Week 8 Teamwork and Collaboration (4 Questions) Flashcards
Sentinel events =
= high impact warning events
- need to do root cause analyses to prevent from happening again
Standards of effective communication (4)
- Complete
- Clear
- Brief
- Timely
Challenges to communication
- language barriers
- distraction
- physical proximity
- personalities
- workload
- varying styles
- conflict
- lack of info verification
- shift change
Information exchange strategies (4)
1) SBAR
2) Call-out
3) Check- Back
4) Handoff
Call-out =
= strategy used to communicate important or CRITICAL INFO to all team members simultaneously
Check-back =
= repeat back vital info to make sure heard correctly - closes loop of communication
Handoff =
= transfer of info during transitions in care across continuum, include opportunity to ask questions, clarify, confirm
ex) I pass the baton
Outcomes of effective communication ->
- > PATIENT SAFETY
- shared mental model, adaptability, team orientation, mutual trust, team performance
Team =
= 2 or more people who interact dynamically, interdependently, and adaptively toward common and valued goal
- have specific role functions, time limited membership
Ways to partner with the patient ->
-> involve pt in care, include in bedside rounds, conduct handoffs at bedside, communication, actively listen, concerns
Multi-Team System for Patient Care, who is at the top?
Patient
Core Team =
= group of providers who work independently to manage set of assigned pts from point of ASSESSMENT TO DISPOSITION- have closest contact with pt (nurses)
Contingency Team =
= time limited team formed for EMERGENT or SPECIFIC EVENTS, composed of members from various teams, come together
ex) CODE TEAM, RRT
Coordinating Team =
= team compromising work area members who are responsible for managing operation env. that supports core team
ex) CASE MANAGER, UNIT CLERK, PHARMACY
Ancillary team =
= provide direct, task-specific, time-limited care to pts
ex) transport, dietary, environmental
Support Service =
= provide INDIRECT service-focused tasks which help facilitate optimal health care experience for pt and families
ex) Lab, central supply
Team STEPPS =
= Team Strategies and Tools to Enhance Performance and Patient Safety
Types of Team Leaders
1) Designated =
2) Situational =
= person assigned to lead and organize team, establish clear goals, facilitate open communication and teamwork among team members
= any team member who has skills to manage situation at hand
Defining the plan -> leaders should consider
1) Time - how much time do we have to complete?
2) People - available staff necessary?
3) Equipment - necessary equipment available and working?
4) Information - has all necessary info been collected and reviewed?
Briefs =
Briefing check tool
= for sharing the plan
- effective strategy for sharing plan, help form team, designate roles/responsibilities, establish climate and goals, engage team in short and long term planning
Huddle =
= for Monitoring and Modifying the plan
- problem solving, touch base meetings to regain situation awareness, discuss critical issues, emerging events
Debrief =
= for process improvement*
- brief, informal exchange and feedback sessions, occurs after event or shift, designed to improve teamwork skills and outcomes
Effective leaders facilitate _______
Effective leaders cultivate desired team _____
- resolution
- behaviors
CUS
- concerned
- uncomfortable
- safety