TeamSTEPPS

Question 1

Cost associated with medical errors annually

Answer 1

$8-$29 billion

Question 2

___% of hospital patients experience a serious medication error.

Answer 2

7%

Question 3

The federal government called for what 3 changes to be made in 5 years regarding medical errors?

Answer 3

Reduce medical errors by 50%
Reduce nosocomial infections by 90%
Eliminate “never should have happened events” (such as wrong-site surgery)

Question 4

Root-cause analyses reveal that medical errors are often related to what?

Answer 4

System errors (breakdown in the expected performance of groups or teams)

Question 5

What is the greatest barrier to effective team performance? Other barriers?

Answer 5

Ineffective communication; complacency, tunnel vision, inadequate team leadership, lack of clarity on roles and responsibilities, inability or unwillingness to accept feedback and/or manage conflict

Question 6

First step in teamwork?

Answer 6

Properly and promptly identifying and establishing a team, and a designated leader

Question 7

What is a team?

Answer 7

2+ people who interact dynamically, interdependently, and adaptively toward a common shared and valued goal, have specific roles or functions, and have a time-limited membership

Question 8

4 pillars that form the foundation for effective teams?

Answer 8

Leadership
Communication
Situation Monitoring
Mutual Support

Question 9

What is leadership?

Answer 9

Ability to coordinate activities of team members and teams by managing the available resources and facilitating team performance by communicating plans, providing and updating information about team performance through debriefs, and providing support to team members when needed

Question 10

2 types of leaders?

Answer 10

1. Designated (assigned to lead and organize a designated core team, establish clear goals, facilitate open communication and teamwork among team members)
2. Situational (any team members who has the skills to manage the situation-at-hand)

Question 11

3 key team events?

Answer 11

1. Briefs - planning, setting the agenda
2. Huddles - problem solving
3. Debriefs - process improvement

Question 12

What is communication?

Answer 12

Process by which information is clearly an accurately exchanged among team members

Question 13

Barriers to effective communication?

Answer 13

Language
Distractions
Personalities
Workload
Varying communication styles
Conflict
Lack of information verification
Shift change, ineffective hand-offs
Failure to involve patient and family

Question 14

3 parts of effective communication?

Answer 14

Clear - plainly understood
Complete - all relevant information
Concise - timely and focused

Question 15

What is SBAR?

Answer 15

Framework for team members to structure information exchanges when communicating with one another, meant to help make information clear, complete concise

Question 16

Parts of SBAR?

Answer 16

Situation - state the situation of concern immediately and concisely so your listener understands the point of the concern
Background - place your concern in the context of relevant background information
Assessment - provide listener with your assessment of situation
Recommendations - provide recommendations

Question 17

What is a call out?

Answer 17

Tactic used to communicate critical information or concerns during an emergent event

Question 18

What is a check back?

Answer 18

Closed-loop communication strategy that involves verification of information

Question 19

What is a hand off?

Answer 19

Transfer of information (along with authority and responsibility) during transitions in care across the continuum

Question 20

What is situation monitoring?

Answer 20

Process of continually scanning and assessing what’s going on around you to maintain situation awareness

Question 21

What is a shared mental model?

Answer 21

Everyone being on the same page

Question 22

What is cross monitoring?

Answer 22

Error reduction strategy that involves monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors, maintaining accurate situation awareness, monitoring each other’s task execution and giving necessary feedback, ensuring that mistakes or oversights are caught quickly

Question 23

What is S. T. E. P.?

Answer 23

Mnemonic that helps us organize our mindfulness and allows us to acquire a trained eye for monitoring elements critical to the situation

Status of patient
Team members
Environment
Progress toward goal

Question 24

Aspects of mutual support?

Answer 24

Task assistance
Feedback
Advocacy and assertion
Conflict

Question 25

Process of advocacy and assertion?

Answer 25

Make an opening with the facts
State the concern
Offer a solution
Seek agreement

Question 26

Two challenge rule?

Answer 26

When dealing with conflicting information or views of a problem, invoke the 2 challenge rule when you believe information is incorrect or an assertion is ignored or resisted. It is your responsibility to assertively voice your concern/corrective up to 2x to ensure that it has been heard. The member being challenged must acknowledge. If the outcome is still not acceptable, then you should take a stronger course of action, call upon a supervisor, or use the appropriate chain of command.

Question 27

CUS words?

Answer 27

Technique for conflict resolution using signal phrases that denote - “I am concerned. I am uncomfortable. This is a safety issues.”

Question 28

DESC script?

Answer 28

Approach to interpersonal conflict among team members

Describe the specific situation (state facts accurately)
Express your concerns/feelings about the behavior
Suggest a constructive alternative
Consequences are stated for failure to respond professionally