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Team Strategies and Tools To Enhance Performance and Patient Safety

AHRQ module

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bhongskirn
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Download as pptx, pdf, or txt
45 views18 pages

Team Strategies and Tools To Enhance Performance and Patient Safety

AHRQ module

Uploaded by

bhongskirn
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1/ 18

Team Strategies and Tools

to Enhance Performance
and Patient Safety
Introduction

Introductions

Mod 1 2.0 Page 2


TEAMSTEPPS 05.2 2
Introduction

Teamwork Exercise #1

Mod 1 2.0 Page 3


TEAMSTEPPS 05.2 3
Introduction

Objectives
 Describe the TeamSTEPPS Master Trainer course
 Describe the impact of errors and why they occur
 Describe the TeamSTEPPS framework
 State the outcomes of the TeamSTEPPS framework

Mod 1 2.0 Page 4


TEAMSTEPPS 05.2 4
Introduction

Course Agenda

Day 1: Day 2:
 Module 1—Introduction  Change Management:
 Module 2—Team Structure How to Achieve a Culture
of Safety
 Module 3—Communication
 Coaching Workshop
 Module 4—Leading Teams
 Measurement
 Module 5—Situation
 Implementation Planning
Monitoring
 Module 6—Mutual Support
 Module 7—Summary—
Putting It All Together

Mod 1 2.0 Page 5


TEAMSTEPPS 05.2 5
Introduction

Day 1 - Core Teamwork Skills

Mod 1 2.0 Page 6


TEAMSTEPPS 05.2 6
Introduction

Day 2 – Coach, Implement, Sustain

Mod 1 2.0 Page 7


TEAMSTEPPS 05.2
Introduction

Master Training Materials


 Instructor Manual
 Course Management Guide
 Instructor guides
 Course slides
 Measurement tools
 DVD
 Customizable materials
 Videos

Mod 1 2.0 Page 8


TEAMSTEPPS 05.2
Introduction

Sue Sheridan Video

Mod 1 2.0 Page 9


TEAMSTEPPS 05.2 9
Introduction

Video Discussion
 What breakdowns in teamwork did you observe in
the two stories?
 How can we prevent medical errors?

Mod 1 2.0 Page 10


TEAMSTEPPS 05.2 10
Introduction

Barriers to Team Performance


 Inconsistency in team  Conflict
membership  Lack of coordination
 Lack of time and followup
 Lack of information sharing  Distractions
 Hierarchy  Fatigue
 Defensiveness  Workload
 Conventional thinking  Misinterpretation of
 Varying communication cues
styles  Lack of role clarity

Mod 1 2.0 Page 11


TEAMSTEPPS 05.2 11
Introduction

Patient Safety Movement &


Team Training
Centers for
TeamSTEPPS Medicare &
Released to the Medicaid Services
Public Partnership for
“To Err JCAHO National Patients Campaign
Is Human” Patient Safety TeamSTEPPS
IOM Report Goals TeamSTEPPS® National
Implementation
Institute for Program Began
Healthcare Patient Safety National
DoD Executive Improvement and Quality Implementation
MedTeams® Memo from 100K lives Improvement of CUSP
ED Study President Campaign Act of 2005

1995 1999 2001 2003 2004 2005 2006 2007 2008 2011

Medical Team Training

Mod 1 2.0 Page 12


TEAMSTEPPS 05.2
Introduction

Team Strategies & Tools to Enhance Performance


& Patient Safety

 Based on more than 30 years of research and evidence


 Team training programs have been shown to improve attitudes,
increase knowledge, and improve behavioral skills
 Salas, et al. (2008) meta-analysis provided evidence that team
training had a moderate, positive effect on team outcomes
(ρ = .38)

Mod 1 2.0 Page 13


TEAMSTEPPS 05.2 13
Introduction

What Makes Up Team Performance?

Knowledge Attitudes
Cognitions Affect
“Think” “Feel”

Skills
Behaviors
“Do”

Mod 1 2.0 Page 14


TEAMSTEPPS 05.2 14
Introduction

Outcomes of Team Competencies


 Knowledge
 Shared Mental Model

 Attitudes
 Mutual Trust
 Team Orientation

 Performance
 Adaptability
 Accuracy
 Productivity
 Efficiency
 Safety

Mod 1 2.0 Page 15


TEAMSTEPPS 05.2 15
Introduction

High-Performing Teams
Teams that perform well:
 Hold shared mental models
 Have clear roles and responsibilities
 Have clear, valued, and shared vision
 Optimize resources
 Have strong team leadership
 Engage in a regular discipline of feedback
 Develop a strong sense of collective trust and confidence
 Create mechanisms to cooperate and coordinate
 Manage and optimize performance outcomes
(Salas, et al., 2004)

Mod 1 2.0 Page 16


TEAMSTEPPS 05.2 16
Introduction

Evidence That TeamSTEPPS


Works
 Capella, et al. (2010)  Thomas & Galla (2013)
 Trauma resuscitation team  Systemwide implementation
implementation  Pre- and post-TeamSTEPPS
 Pre- and post-TeamSTEPPS training results:
training results:  Significant improvement
 Team performance improved in HSOPS scores on Feedback
across all teamwork skills: and Communication About
Leadership, Situation Error, Frequency of Events
Monitoring, Mutual Support, Reported, Hospital Handoffs and
Communication Transitions, and Teamwork
Across Units
 Significantly decreased times
from arrival to CT scanner,  Incremental changes evident
endotracheal intubation, and through reduction of
operating room nosocomial infections, falls,
birth trauma, and other incidents

Mod 1 2.0 Page 17


TEAMSTEPPS 05.2 17
Introduction

Applying TeamSTEPPS Exercise


Please answer the following question on your
TeamSTEPPS Implementation Worksheet, which we
will continue to complete at the end of each of the
Fundamentals Course modules:

 What is the patient safety issue your organization


is facing that is linked to a problem with
teamwork?

Mod 1 2.0 Page 18


TEAMSTEPPS 05.2 18

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