Teamwork in Healthcare Flashcards

1
Q

What are the potential benefits of effective teamwork in health?

A
  • Improved communication & partnership
  • Clarity on the role of all health providers
  • Better response processes in addressing the determinants of health
  • Improved coordination of healthcare services
  • High levels of satisfaction on the delivery of services
  • Effective use of health resources
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2
Q

What are some of the causes of failed collaborative practice?

A
  • Lack of time to bring people together to reflect and to change
  • Insufficient inter-professional education
  • Systems of payment that do not reward collaboration
  • Few links between collaborative practice & individual goals
  • Absence of efforts to capture evidence for success & communicate this to key stakeholders, including the public
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3
Q

What are the barriers to team performance?

A
  • Inconsistency in team membership
  • Lack of time
  • Lack of info sharing
  • Hierarchy
  • Varying communication styes
  • Presence of conflict
  • Lack of coordination & follow-up
  • Misinterpretation of cues
  • Lack of role clarity
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4
Q

What are the key principles of teamwork according to TeamSTEPPS?

A
  • Team structure
  • Communication
  • Leadership
  • Situation monitoring
  • Mutual support
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5
Q

What are the 4 teachable components of teamwork?

A
  • Communication (SBAR)
  • Leadership (huddle, debrief)
  • Situation monitoring (STEP)
  • Mutual Support (CUS, DESC)
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6
Q

What is the TeamSTEPPS acronym for situation monitoring?

A
  • S: Status of the patient
  • T: Team members
  • E: Environment
  • P: Progress towards goal
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7
Q

What are examples of assertive statements?

A
  • I am concerned
  • I am uncomfortable
  • This is a safety issue
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8
Q

What are the common derailers in critical conversations?

A
  • Apologising
  • Denial
  • Rationalising
  • Shifting blame
  • Keeping score
  • Negotiation
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9
Q

What are the important steps to planning a critical conversation?

A
  • Anticipate derailers
  • Plan responses to these
  • Make sure your message is clear
  • Focus on the behaviour, not the person
  • How will you know they have understood?
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10
Q

What should you avoid when having critical conversations?

A
  • Feedback sandwiches (main message only)
  • Multiple issues at once
  • Being over friendly to compensate for the negative message
  • Losing control (shouting, tears)
  • Rushing or talking incessantly
  • Making it all about you
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11
Q

What is the DESC acronym for mutual support?

A
  • D: Describe the specific situation or behaviour
  • E: Express how the situation makes you feel/your concerns
  • S: Suggest alternative, seek agreement
  • C: Consequences in terms of impact on established goals
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12
Q

What are the likely outcomes of improved team work?

A
  • Shared mental model
  • Adaptability
  • Team orientation
  • Mutual trust
  • Team performance
  • Patient safety
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