Strategies and Tools to Enhance Performance and Patient

Strategies and Tools to Enhance Performance and Patient Safety Adoption in Action AHRQ funded project UNCHCS/RTI partnership Refresher Training

Introduction Objectives for Review Mod 1 06. 2 05. 2 Page 2 n Describe effective team structure n Describe effective leadership and leadership skills n Describe the relationship between situation monitoring, shared mental models, and team effectiveness n Describe effective verbal and task related mutual support n Describe effective communication skills n Recognize barriers to effective teamwork TEAMSTEPPS 05. 2 2

Introduction Required Skills for Team Performance n Leadership n Situation Awareness n Mutual Support n Communication Mod 1 06. 2 05. 2 Page 3 TEAMSTEPPS 05. 2 3

Introduction Effective Team Leaders n Organize the team n Articulate clear goals n Make decisions through collective input of members n Empower members to speak up and challenge, when appropriate n Actively promote and facilitate good teamwork n Skillful at conflict resolution Mod 1 06. 2 05. 2 Page 4 TEAMSTEPPS 05. 2 4

Introduction Team Events n Briefs – planning n Huddles – problem solving n Debriefs – process improvement Leaders are responsible to assemble the team and facilitate team events But remember… Anyone can request a brief, huddle, or debrief Mod 1 06. 2 05. 2 Page 5 TEAMSTEPPS 05. 2 5

Introduction Mod 1 06. 2 05. 2 Page 6 TEAMSTEPPS 05. 2 6

Introduction Mod 1 06. 2 05. 2 Page 7 TEAMSTEPPS 05. 2 7

Introduction Team Huddles Mod 1 06. 2 05. 2 Page 8 TEAMSTEPPS 05. 2 8

Introduction Debriefs should be conducted for the following reasons: Mod 1 06. 2 05. 2 Page 9 n So team members learn from actual situations n So learning takes place collectively n So team members can exchange information n So teams can improve performance TEAMSTEPPS 05. 2 9

Introduction Mod 1 06. 2 05. 2 Page 10 TEAMSTEPPS 05. 2 10

Introduction Modeling Teamwork n Effective team leaders utilize the team skills in their daily practice and encourage team behaviors by: n n Mod 1 06. 2 05. 2 Page 11 Sharing information Displaying appropriate communication, monitoring, and support behaviors Helping team members achieve the effective team performance using the same behaviors Encouraging active participation by all team members TEAMSTEPPS 05. 2 11

Introduction Required Skills for Team Performance n Leadership n Situation Awareness n Mutual Support n Communication Mod 1 06. 2 05. 2 Page 12 TEAMSTEPPS 05. 2 12

Introduction A Continuous Process Situation Monitoring (Skill) Situation Awareness (Individual Outcome) Shared Mental Models (Team Outcome) Mod 1 06. 2 05. 2 Page 13 TEAMSTEPPS 05. 2 13

Introduction Required Skills for Team Performance n Leadership n Situation Awareness n Mutual Support n Communication Mod 1 06. 2 05. 2 Page 14 TEAMSTEPPS 05. 2 14

Introduction Mutual Support Mutual support is the essence of teamwork n Protects team members from work overload situations that may reduce effectiveness and increase the risk of error n Mutual support consists of helping your fellow teammates by offering assistance n Two kinds of mutual support Mod 1 06. 2 05. 2 Page 15 n Task related n Verbal TEAMSTEPPS 05. 2 15

Introduction I’M SAFE Checklist I = Illness M = Medication S = Stress A = Alcohol and Drugs F = Fatigue E = Eating, Elimination, and Emotions Mod 1 06. 2 05. 2 Page 16 TEAMSTEPPS 05. 2 16

Introduction Required Skills for Team Performance n Leadership n Situation Awareness n Mutual Support n Communication Mod 1 06. 2 05. 2 Page 17 TEAMSTEPPS 05. 2 17

Introduction Please Use CUS Words but only when appropriate! Mod 1 06. 2 05. 2 Page 18 TEAMSTEPPS 05. 2 18

Introduction “I need clarity. ” Mod 1 06. 2 05. 2 Page 19 TEAMSTEPPS 05. 2 19

Introduction Check Back Sender verifies that the message was received Receiver accepts the message and provides feedback confirmation Sender initiates the message Mod 1 06. 2 05. 2 Page 20 TEAMSTEPPS 05. 2 20

Introduction Callout n A strategy used to communicate important or critical information. n It informs all team members simultaneously during emergency situations n It helps team members anticipate next steps n On your unit, what information would you want called out? Mod 1 06. 2 05. 2 Page 21 TEAMSTEPPS 05. 2 21

Introduction Next Stepps Mod 1 06. 2 05. 2 Page 22 TEAMSTEPPS 05. 2 22