Stephen M. Powell, MS Principal, Managing Partner

Slides:

Advertisements

Similar presentations

Communication in Health Care Mayo Clinic Florida Experience Galen Perdikis, MD Associate Professor, Plastic Surgery Associate Dean Mayo School of Health.

Advertisements

Team Structure The ratio of We’s to I’s is the best indicator of the development of a team. –Lewis B. Ergen NEXT: ®

TEAMWORK AND COMMUNICATION TRAINING

Promoting a Positive Environment in the Operating Department Ivana Stojkovic AP&SN Serbia.

Introducing the Checklist 101: Hard Lessons Learned From Life Bill Berry, MD, MPH Sunil Eappen, MD Lizzie Edmondson.

Measurement. T EAM STEPPS 05.2 Mod Page 2 Measurement Objectives  Describe the importance of measurement  Describe the Kirkpatrick model of training.

Surgical Specimen Errors in the Operating Room

Pulling it All Together

Webinar 9: Engaging Your Colleagues Continued. Mark Your Calendars For The Patient Safety Symposium Columbia, South Carolina April 24 th – OR Team Training,

Review for Unit/Area-Based Coach Training. T EAM STEPPS 05.2 Mod Page 2 Introduction Mod Page 2 2 Teamwork Is All Around Us.

Learning Objectives Define roles and responsibilities of team members

Change Management: How to Achieve a Culture of Safety.

Implementation Planning. T EAM STEPPS 05.2 Mod Page 2 Implementation Planning Objectives  Describe the steps involved in implementing TeamSTEPPS.

Coaching Workshop.

TeamSTEPPS TM National Implementation Measurement The following slides are not part of the TeamSTEPPS Instructor Guide. Due to federal 508 compliance requirements.

Safe Surgery 2015: South Carolina Presentation [ Insert Implementation Team Member Names] [ Insert Hospital Name] Insert Your Hospital’s Logo Here.

What can Healthcare Learn from Team Training and Other Domains? David P. Baker, Ph.D. American Institutes for Research.

Team Training in EM Residency Education CORD Academic Assembly 2012 Ryan Fringer, MD Christopher McDowell, MD MEd.

Talking to Your Nursing and Surgical Tech Colleagues.

Crisis Resource Management (CRM) Concepts starting in aviation as Crew Resource Management Majority of plane crashes caused by communication errors.

Everyone Has A Role and Responsibility

A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association September 20, 2015 Executive Briefing Drawn.

QSEN Primer Or, “QSEN in a Nutshell” 1.  1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction.

Team Strategies and Tools to Enhance Performance and Patient Safety

Using Simulation to teach leadership competencies in delivering safe patient care Claudia Grobbel DNP RN Michelle Costlow MSN RN, Jean Ann Dean MSN RN.

Jill A. Marsteller, PhD,MPP August 10, 2011 CSTS: The Cardiovascular Surgical Translational Study Assessing Culture.

Safe Surgery 2015: South Carolina Presentation - Surgeons [ Insert Implementation Team Member Names] [ Insert Hospital Name] Insert Your Hospital’s Logo.

Webinar 17: Teamwork in The Operating Room. Summary of Last Week’s Call Case Study Results from Last Week Measuring the Checklist 101: –Checklist Use.

Webinar 13: Implementing the Checklist Continued: Improving the use of the Checklist Through Coaching.

Webinar 14: Coaching in the OR Continued and Speaking to Your Nursing and Surgical Tech Colleagues.

© The Johns Hopkins University and The Johns Hopkins Health System Corporation, 2012 Optional SUSP Tools: Briefing Audits, Morning Huddle, and Shadowing.

TRAINING & DEVELOPMENT Dr. Anil Mehta DEFINITION OF TRAINING “A PLANNED ACTIVITY TO MODIFY ATTITUDE, KNOWLEDGE OR SKILL THROUGH LEARNING EXPERIENCE TO.

Webinar 13: Implementation Barriers. Summary of Last Week’s Call Making the debriefing count: The McLeod Experience Tips on engaging your colleagues when.

© The Johns Hopkins University and The Johns Hopkins Health System Corporation, 2011 Briefings and Debriefings Elizabeth Martinez, MD, MHS Michael Rosen,

Teamwork Training Improves the Clinical Care of Trauma Patients Jeannette Capella, MD, Stephen ReMine, MD, Stephen Smith, MD, Allan Philp, MD, Tyler Putnam,

Strategies and Tools to Enhance Performance and Patient Safety UNC Health Care Refresher Training.

Strategies and Tools to Enhance Performance and Patient Safety Adoption in Action AHRQ funded project UNCHCS/RTI partnership READY Training OR 6.

Communication and Optimal Resolution (CANDOR) Toolkit Module 3 – Preparing for Implementation: Change Readiness and Gap Analysis.

Working as a team to help patients become healthier for life Chronic Condition and Lifestyle/Weight Management in Primary Care.

