National Perinatal Information Center - Team Performance Plus (TPP©)

NPIC/QAS is the data partner for the Harvard Risk Management Strategies Foundation Team Performance Plus (TPP™) team training program. Team Performance Plus (TPP™) is a comprehensive program—by clinicians, for clinicians—that provides interdisciplinary team training, for obstetricians, midwives, nurses, and anesthesia providers to: ensure safer deliveries, reduce the occurrence of preventable errors, and minimize litigation exposure.

A key component in marking the success of TPP™ is the ability to demonstrate change through the analysis of the 10 quality indicators and calculation of the Adverse Outcome Index (AOI), Weighted Adverse Outcome Score (WAOS) and Severity Index (SI).

All hospitals participating in the TPP™ program submit data to NPIC/QAS for the calculation of the AOI, WAOS and SI. Baseline and on-going Monitoring Reports track adverse events before and after team training. In addition, TPP™ hospitals receive a one-year complimentary NPIC/QAS membership with their TPP™ contract.

Hospitals not involved with TPP™ have the option of receiving an Adverse Outcome Index Repor t as a NPIC/QAS special report with or without membership.

In the News:
Beth Israel Deaconess Medical Center successfully developed, implemented, and sustained a Crew Resource Management (CRM)-based team training process that created positive effects all around. The article, "Impact of CRM-Based Team Training on Obstetric Outcomes and Clinicians' Patient Safety Attitudes" was published in the Joint Commission Journal on Quality and Patient Safety.
    » View Article

Beth Israel Deaconess Medical Center was awarded the Blue Cross and Blue Shield of Massachusetts' Health Care Excellence Award for reducing errors. The article, "Beth Israel Cited for Improving Obstetrics Care" was published in The Boston Globe.
    » View Article

The article, "Effects of Teamwork Training on Adverse Outcomes and Process of Care in Labor and Delivery: A Randomized Controlled Trial" was published in American College of Obstetrics & Gynecology.
    » View Article

See how a set of 10 outcome measures and three quality improvement tools were developed as part of a study evaluating the effects of teamwork on obstetric care. The article, "Assessing Quality in Obstetrical Care: Development of Standardized Measures" was published in the Joint Commission Journal on Quality and Patient Safety.
    » View Article

Beth Israel Deaconess Medical Center applies military and commercial flight teamwork concepts to improve patient safety. The article, "Lessons from the cockpit: How team training can reduce errors on L&D" was published in Contemporary OB/GYN.
    » View Article


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