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

2. T EAM STEPPS 05.2 Mod 1 05.2 Page 2 Introduction Mod 1 06.2 Page 2 2 Objectives for Review Describe effective team structure Describe effective leadership and leadership skills Describe the relationship between situation monitoring, shared mental models, and team effectiveness Describe effective verbal and task related mutual support Describe effective communication skills Recognize barriers to effective teamwork

3. T EAM STEPPS 05.2 Mod 1 05.2 Page 3 Introduction Mod 1 06.2 Page 3 3 Required Skills for Team Performance Leadership Situation Awareness Mutual Support Communication

4. T EAM STEPPS 05.2 Mod 1 05.2 Page 4 Introduction Mod 1 06.2 Page 4 4 Effective Team Leaders Organize the team Articulate clear goals Make decisions through collective input of members Empower members to speak up and challenge, when appropriate Actively promote and facilitate good teamwork Skillful at conflict resolution

5. T EAM STEPPS 05.2 Mod 1 05.2 Page 5 Introduction Mod 1 06.2 Page 5 Team Events Briefs – planning Huddles – problem solving Debriefs – process improvement 5 Leaders are responsible to assemble the team and facilitate team events But remember… Anyone can request a brief, huddle, or debrief

6. T EAM STEPPS 05.2 Mod 1 05.2 Page 6 Introduction Mod 1 06.2 Page 6 6

7. T EAM STEPPS 05.2 Mod 1 05.2 Page 7 Introduction Mod 1 06.2 Page 7 7 Team Huddles

8. T EAM STEPPS 05.2 Mod 1 05.2 Page 8 Introduction Mod 1 06.2 Page 8 8 Debriefs Debriefs should be conducted for the following reasons: So team members learn from actual situations So learning takes place collectively So team members can exchange information So teams can improve performance

9. T EAM STEPPS 05.2 Mod 1 05.2 Page 9 Introduction Mod 1 06.2 Page 9 9

10. T EAM STEPPS 05.2 Mod 1 05.2 Page 10 Introduction Mod 1 06.2 Page 10 10 Modeling Teamwork Effective team leaders utilize the team skills in their daily practice and encourage team behaviors by: Sharing information Displaying appropriate communication, monitoring, and support behaviors Helping team members achieve the effective team performance using the same behaviors Encouraging active participation by all team members

11. T EAM STEPPS 05.2 Mod 1 05.2 Page 11 Introduction Mod 1 06.2 Page 11 11 Required Skills for Team Performance Leadership Situation Awareness Mutual Support Communication

12. T EAM STEPPS 05.2 Mod 1 05.2 Page 12 Introduction Mod 1 06.2 Page 12 12 A Continuous Process Situation Awareness (Individual Outcome) Shared Mental Models (Team Outcome) Situation Monitoring (Skill)

13. T EAM STEPPS 05.2 Mod 1 05.2 Page 13 Introduction Mod 1 06.2 Page 13 13 Required Skills for Team Performance Leadership Situation Awareness Mutual Support Communication

14. T EAM STEPPS 05.2 Mod 1 05.2 Page 14 Introduction Mod 1 06.2 Page 14 14 Mutual Support Mutual support is the essence of teamwork Protects team members from work overload situations that may reduce effectiveness and increase the risk of error Mutual support consists of helping your fellow teammates by offering assistance Two kinds of mutual support Task related Verbal

15. T EAM STEPPS 05.2 Mod 1 05.2 Page 15 Introduction Mod 1 06.2 Page 15 15 Required Skills for Team Performance Leadership Situation Awareness Mutual Support Communication

16. T EAM STEPPS 05.2 Mod 1 05.2 Page 16 Introduction Mod 1 06.2 Page 16 16 Please Use CUS Words but only when appropriate!

17. T EAM STEPPS 05.2 Mod 1 05.2 Page 17 Introduction Mod 1 06.2 Page 17 17 “I need clarity.”

18. T EAM STEPPS 05.2 Mod 1 05.2 Page 18 Introduction Mod 1 06.2 Page 18 18 Check Back Sender initiates the message Sender verifies that the message was received Receiver accepts the message and provides feedback confirmation

19. T EAM STEPPS 05.2 Mod 1 05.2 Page 19 Introduction Mod 1 06.2 Page 19 SBAR-q Situation Background Assessment Recommendation Questions? 19

20. T EAM STEPPS 05.2 Mod 1 05.2 Page 20 Introduction Mod 1 06.2 Page 20 20 Callout A strategy used to communicate important or critical information. It informs all team members simultaneously during emergency situations It helps team members anticipate next steps On your unit, what information would you want called out?

21. T EAM STEPPS 05.2 Mod 1 05.2 Page 21 Introduction Mod 1 06.2 Page 21 Next Stepps Practice 21