TEAM STEPPS

Question 1

The third leading cause of death is

Answer 1

medical errors

Question 2

Students and working professionals should develop and maintain proficiency in five core areas:

Answer 2

• Delivering patient‐centered care
• Working as part of interdisciplinary teams • Practicing evidence‐based nursing
• Focusing on quality improvement
• Using information technology

Question 3

Team members ability to:
• Anticipate needs of others
• Adjust to each other’s actions and the changing environment
• Have a shared understanding of how a procedure or plan of care should happen

Answer 3

Team work

Question 4

Effective team leaders:

Answer 4

Are responsible for ensuring that team members are sharing information,
monitoring situational cues, resolving conflicts, and helping each other PRN
• Manage resources
• Facilitate team actions by communicating
• Develop norms for information sharing
• Ensure team members are aware of situational changes to plan

Question 5

Supporting teams:
• Backup and fill in for each other
• Are self correcting
• Compensate for each other
• Reallocate functions
• Distribute and assign work thoughtfully
• Regularly provide feedback to each other

Answer 5

mutual support

Question 6

Actively scan and assess elements of a “situation”

Answer 6

situation monitoring

Question 7

Team members with good communication skills can:

Answer 7

Communicate accurate and complete information in a clear & concise manner • Seek information from all sources
• Readily anticipate and share information
• Provide status update
• Verify information received

Question 8

Why Teamwork?

Answer 8

Reduce clinical errors
• Improve patient outcomes
• Improve process outcomes • Increase patient satisfaction • Increase staff satisfaction
• Reduce malpractice claims

Question 9

• 3 activities that promote teamwork:

Answer 9

brief
huddles
debriefs

Question 10

Brief: address the following questions

Answer 10

• Who is on the team?
• All members understand and agree upon goals?
• Roles & responsibilities are understood?
• What is our plan of care?
• Staff and provider’s availability throughout the shift? • Workload among team members?
• Availability of resources?

Question 11

Huddle addresses

Answer 11

Problem solving
• Hold ad hoc, “touch‐base” meetings to regain situation awareness
• Discuss critical issues and emerging events
• Anticipate outcomes
and likely contingencies
• Assign resources
• Express concerns

Question 12

Debrief addresses the following questions

Answer 12

Communication was clear?
• Role & responsibilities understood?
• Situation awareness maintained?
• Workload distribution equal?
• Task assistance requested or offered?
• Were errors made or avoided? Availability of resources?
• What went well, what should change, what should improve?

Question 13

2 steps that involve situation monitoring:

Answer 13

Cross monitoring
STEP
IM SAFE checklist

Question 14

An error reduction strategy that involves:
• Monitoring actions of other team members
• Providing a safety net within the team
• Ensuring mistakes or oversights are caught quickly and easily • “Watching each others backs”

Answer 14

cross monitoring

Question 15

STEP:

Answer 15

Status of the patient
Team members
Environment
Progress

Question 16

IM SAFE

Answer 16

illness
medication
stress
Alcohol and drugs
Fatigue
Eating and elimination

Question 17

FEEDBACK SHOULD BE

Answer 17

timely
respectful
specific
directed towards improvement
considerate

Question 18

Team members protect each other from work overload situations
• Effective teams place all offers & supports in terms of patient safety
• Team members foster a climate that assistance is actively sought & offered

Answer 18

task assistance

Question 19

t is your responsibility to assertively (not aggressively) voice concerns at least two (2) times
• Team member being challenged must acknowledge
• IF the outcome is still not acceptable: • Take a stronger course of action
• Utilize supervisor or chain of command
• Empower all team members to “stop the line” if they sense/discover an essential safety breach

Answer 19

TWO CHALLENGE RULE

Question 20

CUS

Answer 20

concerned
uncomfortable
Safety

Question 21

Addressing conflict
• Win‐Win situation
• Team members, team, and patient
• Commitment to a common mission
• Involved full and open communication
• Meet objectives/goals without compromising • Maintain relationships

Answer 21

collaboration

Question 22

Communication includes

Answer 22

SBAR
call out
check back
handoff
I pass the baton

Question 23

SBAR-

Answer 23

situation
background
assessment
recommendation

Question 24

Informs all teams members simultaneously during emergent situation • Helps team members anticipate next step
• Direct responsibility to a specific person for carrying out the task
• Example:
• Leader: “Airway status?”
• Resident: “Airway clear”
• Leader: “Breath sounds?”
• Resident: “Breath sounds decreased RLL.” • Leader: “BP?”
• Resident: “BP is 90/62”

Answer 24

call out

Question 25

Closed loop communication to ensure information was conveyed by sender and receiver understood
• Steps include
• Sender initiates the message
• Receiver accepts the message and provides feedback
• Sender double‐checks to ensure that the message was received
• Example:
• HCP: “Give 1 mg Morphine IV push now” • Nurse: “1 mg Morphine IV push now”
• HCP: “That is correct”

Answer 25

check back

Question 26

Transfer of information during transition of care • Change of shift
• Patient transfer
• Opportunity to ask questions, clarify, & confirm

Answer 26

handoff

Question 27

I PASS THE BATON

Answer 27

Introduction
PAtient
Assessment
situation
safety concerns
background
actions
timing
ownership
next