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Maureen E Paul, Laura E Dodge, Evelyn Intondi, Guzey Ozcelik, Ken Plitt, Michele R Hacker
BACKGROUND: Most medical teamwork improvement interventions have occurred in hospitals, and more efforts are needed to integrate them into ambulatory care settings. In 2014, Affiliates Risk Management Services, Inc. (ARMS), the risk management services organization for a large network of reproductive health care organizations in the United States, launched a voluntary 5-year initiative to implement a medical teamwork system in this network using the TeamSTEPPS model. This article describes the ARMS initiative and progress made during the first 2 years, including lessons learned...
April 2017: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Lisanne Catherine Cruz, Jeffrey S Fine, Subhadra Nori
Purpose In order to prevent adverse events during the discharge process, coordinating appropriate community resources, medication reconciliation, and patient education needs to be implemented before the patient leaves the hospital. This coordination requires communication and effective teamwork amongst staff members. In order to address these concerns, the purpose of this paper is to incorporate the TeamSTEPPS principles to develop a discharge plan that would best meet the needs of the patients as they return to the community...
March 13, 2017: International Journal of Health Care Quality Assurance
Jure Baloh, Xi Zhu, Marcia M Ward
BACKGROUND: Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. PURPOSE: The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities...
January 25, 2017: Health Care Management Review
Nur-Ain Nadir, Suzanne Bentley, Dimitrios Papanagnou, Komal Bajaj, Stephan Rinnert, Richard Sinert
INTRODUCTION: Benefits of post-simulation debriefings as an educational and feedback tool have been widely accepted for nearly a decade. Real-time, non-critical incident debriefing is similar to post-simulation debriefing; however, data on its practice in academic emergency departments (ED), is limited. Although tools such as TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) suggest debriefing after complicated medical situations, they do not teach debriefing skills suited to this purpose...
January 2017: Western Journal of Emergency Medicine
Amy L Weaver, Susan Hernandez, Daiwai M Olson
OBJECTIVE: This study was intended to determine whether positioning emergency department (ED) physicians, physician assistants, and nurse practitioners at the same workstations as registered nurses (RNs) improved communication and teamwork. BACKGROUND: Historically in this organization, providers and staff had separate physical locations (workstations). Construction of a new ED provided the opportunity to redesign the physical layout and to study whether a new design improved the perception of communication and teamwork among medical providers...
January 2017: Journal of Nursing Administration
Trent Reed, Trisha Leann Horsley, Keith Muccino, Donna Quinones, Viva Jo Siddall, Janet McCarthy, William Adams
Effective interprofessional collaborative practice is critical to maximizing patient safety and providing quality patient care; incorporating these strategies into the curriculum is an important step toward implementation. This study assessed whether TeamSTEPPS training using simulation could improve student knowledge of TeamSTEPPS principles, self-efficacy toward interprofessional collaborative practice, and team performance. Students (N = 201) demonstrated significant improvement in all of the targeted measurements...
May 2017: Nurse Educator
Tammy C Roman, Kylene Abraham, Kathleen Dever
In 2015, the Academy for Leadership in Long-Term Care received a grant to provide interprofessional training on the strategies and techniques of TeamSTEPPS(®). The results indicated significant changes in the participants' teamwork and communication strategies to improve resident safety. In part two of this article, the discussion includes the implementation, evaluation results, and implications from this worthy initiative. J Contin Educ Nurs. 2016;47(12):534-535.
December 1, 2016: Journal of Continuing Education in Nursing
Britta M Thompson, Dale W Bratzler, Mark J Fisher, Amie Torres, Epic Faculty, Rhonda A Sparks
Interprofessional education (IPE) involving an interactive and longitudinal clinic experience at an inner-city charitable clinic from September to May 2013/2014 was evaluated. Pre-, mid-, and post-intervention data were collected from students in 13 different professions including medicine (medical and physician assistant), dentistry (dental and dental hygiene), nursing (undergraduate and clinical nurse specialist), public health, pharmacy, physical therapy, occupational therapy, nutritional sciences, speech and language pathology, and social work...
November 2016: Journal of Interprofessional Care
Tammy C Roman, Kylene Abraham, Kathleen Dever
In 2015, the Academy for Leadership in Long-Term Care received a grant to provide interprofessional training on the strategies and techniques of TeamSTEPPS(®). The results indicated significant changes in the participants' teamwork and communication strategies to improve resident safety. In part one of this article, the discussion includes the background, literature review, and design of this TeamSTEPPS academic partnership. J Contin Educ Nurs. 2016;47(11):490-492.
November 1, 2016: Journal of Continuing Education in Nursing
Amanda J Rhee, Yessenia Valentin-Salgado, David Eshak, David Feldman, Pat Kischak, David L Reich, Vicki LoPachin, Michael Brodman
Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool...
August 10, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Jack C He, Joseph F Golob, Brian C Brajcich, Kate Clancy, David Schechtman, Jeffrey A Claridge
BACKGROUND: Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) was developed to improve teamwork and patient safety. It was shown to benefit patient care in complex clinical settings including intensive care units (ICUs). Our two trauma/surgical ICUs received TeamSTEPPS training, but only Unit 1 participated in a TeamSTEPPS Rounding Improvement Project (TRIP). Our goal was to assess any unintended benefit to infection-related monitoring and prevention from TRIP...
