LEADER 01308nam--2200421---450- 001 990000407040203316 005 20051027113237.0 035 $a0040704 035 $aUSA010040704 035 $a(ALEPH)000040704USA01 035 $a0040704 100 $a20010419d1988----km-y0itay0103----ba 101 $aita 102 $aIT 105 $a||||||||001yy 200 1 $aLivio Marino Atellano$el'angelo dell'apocalisse$f[a cura di] Massimo Bignardi$gtraduzione di Giuseppe Compagnone 210 $aSalerno$cEDI.SAL$dc1988 215 $a63 p.$cill.$d17 cm 225 2 $aStrumenti$v0018 300 $aCompl. del tit. anche in inglese 410 $12001$aStrumenti$v0018 461 1$1001-------$12001 676 $a7595 700 1$aATELLANO,$bLivio Marino$0544528 702 1$aBIGNARDI,$bMassimo 702 1$aCOMPAGNONE,$bMassimo 801 0$aIT$bsalbc$gISBD 912 $a990000407040203316 951 $aXII.2. Coll.1/ 15(VIII B COll. 35/18)$b105601 LM$cVIII B COll. 959 $aBK 969 $aUMA 979 $aPATTY$b90$c20010419$lUSA01$h1527 979 $aPATTY$b90$c20010531$lUSA01$h1000 979 $c20020403$lUSA01$h1648 979 $aPATRY$b90$c20040406$lUSA01$h1628 979 $aCOPAT3$b90$c20051027$lUSA01$h1132 996 $aLivio Marino Atellano$9874779 997 $aUNISA LEADER 05264nam 2200661 a 450 001 9910219978703321 005 20240617065607.0 010 $a0-8330-5118-0 035 $a(CKB)2670000000066459 035 $a(EBL)669772 035 $a(OCoLC)705004916 035 $a(SSID)ssj0000466629 035 $a(PQKBManifestationID)11311375 035 $a(PQKBTitleCode)TC0000466629 035 $a(PQKBWorkID)10465788 035 $a(PQKB)10016842 035 $a(Au-PeEL)EBL669772 035 $a(CaPaEBR)ebr10440618 035 $a(MiAaPQ)EBC669772 035 $a(PPN)268258627 035 $a(oapen)doab114911 035 $a(EXLCZ)992670000000066459 100 $a20101005d2010 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aAchieving strong teamwork practices in hospital labor and delivery units /$fDonna O. Farley ... [et al.] 205 $a1st ed. 210 $aSanta Monica, Calif. $cRAND$d2010 215 $a1 online resource (150 p.) 225 1 $aTechnical report 300 $aDescription based upon print version of record. 311 08$a0-8330-5055-9 320 $aIncludes bibliographical references. 327 $aCover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; Chapter One - Introduction and Background; Research Objectives; Background; The Value of Teamwork in Health-Care Delivery; The MedTeams and Team STEPPS Systems; A Clinical Trial That Tested Teamwork Practices; Overview of the Evaluation; Quality-Improvement Framework; Relationship Between the Teamwork Implementation and Our Evaluation; Organization of This Report; Chapter Two - Study Design and Methods; Conceptual Model for Quality-Improvement Implementation 327 $aOverview of the Evaluation Design Selection of the Participating Labor and Delivery Units; Human-Subject Protection Requirements; Process-Evaluation Methods; Longitudinal Assessment of Teamwork-Implementation Activities; Direct Observations of Teamwork Practices in Care Delivery; Outcome-Evaluation Methods; Effects on Staff Perceptions and Knowledge of Teamwork; Effects on Patient Outcomes; Obtaining and Use of the Adverse Outcome Index Data; Analysis of the Adverse Outcome Index Trend Data; Limitations of the Evaluation; Chapter Three - Findings Regarding Teamwork Implementation 327 $aBaseline Status and Teamwork Strategies Pursued Site 1; Site 2; Site 3; Site 4; Site 5; Implementation Priorities and Actions; Team Organization and Operation; Teamwork Training and Coaching; Implementation of Teamwork Improvements; Achievement of Practice Adoption and Internalization; Implementation Experiences; Retrospective Assessments by the Participating Labor and Delivery Units; The Teamwork Implementation Team; Teamwork Training and Coaching; Implementing Teamwork Improvements; What They Would Do Differently; Factors Affecting Teamwork Implementation; Concluding Questions 327 $aObserved Teamwork Practices Key Process-Evaluation Findings; What Training and Actions Are Required to Achieve a High Level of Teamwork in the Labor and Delivery Process?; How Strongly Do Self-Reported Experiences in Implementing Teamwork Improvements Correlate with Actual Levels of Teamwork as Measured by Direct Observation of the Labor and Delivery Process?; Summary; Chapter Four - Effects of Teamwork Improvement on Unit Staff and Patient Outcomes; Perceptions and Knowledge of Labor and Delivery Unit Staff; Status at Baseline 327 $aChanges in Staff Perception and Knowledge During Teamwork Implementation Effects of Implementation Actions on Staff Perceptions and Knowledge; Effects of Teamwork Improvement on Patient Outcomes; Key Outcome-Evaluation Findings; How Does Achieving Effective Teamwork Affect the Perceptions and Experiences of Staff Working in Labor and Delivery Units?; What Effects Does Effective Teamwork Have on Labor and Delivery Outcomes for Mothers and Newborn Infants?; Summary; Chapter Five - Synthesis of Findings and Conclusions; Synthesis of Findings from the Study; Implications; Appendixes 327 $aA. Tools and Strategies for Teamwork 330 $aTo learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements in their teamwork practices over a one-year period. They identified some key factors required by any given strategy for teamwork improvement but no standard template for implementation. 410 0$aTechnical report (Rand Corporation) 606 $aMaternal health care teams 606 $aMaternal health services$xAdministration 615 0$aMaternal health care teams. 615 0$aMaternal health services$xAdministration. 676 $a362.11068/3 701 $aFarley$b Donna$0848919 712 02$aCenter for Military Health Policy Research. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910219978703321 996 $aAchieving strong teamwork practices in hospital labor and delivery units$92192368 997 $aUNINA