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Article
Advancing Team Cohesion: Using an Escape Room as a Novel Approach
Journal of Patient Safety and Risk Management
  • Tara N. Cohen, Cedars-Sinai Medical Center
  • Joseph R. Keebler, Embry Riddle Aeronautical University
  • Andrew C. Griggs, II, Embry-Riddle Aeronautical University
  • Elizabeth H. Lazzara, Embry-Riddle Aeronautical University
  • Falisha F. Kanji, Cedars-Sinai Medical Center
  • Kate A. Cohen, Cedars-Sinai Medical Center
  • Bruce L. Gewertz
Submitting Campus
Daytona Beach
Department
Human Factors and Behavioral Neurobiology
Document Type
Article
Publication/Presentation Date
4-14-2021
Abstract/Description

Objective: An escape room was used to study teamwork and its determinants, which have been found to relate to the quality and safety of patient care delivery. This pilot study aimed to explore the value of an escape room as a mechanism for improving cohesion among interdisciplinary healthcare teams.
Methods: This research was conducted at a nonprofit medical center in Southern California. All participants who work on a team were invited to participate. Authors employed an interrupted within-subjects design, with two pre- and post- escape room questionnaires related to two facets of group cohesion: (belonging – (PGC-B) and morale (PGC-M)). Participants rated their perceptions of group cohesion before, after, and one-month after the escape room. The main outcome measures included PGC-B/M.
Results: Sixty-two teams participated (n 280 participants) of which 31 teams (50%) successfully “escaped” in the allotted 45 minutes. There was a statistically significant difference in PGC between the three time periods, F(4, 254) 24.10, p < .001; Wilks’ K .725; partial g2 .275. Results indicated significantly higher scores for PGC immediately after the escape room and at the one-month follow-up compared to baseline.
Conclusions: This work offers insights into the utility of using an escape room as a team building intervention in interprofessional healthcare teams. Considering the modifiability of escape rooms, they may function as valuable team building mechanisms in healthcare. More work is needed to determine how escape rooms compare to more traditional team building curriculums.

DOI
https://doi.org/10.1177/25160435211005934
Publisher
SAGE Journals
Citation Information
Tara N. Cohen, Joseph R. Keebler, Andrew C. Griggs, Elizabeth H. Lazzara, et al.. "Advancing Team Cohesion: Using an Escape Room as a Novel Approach" Journal of Patient Safety and Risk Management Vol. 26 Iss. 3 (2021) p. 1 - 9
Available at: http://works.bepress.com/joseph_r_keebler/109/