Teamwork in Healthcare - Canadian Patient Safety Institute€¦ · Teamwork –the Essentials...

Teamwork in HealthcareMaking patients safer

W. Ward Flemons MD

The origins of Teamwork

CUMMING SCHOOL OF MEDICINE 2

Improving healthcare safety


Teaching Teamwork to undergraduates

▪ Team STEPPS designed as an organizational strategy

▪ Skills are not well defined – can they be tested?

▪ Physician oriented

▪ Passive learning (slides) > > Active learning

▪ Undergraduates have limited or no clinical experience

▪ Team skills are ‘soft’ skills

▪ Often learned during simulation BUT . . . .

▪ Cognitive overload – learning clinical skills 1st priority


Teamwork – the Essentials

CUMMING SCHOOL OF MEDICINE

Team Scheme

TeamSTEPPS Canada™ Fundamentals

Core teamwork skills

1.4

Team Scheme Leadership/

Membership

Leaderisclearlyiden3fied/Teamroles

areunderstood

Leaderpriori+zestasksanddelega3onis

balanced

Leaderar3culatesgoals/membersseekclarifica3on

Leaderdoesnotbecometask-focused

Leaderfacilitatesteamcommunica3on,

situa3onmonitoring,anddecisionmaking

Communica3on

Essen3alinforma3oniscommunicated

throughtheteamleader

Communica+onisclear,conciseanddirect

àusenamesoreyecontact

Ac3onsandtasksareverbalized(call-outs)

Communica3onis“closed-loop”

Handoffsareorganizedandeffec3ve

Situa3on

Monitoring

Amentalmodelisshared

àbriefandhuddleasneeded

Pa3entstatusisfrequentlyreassessed

àisthereprogressiontowardsthestatedgoal?

Challengesarean+cipated

àCallforhelpearly

Teammembers

cross-monitoroneanother

Resourcesareu3lizedappropriately

(personnel,equipment,cogni3veaids)

Collabora3veDecisionMaking/

MutualSupport

Decisionsaremadeforprogressiontoendgoal

àcollec+veinputfromteam

Membersareasser+ve,whennecessary,

toadvocateforpa3ent’ssafety

Memberspromoteandfacilitategoodteamwork

àtaskassistanceàfeedback

Conflictsareeffec3velymanagedandresolved

Allteammembersshareequalresponsibilityfor

achievinggoals

Adaptedfrom:CIHCNa3onalInterprofessionalCompetencyFrameworkandTeamSTEPPS5

The intervention


Team SchemeTeam Scheme Leadership/

Membership


areunderstood


balanced





Communica3on








Situa3on

Monitoring






àCallforhelpearly

Teammembers





MutualSupport









achievinggoals

Adaptedfrom:CIHCNa3onalInterprofessionalCompetencyFrameworkandTeamSTEPPS

+

Falling Through the Cracks: Greg’s Storyhttps://gregswings.ca/fttc-gregsstory/

6

https://gregswings.ca/fttc-gregsstory/

The intervention


▪ Workshops1 2 3

Scenarios

SBAR

Advocacy &Assertion

Teamwork skills - debrief

Good examples

Missed opportunities

What if . . . . ?

Teaching scenes

Teamwork skills - practice

7

Our assessment


▪ The film puts all learners in the same experience

▪ Team Scheme allows us to reinforce skills & concepts

▪ Key concepts— Shared mental model (Goal and Plan)

— Patients are part of the team (an equal part!)

— Adapt

— Trust

— Psychological safety

8

Applying Teamwork Knowledge


Team Scheme Leadership/

Membership


areunderstood


balanced





Communica3on








Situa3on

Monitoring






àCallforhelpearly

Teammembers





MutualSupport









achievinggoals

Adaptedfrom:CIHCNa3onalInterprofessionalCompetencyFrameworkandTeamSTEPPS

TeamScheme

9

The Co-pilot Collective


▪ Bringing people together to create change

▪ http://gregswings.ca/the-co-pilot-collective/

10

http://gregswings.ca/the-co-pilot-collective/

Teamwork in HealthcareMaking patients safer

Teamwork in Healthcare - Canadian Patient Safety Institute€¦ · Teamwork –the Essentials...

Documents

Transcript of Teamwork in Healthcare - Canadian Patient Safety Institute€¦ · Teamwork –the Essentials...