Lesson 4.1: Essentials for the Dental Assistant Flashcards
A strategy to communicate important/critical information
Call-out
Closed-loop communication to ensure information conveyed by the sender is understood by the receiver
Check-back
Provided by team members to improve team performance
Feedback
Empowers all team members to stop in event of a safety violation
Two-challenge Rule
The process of continually scanning and assessing a situation to gain and maintain an understanding of what’s going on around you
Situation Monitoring
The state of “knowing what’s going on around you”
Situation Awareness
This results from each team member maintaining situation awareness and ensures that all team members are “on the same page”
A Shared Mental Model
The five key principles of Team STEPPS
- Team Structure
- Communication
- Leadership
- Situation Monitoring
- Mutual Support
TRUE OR FALSE:
Team STEPPS is an evidence-based framework to optimize team performance across the health care delivery system
True
Identification of the components of a multi-team system that must work together effectively to ensure patient safety
Team Structure
The structured process by which information is clearly and accurately exchanged among team members
Communication
The ability to maximize the activities of team members by ensuring that team actions are understood, changes in information are shared, and team members have the necessary resources
Leadership
Process of actively scanning and assessing situational elements to gain information or understanding, or to maintain awareness to support team functioning
Situation Monitoring
The ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload
Mutual Support
The responsibilities of effective team leaders
- Organize the team
- Identify and articulate clear goals (i.e., the plan)
- Assign tasks and responsibilities
- Monitor and modify the plan; communicate changes
- Review the team’s performance; provide feedback when needed
- Manage and allocate resources
- Facilitate information sharing
- Encourage team members to assist one another
- Facilitate conflict resolution in a learning environment
- Model effective teamwork
A short session prior to start, to share the plan, discuss team formation, assign roles and responsibilities, establish expectations and climate, 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 team performance and effectiveness through lessons learned and reinforcement of positive behaviors
Debrief
Task Assistance:
Key Strategies
- Team members protect each other from work overload situations
- Effective teams place all offers and requests for assistance in the context of patient safety
- Team members foster a climate where it is expected that assistance will be actively sought and offered
Feedback should be:
- Timely
- Respectful
- Specific
- Directed Toward Improvement
- Considerate
A constructive approach for managing and resolving conflict
DESC Script
DESC Script:
D
Describe the specific situation or behavior; provide concrete data
DESC Script:
E
Express how the situation makes you feel/what your concerns are
DESC Script:
S
Suggest other alternatives and seek agreement
DESC Script:
C
Consequences should be stated in terms of impact on established team goals; strive for consensus
Three Assertive Statements
- I am Concerned
- I am Uncomfortable
- This is a Safety Issue
Things to do prior to gloving up
- Confirm patient ID and radiographs and display (Right Patient)
- Review and update HQR
- Call-out, check-back, and site and procedure confirmed by the patient (Right Procedure and Site)
- Don PPE, wash/sanitize, and glove hands (Right Protection)
Things to do after gloving up
- Confirm the internal and external sterilization has occurred (Right Protection)
- Check-out by the dentist by pointing Intra-orally and check-back confirmed by the assistant
Team Competency Outcomes:
Performance
- Adaptability
- Accuracy
- Productivity
- Efficiency
- Safety
Team Competency Outcomes:
Attitudes
- Mutual Trust
2. Team Orientation
Team Competency Outcomes:
Knowledge
Shared Mental Model