TeamSTEPPS Team Strategies and Tools to Enhance Performance

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

TeamSTEPPS Team Strategies & Tools to Enhance Performance & Patient Safety Where did it come from? Why would you implement? https://youtu.be/L_oXvXtQlBA Phase One: Department Ready

Leaders: OB Hospitalist, Nurse Educator, Department Chair, Department Nursing Management, OB Rapid Response Team Location: Family Birth Center & Womens Care Unit Simulation: High fidelity Low fidelity (in Situ simulation)

Our First STEPPS Post Partum Hemorrhage

Cart Staff Education Bakri Education Simulations Phase Two: Formal Training and a

Plan Pre-Course work Problem to Solve Learn Tools To Use

Performance Knowledge

Attitudes Leadership Communication Situational Monitoring Mutual Respect Educate Our Team Nursing and support staff

Physicians OB Leadership Team Engage other departments

Pharmacy Blood Bank Rapid Response Anesthesia Trauma https://youtu.be/VCcLY5LoCso

TeamSTEPPS Framework and Competencies Communication Communication Leadership

Situation Monitoring Situation Monitoring Mutual Support Mutual Support

Mutual Support https://youtu.be/7-a2QBfFQeA 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 Labetalol Protocol

Shoulder Dystocia Fire In the OR

Joint Commission Site Visit Need Education Plan Simulations

Phase Three STEPPS Sustainment Monitor Improve Maintain schedule Maintain metrics of quality improvement https://youtu.be/X7X-uchPHig

Resources Comprehensive Unit-Based Safety Program (CUSP) Implement Teamwork and Communication Module: Includes information and videos on some of the tools and strategies taught in TeamSTEPPS.

http://www.ahrq.gov/professionals/education/curriculumtools/cusptoolkit/modules/implement/index.html Fahey, J. O., & Mighty, H. E. (2008). Shoulder dystocia: Using simulation to train providers and teams. Journal of Perinatal & Neonatal Nursing. 22(2), 114-122.

Grobman, W.A. (2014). Shoulder dystocia: Simulation and a team-centered protocol. Seminars in Perinatology. 38(4) 205-206 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: http://teamstepps.ahrq.gov

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