Human Factors

Question 1

What is teamSTEPPS?

Answer 1

TeamSTEPPS is an evidence-based set of teamwork tools, aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals.

Question 2

What are the key principles of teamSTEPPS?

Answer 2

Team structure

Leadership

Situation monitoring

Mutual support

Communication

Question 3

What makes an effective team leader?

Answer 3

Organise the team

Articulate clear goals

Make decisions through collective input go members

Empower members to speak up and challenge when appropriate

Actively promote and facilitate good teamwork

Skilful at conflict resolution

Question 4

How do you effectively lead team events?

Answer 4

Planning - brief

Problem solving - huddle

Process Improvement - debrief

Question 5

How do you monitor the situation?

Answer 5

Situational monitoring is the process of continually scanning and assessing what’s going on a round you to maintain situation awareness.

Situation awareness is “knowing what is going on around you”

With a shared mental model, all team members are “on the same page”

Question 6

What is cross monitoring?

Answer 6

An error reduction strategy that involves:

Monitoring actions of other team members
Providing a safety net within the team
Ensuring mistakes or oversights aresaught quickly and easily.
“watching each other’s back”

Question 7

What does STEP stand for?

Answer 7

S - Status of the patient

T - Team member

E - Environment

P - Progress Toward Goal

Question 8

What is the “I’M SAFE” checklist?

Answer 8

I - illness
M - Medication
S - Stress
A - Alcohol and Drugs
F - Fatigue
E - Eating and Elimination

Question 9

What are the forms of mutual support?

Answer 9

Task Assistance

Feedback

Advocacy and Assertion

Two challenge rule

CUS

DESC script

Collaboration

Question 10

What are the options for conflict resolution?

Answer 10

Information conflict (We have different information!)- Two-Challenge Rule

Personal Conflict (Hostile and harassing behaviour)- DESC Script

Question 11

What is the two challenge rule?

Answer 11

When an initial assertion is ignored:

It is your responsibility to assertively voice concern at least twice to ensure it has been heard.

The team member being challenged much acknowledge.

If the outcome os still not acceptable:

• Take a stronger course of action
• Utilise supervisor chain of command.

Question 12

What is CUS?

Answer 12

Concerned
Uncomfortable
Safety issue

Question 13

What is a DESC script?

Answer 13

D - Describe the specific situation or behaviour; provide concrete date

E - express how the situation makes you feel / what your concerns are

S - Suggest other alternatives and seek agreement

C - Consequences should be stated in terms of impact on established team goals; strive for consensus.

Question 14

What are the essentials for communication?

Answer 14

Brief
Clear
Timely

Question 15

What is SBAR?

Answer 15

Situation

Background

Assessment

Recommendation

Question 16

How is callout used?

Answer 16

Shout out loads. It is a strategy used to communicate important or critical information.

Informs all team members simultaneously during emergent situations
Helps team members anticipate next steps
Important to direct responsibility to a specific individual responsible for carrying out the task.

Question 17

How is “check-back” used?

Answer 17

Process of emptying closed-loop communication to ensure that information conveyed by the sender is understood by the receiver as intended.

Question 18

How is “handoff” used?

Answer 18

“I PASS the BATON”

I - Introduction 
P - Patient 
A - Assessment
S - Situation
S - Safety concerns 
THE
B - Background
A - Actions
T - Timing
O - Ownership
N - Next

Question 19

What is the team performance observation tool?

Answer 19

Team structure

Leadership

Situation Monitoring

Mutual Support

Communication