ch9 (team approach to healthcare) Flashcards
community paramedicine
a health care model where experienced paramedics receive advanced training to provide additional services to the prehospital environment like health evaluations
continuum of care
the concept of consistent patient care across the entire health care team from first patient contact to patient discharge
crew resource management (CRM)
a set of procedures for use in environments where human error can have disastrous consequences
-empowers everyone to communicate with one another
group
a collection of individual health care providers working independently to help the patient
mobile integrated healthcare (MIH)
providing health care within the community rather than at a physician’s office or hospital
situational awareness
knowledge and understanding of one’s surroundings and the ability to recognize potential risks to the safety of the patient or EMS team
team
a group of health care providers who are assigned specific roles and are working interdependently in a coordinated manner under a designated leader
team leader
provides role assignments, coordination, oversight, centralized decision making and support for the team to accomplish their goals and achieve desired results
what are the key goals of the EMS agenda?
minimize exposure to injury, infections, illness or stress
what is a just culture?
an approach to leadership that balances fairness and accountability and encourages people to report errors and near misses
-focus on risk management
the EMS system considers human error to be a function of three factors:
- a person intended to do the right thing but somehow committed an error (like choosing the wrong treatment)
- person performed a skill incorrectly
- person meant to do something but did not follow through
what is at-risk behavior?
when an EMT makes a choice to take a risk, believing that the adverse outcome is insignificant or it’s justified in the moment
what is reckless behavior?
a conscious disregard for a significant and unjustified risk (usually results in disciplinary action)
regular teams
EMTs consistency interact with the same partner or team and often train together
temporary teams
EMTs work with providers who they do not regularly interact with or may not even know
special teams
members have a particular knowledge, skills, or abilities to serve a specialized roles such a fire team or HazMat team
what are the 5 essential element of a group that people must share?
- a common goal
- an image of themselves as a “group”
- a sense of continuity in the group
- a set of shared values
- different roles within the group (often self-assigned)
dependent group
each individual is told what to do and how often to do it by his/her supervisor or group leader
independent groups
each individual is responsible for his/her own area
interdependent groups
each healthcare provider may be assigned to a particular area or task all of the providers work together with shared responsibilities, accountability, and a common goal (the best possible patient outcome)
what is a common goal?
the best possible patient outcome
the effectiveness of pit crew CPR is dependent on…
defining clear roles and responsibilities among team members
the bets way for a team to be effective during an emergency call is to…
- practice with one another
- become familiar with each other’s tools and preferences
what are the 4 important elements of team communication
- a clear message
- closed-loop communication
- courtesy
- constructive intervention