October 2016: Surgical Infections
Marcia Cooke
BACKGROUND: Ineffective communication among the health care team is a leading cause of errors in the patient care setting. Studies assessing training related to communication and teamwork in the clinical team are prevalent, however, teamwork training at the administrative level is lacking. This includes individuals in leadership positions such as health care risk managers. PURPOSE: The purpose was to determine the impact of an educational intervention on the knowledge and attitudes related to communication and teamwork in the health care risk management population...
July 2016: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Deborah Feehan
This article describes how redesigning the TeamSTEPPS strategy of the "brief" was implemented to assist in improving communication and patient safety. The acronym BRIEFS was created to cluster safety elements and standardize the way unit briefs are conducted. J Contin Educ Nurs. 2016;47(7):296-298.
July 1, 2016: Journal of Continuing Education in Nursing
Nabil Natafgi, Xi Zhu, Jure Baloh, Kelli Vellinga, Thomas Vaughn, Marcia M Ward
Implementation of handoff as part of TeamSTEPPS initiatives for improving shift-change communication is examined via qualitative analysis of on-site interviews and process observations in 8 critical access hospitals. Comparing implementation attributes and handoff performance across hospitals shows that the purpose of implementation did not differentiate between high and low performance, but facilitators and barriers did. Staff involvement and being part of the "big picture" were important facilitators to change management and buy-in...
January 2017: Journal of Nursing Care Quality
Lori Fewster-Thuente, Tamzin Batteson
PURPOSE: Although interprofessional collaboration has been proven to reduce the number of errors, few programs have incorporated interprofessional training into their programs. The purpose of this study was to determine if attitudes and observed collaborative behaviors among an interprofessional group of students improved or increased following an intervention that included a didactic session on the process of collaboration, a low-fidelity simulation of interprofessional patient care rounds, and facilitated debriefing sessions...
2016: Journal of Allied Health
Stephen Jernigan, Carolyn Magee, Erin Graham, Kristy Johnston, Jana Zaudke, Sarah Shrader
BACKGROUND: Interprofessional education (IPE) of health professions students is a starting point for developing collaborative-practice-ready healthcare professionals, ultimately leading to improved patient care. The purpose of this study was to develop and evaluate a novel, foundational, IPE pilot program that incorporates TeamSTEPPS® for health professions students. METHODS: Students representing 13 different health professions programs participated in successive Level 1 and Level 2 "Foundations of Interprofessional Collaboration: Introduction to TeamSTEPPS®" half-day activities (n = 241)...
2016: Journal of Allied Health
Kirstin Manges, Jill Scott-Cawiezell, Marcia M Ward
Facilitating team development is challenging, yet critical for ongoing improvement across healthcare settings. The purpose of this exemplary case study is to examine the role of nurse leaders in facilitating the development of a high-performing Change Team in implementing a patient safety initiative (TeamSTEPPs) using the Tuckman Model of Group Development as a guiding framework. The case study is the synthesis of 2.5 years of critical access hospital key informant interviews (n = 50). Critical juncture points related to team development and key nurse leader actions are analyzed, suggesting that nurse leaders are essential to maximize clinical teams' performance...
January 2017: Nursing Forum
Della L Hughes-Carter, Roberta E Hoebeke
PURPOSE: Screening rates for DKD in primary care are low, even though diabetes accounts for 44% of all new kidney disease cases. The purpose of this project was to determine if a primary care team for the underinsured improved screening and diagnosis of diabetic kidney disease (DKD) after initiating a quality improvement (QI) process. METHODS: A chart audit with feedback, provider education of clinical practice guidelines, and strategies from TeamSTEPPS™ were implemented with the inter-professional primary care team...
May 2016: Applied Nursing Research: ANR
Ambrose Hon-Wai Wong, Maureen Gang, Demian Szyld, Heather Mahoney
INTRODUCTION: Health care providers must effectively function in highly skilled teams in a collaborative manner, but there are few interprofessional training strategies in place. Interprofessional education (IPE) using simulation technology has gained popularity to address this need because of its inherent ability to impact learners' cognitive frames and promote peer-to-peer dialog. Provider attitudes toward teamwork have been directly linked to the quality of patient care. Investigators implemented a simulation-enhanced IPE intervention to improve staff attitudes toward teamwork and interprofessional communication in the emergency department setting...
April 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Teresa Gaston, Nancy Short, Christina Ralyea, Gayle Casterline
Teamwork is an essential component of communication in a safety-oriented culture. The Joint Commission has identified poor communication as one of the leading causes of patient sentinel events. The aim of this quality improvement project was to design, implement, and evaluate a customized TeamSTEPPS® training program. After implementation, staff perception of teamwork and communication improved. The data support that TeamSTEPPS is a practical, effective, and low-cost patient safety endeavor.
April 2016: Journal of Nursing Administration
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