FUNDA LEC EXAM WEEK 5(PART 2) Flashcards
is designed as a resource for healthcare providers to improve
patient safety through effective communication and teamwork skills
(Health Research and Educational Trust, 2015).
• This evidence-based patient safety toolkit addresses the following:
• leading causes of medical errors
• helps organizations improve the quality, safety
• efficiency of health care delivery.
teamSTEPPS
TSTEPPS MEANS???
team strategies and tools to enhance performance and patient safety
TeamSTEPPS is based on a framework of four core competencies
• Communication
• Leadership
• Situation monitoring
• Mutual support
effectively exchange information among team
members, regardless of how it is communicated.
communication
direct and coordinate, assign tasks, motivate team
members and facilitate optimal performance.
leadership
develop common understandings of the team
environment, apply strategies to monitor team members’
performance, maintain a shared mental model.
situation monitoring
anticipate other team members’ needs through
accurate knowledge, shift workload to achieve balance during
periods of high workload or stress.
mutual support
There are three phases to TeamSTEPPS® implementation. What are those three???
- Phase One: Assessment
- Phase Two: Planning, Training, and Implementation
- Phase Three: Sustainment
A tactic used to communicate important or critical information. It informs
all team members simultaneously during emergent situations and helps
team members anticipate next steps.
call-out
A standardized technique communicating critical information that
requires immediate attention and action concerning a patient’s
condition. SBAR stands for Situation, Background, Assessment and
Recommendation/Request
SBAR
A strategy for closed-loop communication to ensure that information
conveyed by the sender is understood by the receiver as intended.
check-back
The transfer of information during transition in care across the continuum.
It provides an opportunity to ask questions, clarify and confirm. A specific
tool for this is “I PASS THE BATON” which is designed to enhance the
information exchange.
hands-off
A short session prior to the start of a procedure or event to share
the plan, discuss team formation, assign roles and
responsibilities, establish expectations and climate, and
anticipate outcomes and likely contingencies.
brief
Ad hoc meeting to re-establish situational awareness, reinforce
plans already in place, and assess the need to adjust the plan.
huddle
Informal information exchange session designed to improve the
team performance and effectiveness through lessons learned
and reinforced of positive behaviors.
debrief
A tool for monitoring situations in the delivery of health care
and useful in situation monitoring of the patient. STEP stands
for: Status of the patient, Team members, Environment,
Progress towards a goal.
step
A harm error reduction strategy that involves: Monitoring the
actions of other team members, providing a safety net within
the team, ensuring that mistakes or oversights are caught
quickly and easily. “Watching each other’s back”.
cross-monitoring
A checklist used during situation monitoring by each team
member to assess his or her own safety status. I’M SAFE stands
for: Illness, Medication, Stress, Alcohol, and Drugs, Fatigue,
Eating and Elimination.
I’M SAFE checklist
Empowers all team members to “stop the line “if
they sense or discover an essential safety breach
two challenge rule
An assertive statement used when a team member
would like to “stop the line”. I am Concerned! I am
Uncomfortable! This is a Safety Issue.
CUS
An approach for managing and resolving conflict.
DESC stands for: Description, Express, Suggest,
Consequences.
DESC script
Setting a team goal provides every team
member a focused objective to work toward, which help create
team unity, and provides space for feedback. Without setting
common goals, individuals on a team may have different outcomes
in mind, which can only serve to hinder progress
establish team goals
Nurses interact with a large number of
health care professionals, both within their own team and across
departments. It is crucial to have and understanding of key roles
within individual teams to achieve greater collaboration. If clear
roles are not assigned, team members may duplicate efforts in some
areas while leaving gaps in others. This not only waste time but could
cause patient harm. Each member must understand their role and
expectations to achieve the team goal.
assign roles within a team
because nurses interact with many
people, from patients to practitioners, they must develop kin listening skills.
Those working alongside nurses may have their individual feedback,
suggestions or questions; making active listening an important aspect of
team operations.
allow for open communication
mutual respect is critical in healthcare
settings, not just within the team but across collaborative
departments. Team members who are not feeling respected can
become defensive, foster hidden agendas, demonstrate a lack of
engagement, and worse. Building mutual respect comes through a
common, focused goal,; an understanding that each individual’s
work is valuable and an acknowledgment of the efforts of ot
promoting mutual respect
Effective teamwork and collaboration in
nursing exist with the understanding that some conflict is inevitable. By
allowing for open communication and listening to team members’
concerns, nurses can encourage productive conflict resolution in its early
stages. Nursing 2019 notes that while there are several approaches to
handling conflict, — such as competition, accommodation, and
compromise, — collaboration is most effective. When all parties approach
conflict by focusing on the end goal, maintaining respect, and listening
openly, most issues can be resolved effectively
handle conflict proactively
the field of health care is filled with leaders,
and nursing is no exception. Specialized nurse practitioners
frequently assume leadership roles, taking charge of teamwork and
collaborative efforts. The best leader can adapt to different
circumstances based on the team, patient care goals, and the
needs of the health care organization. Quality leaders must be
flexible while helping their team members and other departments in
an open and respectful manner.
be an active leader
the field of health care is filled with leaders,
and nursing is no exception. Specialized nurse practitioners
frequently assume leadership roles, taking charge of teamwork and
collaborative efforts. The best leader can adapt to different
circumstances based on the team, patient care goals, and the
needs of the health care organization. Quality leaders must be
flexible while helping their team members and other departments in
an open and respectful manner.
be an active leader
