TeamSTEPPS® Long-Term Care
Identifying TeamSTEPPS Skills Supplement
Contents
Slide 1: TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient Safety
Return to Contents
Slide 2: Identifying TeamSTEPPS Skills Supplement
 |
Time: 30 minutes |
Return to Contents
Slide 3: Nutrition Report Video
 |
Video Time: 8:10 minutes |
 |
Materials:
- On-Time Quality
Improvement
Nutrition Report
Video.
|
Say:
Now that you've learned about TeamSTEPPS skills, you'll want to
put those skills to work to improve resident safety and quality of
care. In addition to using your new skills in your everyday work,
you may have the opportunity to participate in a quality
improvement project and use your TeamSTEPPS skills there as
well.
All nursing homes engage in quality improvement projects.
Sometimes they are called quality assurance or continuous quality
improvement. Regardless of the name, quality improvement
starts with the identification of a problem or situation that needs
improvement, the development of a plan to achieve that
improvement, and then monitoring of the problem or situation to
ensure that it continues to improve. Decreasing pressure ulcers,
falls, and restraint use are goals that many nursing homes have
adopted as a focus of their quality improvement projects.
Improving resident outcomes, regardless of the problem, cannot
be done by one person alone. It takes a whole team of people
working together and communicating effectively to accomplish
these important goals. TeamSTEPPS skills can be instrumental
as nursing home staff identify areas for improvement and begin to
work together to improve the quality and safety of nursing home
residents' lives.
Many types of quality improvement programs are available for
nursing homes to use. One example is the On-Time Quality
Improvement Program. Developed with funding and support from
the Agency for Healthcare Research and Quality (AHRQ), On-Time uses electronic reports to provide timely information to
frontline (or direct care) staff about residents who might be at risk
for a bad outcome, such as pressure ulcers or falls. Specialized
reports indicate which residents are at increased risk based on
various factors, such as a new red area, decreased meal intake,
or new incontinence. Subtle changes are noted early and the
resident's care plan is updated to include interventions to address
and minimize the risk. The On-Time program helps staff integrate
the use of these reports into their daily work routines.
Let's watch a video that illustrates the use of one type of On-Time
report. See if you can spot TeamSTEPPS skills in use.
Do: Play the video by selecting the director icon on the slide.
Discussion:
- Which TeamSTEPPS skills did you see the team members using in the Nutrition Report Video?
Possible answers:
- Huddle: Lucy (Nursing Assistant) and Rose (Dietitian) meet
briefly to discuss Mrs. Jones' progress with eating breakfast
foods. Huddles provide team members with an opportunity to
update each other on emerging or significant changes in the
status of the environment so all team members can adapt
appropriately.
- Debrief: Gayle (Nurse Manager) facilitates a discussion by
asking questions related to team performance, i.e., "What did
we do well? What isn't going well?" Debriefs recap the
situation, background, and key events that occurred.
- Feedback: Rose (Dietitian) provides positive feedback to Lucy
the nursing assistant about providing promised and specific
information about Mrs. Jones. Gayle (Nurse Manager) provides
feedback about the process as well. Feedback is a type of
mutual support and is information provided for the purpose of
improving team performance.
Let's watch another video. Can you identify the TeamSTEPPS
skill used here?
Return to Contents
Slide 4: Trigger Report Video
|
Video Time: 3:37 minutes |
|
Materials:
- On-Time Quality
Improvement
Trigger Report
Video.
|
Do: Play the second video by selecting the director icon on the slide.
Discussion:
- Which TeamSTEPPS skills did you see the team members using in the Trigger Report Video?
Possible answer:
- Huddle: Gayle (Nurse Manager) and Mary (Rehabilitation
Director) meet briefly to discuss the latest On-Time report,
directing their attention to specific residents showing changes.
Huddles provide team members with an opportunity to update
each other on emerging or significant changes in the status of
the environment so all team members can adapt appropriately.
Return to Contents
Return
to Index
Internet Citation:
TeamSTEPPS Long-Term Care Version, Identifying TeamSTEPPS Skills Supplement. Instructional Slides. Slide Presentation (Text Version). Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/teamsteppstools/longtermcare/supplement/igltcsupplement.htm
540 Gaither Road Rockville, MD 20850 
