Team Strategies and Tools to Enhance Performance and

Team Strategies and Tools to Enhance Performance and Patient Safety

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 n Describe the Team. STEPPS Master Trainer course n Describe the impact of errors and why they occur n Describe the Team. STEPPS framework n State the outcomes of the Team. STEPPS framework Mod 1 2. 0 Page 4 TEAMSTEPPS 05. 2 4

Introduction Course Agenda Day 1: Day 2: n Module 1—Introduction n Change Management: n Module 2—Team Structure n Module 3—Communication n Module 4—Leading Teams n Module 5—Situation Monitoring How to Achieve a Culture of Safety n Coaching Workshop n Measurement n Implementation Planning n Module 6—Mutual Support n 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 n Instructor Manual n Course Management Guide n Instructor guides n Course slides n Measurement tools n Customizable materials n 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 n What breakdowns in teamwork did you observe in the two stories? n How can we prevent medical errors? Mod 1 2. 0 Page 10 TEAMSTEPPS 05. 2 10

Introduction Barriers to Team Performance n Inconsistency in team membership n Lack of coordination n Lack of time and followup n Lack of information sharing n Distractions n Hierarchy n Fatigue n Defensiveness n Workload n Conventional thinking n Misinterpretation of n Varying communication styles Mod 1 2. 0 Page 11 n Conflict cues n Lack of role clarity TEAMSTEPPS 05. 2 11

Introduction Patient Safety Movement & Team Training “To Err Is Human” IOM Report Do. D Med. Teams® ED Study 1995 JCAHO National Patient Safety Goals 2001 Team. STEPPS® Institute for Healthcare Improvement 100 K lives Campaign Executive Memo from President 1999 Team. STEPPS Released to the Public 2003 2004 Patient Safety and Quality Improvement Act of 2005 Medical Team Training Mod 1 2. 0 Page 12 TEAMSTEPPS 05. 2 Team. STEPPS National Implementation Program Began 2006 2007 Centers for Medicare & Medicaid Services Partnership for Patients Campaign National Implementation of CUSP 2008 2011

Introduction Team Strategies & Tools to Enhance Performance & Patient Safety n Based on more than 30 years of research and evidence n Team training programs have been shown to improve attitudes, increase knowledge, and improve behavioral skills n 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 Cognitions “Think” Attitudes Affect “Feel” Skills Behaviors “Do” Mod 1 2. 0 Page 14 TEAMSTEPPS 05. 2 14

Introduction Outcomes of Team Competencies n Knowledge n Shared Mental Model n Attitudes n n Mutual Trust Team Orientation n Performance n n n Mod 1 2. 0 Page 15 Adaptability Accuracy Productivity Efficiency Safety TEAMSTEPPS 05. 2 15

Introduction High-Performing Teams that perform well: n n n n n 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 Team. STEPPS Works n Capella, et al. (2010) n n n Thomas & Galla (2013) Trauma resuscitation team implementation Pre- and post-Team. STEPPS training results: n n Mod 1 2. 0 Page 17 n Systemwide implementation n Pre- and post-Team. STEPPS training results: n Team performance improved across all teamwork skills: Leadership, Situation Monitoring, Mutual Support, Communication Significantly decreased times from arrival to CT scanner, endotracheal intubation, and operating room TEAMSTEPPS 05. 2 n Significant improvement in HSOPS scores on Feedback and Communication About Error, Frequency of Events Reported, Hospital Handoffs and Transitions, and Teamwork Across Units Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other incidents 17

Introduction Applying Team. STEPPS Exercise Please answer the following question on your Team. STEPPS Implementation Worksheet, which we will continue to complete at the end of each of the Fundamentals Course modules: n 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