Evidence map›Paper›PMID 23412932›Full record

ArticleBMJ quality & safety2013

Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions.

Lisbet Meurling, Leif Hedman, Christer Sandahl, Li Felländer-Tsai, Carl-Johan Wallin

Abstract read
In one paragraph

Article in BMJ quality & safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Moulage safety practice around the world: a framework for best practice.Advances in simulation (London, England) · 2026
    Article
  5. High-fidelity simulation programs in ICU-related ethical non-technical skills training: A narrative review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lisbet MeurlingDivision of Anaesthesia and Intensive Care, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden. lisbet.meurling@karolinska.se
Leif Hedman
Christer Sandahl
Li Felländer-Tsai
Carl-Johan Wallin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeamwork-that is, collaboration and communication-is an important factor for safe healthcare, but professions perceive the quality of teamwork differently.

objectiveTo examine the relationship between simulation-based team training (SBTT) and different professions' self-efficacy, experienced quality of collaboration and communication, perceptions of teamwork and safety, together with staff turnover.

methodsAll staff (n=151; physicians, nurses and nurse assistants) in an intensive care unit (ICU) at a university hospital were systematically trained over 2 years. Data on individual self-efficacy were measured using the self-efficacy questionnaire; the experienced quality of collaboration and communication, teamwork climate, safety climate and perception of working conditions were sampled using the ICU version of the safety attitudes questionnaire (SAQ). Staff turnover and sick leave was measured using the hospital's staff administration system for the intervention ICU and a control ICU in the same hospital.

resultsThe perception of safety differed between professions before training. Nurses' and physicians' mean self-efficacy scores improved, and nurse assistants' perceived quality of collaboration and communication with physician specialists improved after training. Nurse assistants' perception of the SAQ factors teamwork climate, safety climate and working conditions were more positive after the project as well as nurses' perception of safety climate. The number of nurses quitting their job and nurse assistants' time on sick leave was reduced in comparison to the control ICU during the study period. LIMITATIONS: Results for SAQ factors must be interpreted with caution given that Cronbach's α and inter-correlations for the SAQ factors showed lower values than benchmarking data.

conclusionsAll team members benefited from the SBTT in an authentic composed team, but this was expressed differently for the respective professions.

Indexed as

Intensive Care UnitsPatient Care TeamPatient SimulationSafety ManagementHealth PersonnelHumansOrganizational CultureSurveys and QuestionnairesSwedenSystems AnalysisWorkforceCrew resource managementCritical careSafety cultureSimulationTeam training

Identifiers

PMID23412932
PMCPMC3711495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.