Post on 13-Apr-2017
Interprofessional Communication:Challenges and Opportunities
Walter Eppich, MD, MEdAssociate Professor of Pediatrics and Medical Education
Northwestern University Feinberg School of MedicineAnn & Robert H. Lurie Children’s Hospital of Chicago
Chicago/USA
Why this matters
Walter Eppich, MD, MEd
Learning through talk
Walter Eppich, MD, MEd
Learningconversations
Walter Eppich, MD, MEd
Walter Eppich, MD, MEd
When communication breaks down,learning breaks down
Walter Eppich, MD, MEd
The problem
1. Competent individuals come together to form incompetent teams
2. Individuals who perform competently in one team may not in another team.
3. One incompetent member functionally impairs some teams, but not others.
Lingard 2012Walter Eppich, MD, MEd
Collective (in)competence
Walter Eppich, MD, MEd
Collective (in)competence
Walter Eppich, MD, MEd
The foundation:Supportive workplace culture
Walter Eppich, MD, MEd
Nicholas_T on FlickrCorey Leopold on Flickr
How is your workplace culture?
Walter Eppich, MD, MEd
Psychological safety
• A belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes
• Interpersonal risk-taking is possible
Edmondson 1999, 2008, 2012Walter Eppich, MD, MEd
PsychologicalSafetyChallenge &
Responsibility
Walter Eppich, MD, MEd
Safety is not a word; safety is a feeling
Walter Eppich, MD, MEd
Safety is not a word; safety is a feeling
Walter Eppich, MD, MEd
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Walter Eppich, MD, MEd
Clin Ped Emerg Med 2015
Speaking up
Walter Eppich, MD, MEd
Disruptivebehavior
Witnessingrudeness
“Pimping”
Walter Eppich, MD, MEd
Implications for clinical practice
Walter Eppich, MD, MEd
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TEAMWalter Eppich, MD, MEd
• Understand reciprocal interdependence• Know they don’t have every answer• Empower team members to generate ideas,
find answers, solve problems• Invite and welcome input• Show fallibility
Edmondson 2012
Effective leaders
Walter Eppich, MD, MEd
Steering the talk
Walter Eppich, MD, MEd
Specific communication aids
C-U-S Words•I am Concerned!
•I am Uncomfortable!
•This is a Safety issue!
S-B-A-R•Situation
•Background
•Assessment
•Recommendation
Walter Eppich, MD, MEd
Checklists
Walter Eppich, MD, MEd
Walter Eppich, MD, MEd
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Walter Eppich, MD, MEd
Culture MattersWalter Eppich, MD, MEd
Walter Eppich, MD, MEd
Take-aways
• Organizations set the tone for teamwork• Psychological safety matters• We need collective competence• Leaders and workplace culture support
the talk of safety and learning
Walter Eppich, MD, MEd