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Effectiveness of Team Training on Fall Prevention

Spiva, LeeAnna PhD, RN, PLNC; Robertson, Bethany DNP, CNM; Delk, Marcia L. MD, MBA; Patrick, Sara MSN, RN; Kimrey, Margaret Michelle BSN, RN, PCCN-CMC; Green, Beverly BSN, RN; Gallagher, Erin BS

doi: 10.1097/NCQ.0b013e3182a98247

A longitudinal, repeated-measures design with intervention and comparison groups was used to evaluate the effect of a training curriculum based on TeamSTEPPS with video vignettes focusing on fall prevention. Questionnaires, behavioral observations, and fall data were collected over 9 months from both groups located at separate hospitals. The intervention group questionnaire scores improved on all measures except teamwork perception, while observations revealed an improvement in communication compared with the control group. Furthermore, a 60% fall reduction rate was reported in the intervention group. Team training may be a promising intervention to reduce falls.

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Center for Nursing Excellence (Dr Spiva and Mss Patrick and Gallagher) and Organizational Learning (Dr Robertson), WellStar Health System, Atlanta, Georgia; Administration Office (Dr Delk) and Kennestone Hospital (Ms Kimrey), WellStar Health System, Marietta, Georgia; and Douglas Hospital, Douglasville, Georgia (Ms Green).

Correspondence: LeeAnna Spiva, PhD, RN, PLNC, Center for Nursing Excellence, WellStar Health System, 2000 S Park Pl, Atlanta, GA 30339(

This study was supported by the 2011 Prevention Above All Discovery Grant, Medline Industries.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: August 19, 2013

Published ahead of print: September 18, 2013

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