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Flashcards in TEAM STEPPS Deck (27)
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1

The third leading cause of death is

medical errors

2

Students and working professionals should develop and maintain proficiency in five core areas:

• Delivering patient‐centered care
• Working as part of interdisciplinary teams • Practicing evidence‐based nursing
• Focusing on quality improvement
• Using information technology

3

Team members ability to:
• Anticipate needs of others
• Adjust to each other’s actions and the changing environment
• Have a shared understanding of how a procedure or plan of care should happen

Team work

4

Effective team leaders:

Are responsible for ensuring that team members are sharing information,
monitoring situational cues, resolving conflicts, and helping each other PRN
• Manage resources
• Facilitate team actions by communicating
• Develop norms for information sharing
• Ensure team members are aware of situational changes to plan

5

Supporting teams:
• Backup and fill in for each other
• Are self correcting
• Compensate for each other
• Reallocate functions
• Distribute and assign work thoughtfully
• Regularly provide feedback to each other

mutual support

6

Actively scan and assess elements of a “situation”

situation monitoring

7

Team members with good communication skills can:

Communicate accurate and complete information in a clear & concise manner • Seek information from all sources
• Readily anticipate and share information
• Provide status update
• Verify information received

8

Why Teamwork?

Reduce clinical errors
• Improve patient outcomes
• Improve process outcomes • Increase patient satisfaction • Increase staff satisfaction
• Reduce malpractice claims

9

• 3 activities that promote teamwork:

brief
huddles
debriefs

10

Brief: address the following questions

• Who is on the team?
• All members understand and agree upon goals?
• Roles & responsibilities are understood?
• What is our plan of care?
• Staff and provider’s availability throughout the shift? • Workload among team members?
• Availability of resources?

11

Huddle addresses

Problem solving
• Hold ad hoc, “touch‐base” meetings to regain situation awareness
• Discuss critical issues and emerging events
• Anticipate outcomes
and likely contingencies
• Assign resources
• Express concerns

12

Debrief addresses the following questions

Communication was clear?
• Role & responsibilities understood?
• Situation awareness maintained?
• Workload distribution equal?
• Task assistance requested or offered?
• Were errors made or avoided? Availability of resources?
• What went well, what should change, what should improve?

13

2 steps that involve situation monitoring:

Cross monitoring
STEP
IM SAFE checklist

14

An error reduction strategy that involves:
• Monitoring actions of other team members
• Providing a safety net within the team
• Ensuring mistakes or oversights are caught quickly and easily • “Watching each others backs”

cross monitoring

15

STEP:

Status of the patient
Team members
Environment
Progress

16

IM SAFE

illness
medication
stress
Alcohol and drugs
Fatigue
Eating and elimination

17

FEEDBACK SHOULD BE

timely
respectful
specific
directed towards improvement
considerate

18

Team members protect each other from work overload situations
• Effective teams place all offers & supports in terms of patient safety
• Team members foster a climate that assistance is actively sought & offered

task assistance

19

t is your responsibility to assertively (not aggressively) voice concerns at least two (2) times
• Team member being challenged must acknowledge
• IF the outcome is still not acceptable: • Take a stronger course of action
• Utilize supervisor or chain of command
• Empower all team members to “stop the line” if they sense/discover an essential safety breach

TWO CHALLENGE RULE

20

CUS

concerned
uncomfortable
Safety

21

Addressing conflict
• Win‐Win situation
• Team members, team, and patient
• Commitment to a common mission
• Involved full and open communication
• Meet objectives/goals without compromising • Maintain relationships

collaboration

22

Communication includes

SBAR
call out
check back
handoff
I pass the baton

23

SBAR-

situation
background
assessment
recommendation

24

Informs all teams members simultaneously during emergent situation • Helps team members anticipate next step
• Direct responsibility to a specific person for carrying out the task
• Example:
• Leader: “Airway status?”
• Resident: “Airway clear”
• Leader: “Breath sounds?”
• Resident: “Breath sounds decreased RLL.” • Leader: “BP?”
• Resident: “BP is 90/62”

call out

25

Closed loop communication to ensure information was conveyed by sender and receiver understood
• Steps include
• Sender initiates the message
• Receiver accepts the message and provides feedback
• Sender double‐checks to ensure that the message was received
• Example:
• HCP: “Give 1 mg Morphine IV push now” • Nurse: “1 mg Morphine IV push now”
• HCP: “That is correct”

check back

26

Transfer of information during transition of care • Change of shift
• Patient transfer
• Opportunity to ask questions, clarify, & confirm

handoff

27

I PASS THE BATON

Introduction
PAtient
Assessment
situation
safety concerns
background
actions
timing
ownership
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