quiz 4 Flashcards

1
Q

Team STEPPS

What does Team STEPPS stand for?

inro + module 1

A

Team Strategies and Tools to Enhance Performance and Patient Safety

medical team training that was released to public in 2005

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2
Q

Team STEPPS

What are some barriers to team performance?

intro + module 1

A
  • inconsistency in team membership
  • lack of time
  • lack of information sharing
  • hierarchy
  • defensiveness
  • conventional thinking
  • varying communication styles
  • conflict
  • lack of coordination and follow up
  • distractions
  • fatigue
  • workload
  • misinterpretation of cues
  • lack of role clarity
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3
Q

Team STEPPS

TeamSTEPPS is based on 10 years of research and evidence

intro + module 1

A

FALSE; based on 30 years

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4
Q

Team STEPPS

How do team training programs help?

intro + module 1

A

shown to:
- improve attitudes
- increase knowledge
- improve behavioral skills

moderate positive effect on team outcomes

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5
Q

Team STEPPS

What makes up team perfomance?

intro + module 1

A
  • knowledge: cognitions –> “think”
  • skills: behaviors –> “do”
  • attitudes: affect –> “feel”
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6
Q

Team STEPPS

What are the outcomes of team competencies?

intro + module 1

A
  • knowledge: shared mental model
  • attitudes: mutual trust and team orientation
  • performance: adaptability, accuracy, productivity, efficiency, and safety
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7
Q

Team STEPPS

What are the core competencies in practice?

intro + module 1

A
  • team structure (designated members for certain roles)
  • leadership (leadership role/point)
  • situation monitoring (observing your team)
  • mutual support (helping each other instead of waiting for people to complete their task)
  • communication (what information was communicated and how did it affect your ability to perform)
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8
Q

Team STEPPS

What do teams that perform well consist of?

intro + lecture

A
  • shared mental models/understanding/goals
  • clear roles and responsibilities
  • clear, valued, and shared vision
  • optimization of resources
  • strong team leadership
  • engaging in a regular discipline of feedback
  • strong sense of collective trust and confidence
  • mechanisms created to cooperate and coordinate
  • managing and optimizing performance outcomes
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9
Q

T/F

Teamwork can occur in the absence of a clearly defined team

module 2

A

FALSE; cannot occur

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10
Q

Team STEPPS

What defines a team?

module 2

A

two or more people who:
- interact dynamically, interdependently, AND adaptively toward a common and valued goal
- have specific roles or functions
- have a time-limited membership

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11
Q

Team STEPPS

What are some strategies for involving patients in their care?

module 2

A
  • include patients in bedside rounds
  • conduct Handoffs at the patient’s bedside
  • provide patients with tools for communicating with their care team
  • involve patients in key committees
  • actively enlist patient participation
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12
Q

Team STEPPS

What are some responsibilities of the clinical team?

embrace patients and their families as valuable & contributing partners

module 2

A
  • listen to patients and their families
  • assess patients’ preference regarding involvement
  • ask patients about their concerns
  • speak to them in lay terms
  • allow time for patients and families to ask questions
  • ask for their feedback
  • give them access to relevant information
  • encourage patients and their families to proactively participate in patient care
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13
Q

Team STEPPS

What are some responsibilities of the patient and their family?

module 2

A
  • provide accurate patient information
  • comply with the prescribed plan of care (e.g., schedule and attend appointments as directed)
  • ask questions and/or voice any concerns regarding the plan of care
  • monitor and report changes in the patient’s condition
  • manage family members
  • follow instructions of the clinical team
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14
Q

Team STEPPS

What does MTS stand for?

module 2

A

multi-team system

used for patient care

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15
Q

Team STEPPS

What does the MTS for Patient Care consist of?

module 2

A
  • patient
  • core team / contingency teams
  • coordinating team
  • ancillary & support services
  • adminstration
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16
Q

Team STEPPS

What is a core team?

module 2

A

a group of care providers who work interdependently to manage a set of assigned patients from point of assessment to disposition

17
Q

Team STEPPS: T/F

Core team members have the closest contact with the patient.

module 2

18
Q

Team STEPPS

What is a contingency team?

module 2

A

a time-limited team formed for emergent or specific events and composed of members from various teams

19
Q

Team STEPPS

What is a coordinating team?

module 2

A

a team comprising of those work area members who are responsible for managing the operational environment that supports the Core Team

20
Q

Team STEPPS

What are ancillary & support services?

module 2

A

ancillary services provide direct, task-specific, time-limited care to patients

support sevices provide indirect service-focused tasks which help to facilitate the optimal health care experience for patients and their families

21
Q

Team STEPPS

What is the role of administration?

module 2

A
  • establish and communicate vision
  • develop policies and set expectations for staff related to team work
  • support and encourage staff during implementation and culture change
  • hold teams accountable for team performance
  • define the culture of the organization
22
Q

Team STEPPS

Why is communication important?

module 3

A
  • effective communication skills are vital for patient safety
  • enables team members to effectively relay information

ineffective communication was identified as root cause for nearly 66% percent of all reported sentinel events (events that lead to death) and is among top 3 root causes of sentinel events reported

23
Q

Team STEPPS

What is communication?

module 3

A

the process by which information is exchanged between individuals, departments, or organizations
- the lifeline of the Core Team
- effective when it permeates every aspect of an organization

24
Q

Team STEPPS

What are the standards of effective communication?

module 3

A
  • complete
  • clear
  • brief
  • timely
25
# Team STEPPS What are some communication challenges that can occur? ## Footnote module 3
- language barrier - distractions - physical proximity - personalities - workload - varying communication styles - conflict - lack of information verification - shift change
26
# Team STEPPS What are some information exchange strategies? ## Footnote module 3
- SBAR (situation - background - assessment - recommendation) - call out - check back - handoffs
27
# Team STEPPS What does SBAR stand for? ## Footnote module 3
**situation** - what is going on with the patient? **background** - what is the clinical background or context? **assessment** - what do I think the problem is? **recommendation** - what would I recommend?
28
# Team STEPPS What does SBAR provide/what is it? ## Footnote module 3
a framework for team members to effectively communicate information to one another
29
# Team STEPPS What is Call-Out? ## Footnote module 3
a strategy used to communicate important or critical information - **informs all team members simultaneously during emergency situations** - **helps team members anticipate next steps** | code blue being called = everyone knows what's going on + the next steps
30
# Team STEPPS What is Check-Back? ## Footnote module 3
1. sender initiates message 2. receiver accepts message, provides feedback confirmation 3. sender verifies message was received 4. back to 1 ***example: using an interpreter and going back + forth*** | communcation closed loop
31
# Team STEPPS What is Handoff? ## Footnote module 3
the ***transfer*** of information **during transitions in care** across the continuum - includes an opportunity to ask questions, clarify, and confirm
32
# Team STEPPS What does Handoff consist of? ## Footnote module 3
- transfer of responsibility and accountability - clarity of information - verbal communication of information - acknowledgement by receiver - opportunity to review