TeamSTEPPS Flashcards
Cost associated with medical errors annually
$8-$29 billion
___% of hospital patients experience a serious medication error.
7%
The federal government called for what 3 changes to be made in 5 years regarding medical errors?
Reduce medical errors by 50%
Reduce nosocomial infections by 90%
Eliminate “never should have happened events” (such as wrong-site surgery)
Root-cause analyses reveal that medical errors are often related to what?
System errors (breakdown in the expected performance of groups or teams)
What is the greatest barrier to effective team performance? Other barriers?
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
First step in teamwork?
Properly and promptly identifying and establishing a team, and a designated leader
What is a team?
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
4 pillars that form the foundation for effective teams?
Leadership
Communication
Situation Monitoring
Mutual Support
What is leadership?
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
2 types of leaders?
- Designated (assigned to lead and organize a designated core team, establish clear goals, facilitate open communication and teamwork among team members)
- Situational (any team members who has the skills to manage the situation-at-hand)
3 key team events?
- Briefs - planning, setting the agenda
- Huddles - problem solving
- Debriefs - process improvement
What is communication?
Process by which information is clearly an accurately exchanged among team members
Barriers to effective communication?
Language Distractions Personalities Workload Varying communication styles Conflict Lack of information verification Shift change, ineffective hand-offs Failure to involve patient and family
3 parts of effective communication?
Clear - plainly understood
Complete - all relevant information
Concise - timely and focused
What is SBAR?
Framework for team members to structure information exchanges when communicating with one another, meant to help make information clear, complete concise
Parts of SBAR?
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
What is a call out?
Tactic used to communicate critical information or concerns during an emergent event
What is a check back?
Closed-loop communication strategy that involves verification of information
What is a hand off?
Transfer of information (along with authority and responsibility) during transitions in care across the continuum
What is situation monitoring?
Process of continually scanning and assessing what’s going on around you to maintain situation awareness
What is a shared mental model?
Everyone being on the same page
What is cross monitoring?
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
What is S. T. E. P.?
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
Aspects of mutual support?
Task assistance
Feedback
Advocacy and assertion
Conflict
Process of advocacy and assertion?
Make an opening with the facts
State the concern
Offer a solution
Seek agreement
Two challenge rule?
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.
CUS words?
Technique for conflict resolution using signal phrases that denote - “I am concerned. I am uncomfortable. This is a safety issues.”
DESC script?
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
