Juliette Cruijsberg

Publications (2)5.92 Total impact

• Article: Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.

  Marije Bosch, Marjan J Faber, Juliette Cruijsberg, Gerlienke E Voerman, Sheila Leatherman, Richard P T M Grol, Marlies Hulscher, Michel Wensing
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  ABSTRACT: Health care is increasingly provided by teams of health professionals rather than by individual doctors. For decision makers, it is imperative to identify the critical elements for effective teams to transform health care workplaces into effective team-based environments. The authors reviewed the research literature published between 1990 and February 2008. The available research indicated that teams with enhanced clinical expertise improved professional performance and had mixed effects on patient outcomes. Teams with improved coordination had some positive effects on patient outcomes and limited effects on costs and resource utilization. The combination of enhanced expertise and coordination only showed some limited effect on patient outcomes. The authors conclude that enhancement of the clinical expertise is a potentially effective component of improving the impact of patient care teams. The added value of coordination functions remained unclear. Overall, current studies provide little insight into the underlying mechanisms of teamwork.
  Medical Care Research and Review 09/2009; 66(6 Suppl):5S-35S. · 2.96 Impact Factor
• Article: Safety and risk management interventions in hospitals: a systematic review of the literature.

  Michel Dückers, Marjan Faber, Juliette Cruijsberg, Richard Grol, Lisette Schoonhoven, Michel Wensing
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  ABSTRACT: The aim of this systematic review was (a) to synthesize the evidence on the effectiveness of detection, mitigation, and actions to reduce risks in hospitals and (b) to identify and describe components of interventions responsible for effectiveness. Thirteen literature databases were explored using a structured search and data extraction strategy. All included studies dealing with incident reporting described positive effects. Evidence regarding the effectiveness and efficiency of safety analysis is scarce. No studies on mitigation were included. The collected evidence on risk reduction concerns a variety of interventions to reduce medication errors, fall incidents, diagnostic errors, and adverse events in general. Most studies reported positive effects; however, interventions were often multifaceted, and it was difficult to disentangle their impact. This made it difficult to draw generic lessons from this body of research. More rigorous evaluations are needed, in particular, of continuous learning and safety analysis techniques.
  Medical Care Research and Review 09/2009; 66(6 Suppl):90S-119S. · 2.96 Impact Factor