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

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Presentation on theme: "TeamSTEPPS Team Strategies and Tools to Enhance Performance & Patient Safety Lori Eckenrode BSN, RNC-OB Stacy."— Presentation transcript:

1 TeamSTEPPS Team Strategies and Tools to Enhance Performance & Patient Safety
Lori Eckenrode BSN, RNC-OB Stacy Norton M.D. F.A.C.O.G October 3,2018

2 TeamSTEPPS Team Strategies & Tools to Enhance Performance & Patient Safety Where did it come from? Why would you implement?

3 Phase One: Department Ready
Leaders: OB Hospitalist, Nurse Educator, Department Chair, Department Nursing Management, OB Rapid Response Team Location: Family Birth Center & Women’s Care Unit Simulation: High fidelity Low fidelity (in Situ simulation) Problem Description: Our units realized the need for improved safety strategies for our high risk occurrences. THE EVIDENCE: The maternal mortality & morbidity in our state and the nation #s were concerning. Some Quality and Safety agencies, such as California Maternal Quality Care Collaborative (CMQCC) had been SEARCHING and GATHERING the data to determine why we have these patient outcomes, ANALYZING the data & making recommendations for strategies, and SHARING their work. *We recognized there was a strong need to standardize our high risk safety responses. We had a formal OB rapid response process (Code Purple) in place but the care process was not standardized. Our first goal was to standardize for PP Hemorrhage. The OB chair was our initial physician champion, but roll-out was slow. We started our OB Hospitalist program and the Team Lead, Dr. Norton took a very vested interest in helping us meet this goal. * Low fidelity simulation allowed the staff to focus on teamwork and communication skills with less emphasis on procedural or technical clinical skills.

4 Our First STEPPS Post Partum Hemorrhage Cart Staff Education
Bakri Education Simulations

5 Phase Two: Formal Training and a Plan
Learn Tools To Use Performance Knowledge Attitudes Leadership Communication Situational Monitoring Mutual Respect Phase Two: Formal Training and a Plan Pre-Course work Problem to Solve

6 Educate Our Team Nursing and support staff Physicians
OB Leadership Team Engage other departments Pharmacy Blood Bank Rapid Response Anesthesia Trauma

7 TeamSTEPPS Framework and Competencies

8 Communication Key Principles: COMMUNICATION: Structured process by which information is clearly and accurately exchanged among team members.

9 Communication Key Principles: COMMUNICATION: Structured process by which information is clearly and accurately exchanged among team members.

10 Leadership Key Principles: Leadership: Sharing the Plan: Brief Monitoring and Modifying the Plan: Huddle Reviewing the Team’s Performance: Debrief

11 Situation Monitoring Key Principles: Situation Monitoring: “Everyone on the same page.”

12 Situation Monitoring Key Principles: Situation Monitoring: “Everyone on the same page.”

13 Mutual Support Key Principles: Mutual Support: Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload.

14 Mutual Support Key Principles: Mutual Support: Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload.

15 Mutual Support https://youtu.be/7-a2QBfFQeA
Vintage teamwork. TeamSTEPPS can help you build a shared mental model. All the tools and strategies are prepared for you!

16 Second “STEPPS” Sentinel Event- Acute Hypertension
Multidisciplinary team established Adopt best practices/Evidence based Gain buy-in from physicians, nursing staff OB Rapid Response Team planning and role-out Formal Education/GNOSIS Simulations Debriefs and Process Improvements

17 Labetalol Protocol

18 Shoulder Dystocia

19 Fire In the OR Joint Commission Site Visit Need Education Plan
Simulations

20 Phase Three STEPPS Sustainment Monitor Improve Maintain schedule
Maintain metrics of quality improvement Texas AIM Bundles Maternal Leveling

21 Resources Fahey, J. O., & Mighty, H. E. (2008). Shoulder dystocia: Using simulation to train providers and teams. Journal of Perinatal & Neonatal Nursing. 22(2), Grobman, W.A. (2014). Shoulder dystocia: Simulation and a team-centered protocol. Seminars in Perinatology. 38(4) Sorensen, A., Poehlman, J., Riggan, S.,Davis, S.,Miller, K., Kahwati, L. (2015). Training for teamwork through in situ simulations. BMJ Innovations, 1(3), 144. TeamSTEPPS AHRQ website:

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