluated with a&#xa0;pre- and postquestionnaire. The aim of the study was to show whether the briefing had an impact on work satisfaction, role conflict, role clarity, teamwork, and perceived stress. Following this, the participants evaluated the briefing itself.</p> Results <p>There was no significant improvement on work satisfaction, role conflict, role clarity, teamwork, or perceived stress. However, there was a&#xa0;significant reduction of perceived stress for the group of emergency physicians for emergencies which were difficult to assess (<i>p</i> &lt; 0.05). Notably, the briefing was significantly positively evaluated over all participants and all, medical and technical, contents were evaluated as relevant to the briefing (<i>p</i> &lt; 0.05).</p> Conclusions <p>This study shows that the 7‑4‑7 briefing is an accepted and well evaluated tool, which can be easily implemented into everyday work. Further research must aim to quantify the briefings value beyond the population of emergency physicians and the factor stress.</p>

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Evaluation des „7-4-7 medical briefing“ für die Notfallmedizin

  • M. Klüh,
  • T. Fink,
  • B. Gliwitzky,
  • D. Conrad,
  • J. Schwietring,
  • W. Armbruster

摘要

Background

Patient safety is threatened by errors in medicine. The human factor is a reason for avoidable errors. These avoidable errors can be positively influenced by improving communication and teamwork [21, 34]. Human factors are still not researched enough in emergency medicine. With that said the 7‑4‑7 briefing for emergency medicine workers was developed in which seven topics are discussed within seven minutes. This briefing aims to strengthen teamwork in order to reduce avoidable errors in patient care.

Materials and methods

This study implemented the 7‑4‑7 briefing for 2 months in Germany for in-flight and ground-based emergency medicine teams. The briefing was evaluated with a pre- and postquestionnaire. The aim of the study was to show whether the briefing had an impact on work satisfaction, role conflict, role clarity, teamwork, and perceived stress. Following this, the participants evaluated the briefing itself.

Results

There was no significant improvement on work satisfaction, role conflict, role clarity, teamwork, or perceived stress. However, there was a significant reduction of perceived stress for the group of emergency physicians for emergencies which were difficult to assess (p < 0.05). Notably, the briefing was significantly positively evaluated over all participants and all, medical and technical, contents were evaluated as relevant to the briefing (p < 0.05).

Conclusions

This study shows that the 7‑4‑7 briefing is an accepted and well evaluated tool, which can be easily implemented into everyday work. Further research must aim to quantify the briefings value beyond the population of emergency physicians and the factor stress.