Team Strategies and Tools
to Enhance Performance
and Patient Safety
Introduction
Introductions
Mod 1 2.0 Page 2
TEAMSTEPPS 05.2 2
Introduction
Teamwork Exercise #1
Mod 1 2.0 Page 3
TEAMSTEPPS 05.2 3
Introduction
Objectives
Describe the TeamSTEPPS Master Trainer course
Describe the impact of errors and why they occur
Describe the TeamSTEPPS framework
State the outcomes of the TeamSTEPPS framework
Mod 1 2.0 Page 4
TEAMSTEPPS 05.2 4
Introduction
Course Agenda
Day 1: Day 2:
Module 1—Introduction Change Management:
Module 2—Team Structure How to Achieve a Culture
of Safety
Module 3—Communication
Coaching Workshop
Module 4—Leading Teams
Measurement
Module 5—Situation
Implementation Planning
Monitoring
Module 6—Mutual Support
Module 7—Summary—
Putting It All Together
Mod 1 2.0 Page 5
TEAMSTEPPS 05.2 5
Introduction
Day 1 - Core Teamwork Skills
Mod 1 2.0 Page 6
TEAMSTEPPS 05.2 6
Introduction
Day 2 – Coach, Implement, Sustain
Mod 1 2.0 Page 7
TEAMSTEPPS 05.2
Introduction
Master Training Materials
Instructor Manual
Course Management Guide
Instructor guides
Course slides
Measurement tools
DVD
Customizable materials
Videos
Mod 1 2.0 Page 8
TEAMSTEPPS 05.2
Introduction
Sue Sheridan Video
Mod 1 2.0 Page 9
TEAMSTEPPS 05.2 9
Introduction
Video Discussion
What breakdowns in teamwork did you observe in
the two stories?
How can we prevent medical errors?
Mod 1 2.0 Page 10
TEAMSTEPPS 05.2 10
Introduction
Barriers to Team Performance
Inconsistency in team Conflict
membership Lack of coordination
Lack of time and followup
Lack of information sharing Distractions
Hierarchy Fatigue
Defensiveness Workload
Conventional thinking Misinterpretation of
Varying communication cues
styles Lack of role clarity
Mod 1 2.0 Page 11
TEAMSTEPPS 05.2 11
Introduction
Patient Safety Movement &
Team Training
Centers for
TeamSTEPPS Medicare &
Released to the Medicaid Services
Public Partnership for
“To Err JCAHO National Patients Campaign
Is Human” Patient Safety TeamSTEPPS
IOM Report Goals TeamSTEPPS® National
Implementation
Institute for Program Began
Healthcare Patient Safety National
DoD Executive Improvement and Quality Implementation
MedTeams® Memo from 100K lives Improvement of CUSP
ED Study President Campaign Act of 2005
1995 1999 2001 2003 2004 2005 2006 2007 2008 2011
Medical Team Training
Mod 1 2.0 Page 12
TEAMSTEPPS 05.2
Introduction
Team Strategies & Tools to Enhance Performance
& Patient Safety
Based on more than 30 years of research and evidence
Team training programs have been shown to improve attitudes,
increase knowledge, and improve behavioral skills
Salas, et al. (2008) meta-analysis provided evidence that team
training had a moderate, positive effect on team outcomes
(ρ = .38)
Mod 1 2.0 Page 13
TEAMSTEPPS 05.2 13
Introduction
What Makes Up Team Performance?
Knowledge Attitudes
Cognitions Affect
“Think” “Feel”
Skills
Behaviors
“Do”
Mod 1 2.0 Page 14
TEAMSTEPPS 05.2 14
Introduction
Outcomes of Team Competencies
Knowledge
Shared Mental Model
Attitudes
Mutual Trust
Team Orientation
Performance
Adaptability
Accuracy
Productivity
Efficiency
Safety
Mod 1 2.0 Page 15
TEAMSTEPPS 05.2 15
Introduction
High-Performing Teams
Teams that perform well:
Hold shared mental models
Have clear roles and responsibilities
Have clear, valued, and shared vision
Optimize resources
Have strong team leadership
Engage in a regular discipline of feedback
Develop a strong sense of collective trust and confidence
Create mechanisms to cooperate and coordinate
Manage and optimize performance outcomes
(Salas, et al., 2004)
Mod 1 2.0 Page 16
TEAMSTEPPS 05.2 16
Introduction
Evidence That TeamSTEPPS
Works
Capella, et al. (2010) Thomas & Galla (2013)
Trauma resuscitation team Systemwide implementation
implementation Pre- and post-TeamSTEPPS
Pre- and post-TeamSTEPPS training results:
training results: Significant improvement
Team performance improved in HSOPS scores on Feedback
across all teamwork skills: and Communication About
Leadership, Situation Error, Frequency of Events
Monitoring, Mutual Support, Reported, Hospital Handoffs and
Communication Transitions, and Teamwork
Across Units
Significantly decreased times
from arrival to CT scanner, Incremental changes evident
endotracheal intubation, and through reduction of
operating room nosocomial infections, falls,
birth trauma, and other incidents
Mod 1 2.0 Page 17
TEAMSTEPPS 05.2 17
Introduction
Applying TeamSTEPPS Exercise
Please answer the following question on your
TeamSTEPPS Implementation Worksheet, which we
will continue to complete at the end of each of the
Fundamentals Course modules:
What is the patient safety issue your organization
is facing that is linked to a problem with
teamwork?
Mod 1 2.0 Page 18
TEAMSTEPPS 05.2 18