• Douglas E Paull, Lisa M Mazzia, Brent S Izu, Julia Neily, Peter D Mills, and James P Bagian.
• Veterans Health Administration, National Center for Patient Safety, Ann Arbor, MI 48106-0486, USA. douglas.paull@va.gov
• Am. J. Surg. 2009 Nov 1;198(5):675-8.

BackgroundThe purpose of this study was to examine which factors at a medical team training learning session predict future success in the implementation of preoperative briefings and postoperative debriefings at health care facilities.MethodsA Likert score rating for physician involvement, leadership support, and composition of the implementation team was recorded for 64 VHA facilities at the time of a learning session by 3 medical team training educators. At a mean follow-up period of 8.2 months (standard error, .4 mo), a briefing score was established from quarterly semistructured interviews with the facility's implementation team.ResultsIn a multivariable regression, leadership involvement at the time of the learning session was the best predictor of future briefing/debriefing success (R = .34, P = .03).ConclusionsFull implementation of the patient safety tool preoperative briefings and postoperative debriefings is dependent on facility leadership support.

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