4.21 Apply employability skills in healthcare.. What are your goals? Select a profession. Get the proper education and training. Earn the required credentials.

Avon Grove School District October 2009

Operating Room Team Training With Simulation Program

The One Minute Learner An Innovative Tool to Promote Student-Faculty Discussion of Goals and Expectations Miriam Hoffman-Kleiner, MD Molly Cohen-Osher,

Situation Monitoring.

Strategies and Tools to Enhance Performance and Patient Safety Adoption in Action AHRQ funded project UNCHCS/RTI partnership Welcome to TeamSTEPPS booster.

Management & Leadership

Tools & Strategies Summary

NYSPFP AHRQ Culture of Safety Survey Debrief & Action Planning Tool Hospital: Unit

Adopting a patient pre-registration process

The Charge Nurse Role in Today’s Environment

Paul B S LAI Cluster Coordinator for Surgical Services (NTEC) &

Five Month Check-In Call

Adopting a patient pre-registration process

TeamSTEPPS Team Strategies and Tools to Enhance Performance & Patient Safety Lori Eckenrode BSN, RNC-OB Stacy.

BRO Time Mo’s Bow Ties Article & Video Clip

Situation Monitoring Know the plan, share the plan, review the risks.

Why Monitor With Our Tools?

Practicing for Patients

Effective Techniques and Strategies

Interprofessional Education (IPE)

Sitka Community Hospital

Interdisciplinary Case Management Experience

Value of Kindness & Patience

Jaque Goudreault, University of New Hampshire, Senior Nursing Student

Implementing Care Teams

The Effects of Debriefing Following Medical Error

TeamSTEPPS OBGYN: A Department Initiative

Presentation transcript:

Stephen M. Powell, MS Principal, Managing Partner Implementing TeamSTEPPS™ in the Operating Room Briefs + Debriefs + Checklists = Glitch Capture, Good Catches & Patient Safety Stephen M. Powell, MS Principal, Managing Partner TeamSTEPPS™ is a registered trademark of the Department of Defense and AHRQ

Objectives Assess the need for improved teamwork in the OR Define the outcomes of high performing teamwork Integrate TeamSTEPPS tools into the OR Develop a measurement plan for OR teamwork Analyze and report meaningful improvement Celebrate the “good catches” and fix the “glitches”

Why Teamwork? Source: The Joint Commission

Why Teamwork? “If everyone just knew their jobs,….” “The same ‘glitches’ happen every day…” “It’s hard to know all surgeon preferences…” “Staff is inexperienced, …always someone new” “Equipment issues are our #1 concern…” “Pre-op delays keep us from starting on time” “I don’t feel valued or respected by the Team” “Our patients suffer when we’re not coordinated”

TeamSTEPPS™ Outcomes Knowledge Shared Mental Model Attitudes Mutual Trust Team Orientation Performance Adaptability Accuracy Productivity Efficiency Safety TeamSTEPPS Triangle Source: AHRQ Team Strategies and Tools to Enhance Performance and Patient Safety

Model for Change Source: AHRQ Team Strategies and Tools to Enhance Performance and Patient Safety

Develop a Measurement Plan Culture/Attitudes Surveys (AHRQ HSOPS) Team Satisfaction Direct Observations- “Surgical Disruptions” Efficiency Measures First Case Start Time Improved Equipment Utilization Case length Good Catches/Glitch Capture References:

Multi-disciplinary Training Plan Change Team (Care Improvement Team) Trainers/Coaches (Promote & Model Teamwork) Providers and Staff (Knowledge-Practice-Experience) Newcomers (Orientation) Refresher-Reinforcement

Implementing Briefs and Debriefs Source: AHRQ Team Strategies and Tools to Enhance Performance and Patient Safety

Debriefs Self-Learning, Reporting, Feedback, Coaching

What’s in it for me/us/patients? “more coordinated” “less frustration” “on the same page” “better prepared” “have more information” “feel more valued” “easier to speak up” “more willing to ask questions” “patients see us as a team” “don’t repeat the same mistakes”

Actual OR “Good Catches” “Case was scheduled as left arm which was incorrect. Surgery was right arm. Caught during brief.” “Wrong arm written on schedule.” “Discovered expired medication on back table through the check-back process.” “Nurse noted discolored limb during briefing.” “Cancelled case following brief due to contraindication.” “Case cancelled prior to intubation due to missing/required equipment.”

Lessons Learned Training alone does not change behaviors Customize/integrate with local processes Connect data collection to team behaviors Coach & practice behaviors regularly Include simulation if possible Build “just enough” consensus/buy-in to begin Repeat, reinforce and seek feedback

Questions/Comments/Feedback Frequently Asked Questions http://dodpatientsafety.usuhs.mil/index.php?name=News&file=article&sid=43

Reduction of Communication Errors

Decrease in Surgical “Disruptions” Mayo CT OR, Henrickson, et al., 2008

Circulator leaving the room… Mayo CT OR, Henrickson, et al., 2008

Positive Attitudes toward Briefings