TeamSTEPPS® 2.0 Updates, Streamlines Well-Known Patient Safety Training Curriculum

Electronic Newsletter, Issue 418

AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.

April 1, 2014


AHRQ Stats

New York, Philadelphia, Washington, D.C., Atlanta and Boston showed higher percentages of private-sector employees who worked where health insurance was offered in 2012 than the 84.7 percent national average. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #417: Offer Rates, Enrollment Rates, Premiums, and Employee Contributions for Employer-Sponsored Health Insurance in the Private Sector for the 10 Largest Metropolitan Areas, 2012.)

Today's Headlines

  1. TeamSTEPPS® 2.0 Updates, Streamlines Well-Known Patient Safety Training Curriculum.
  2. New HCUP Methods Report Evaluates Reporting of E Codes.
  3. Tool Helps Users Identify HIPAA Security Risks and Safeguards.
  4. New Report Describes AHRQ Resources on Limited English Proficiency.
  5. April 23 Webinar: Implementing Long-Term Care Patient Safety Training Modules.
  6. AHRQ's Innovations Exchange Focuses on Early Intervention and Support for At-Risk Families.
  7. AHRQ in the professional literature.

1. TeamSTEPPS® 2.0 Updates, Streamlines Well-Known Patient Safety Training Curriculum

AHRQ has released TeamSTEPPS® 2.0, an updated version of its successful curriculum aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. Since TeamSTEPPS was first introduced in 2006, thousands of health care organizations have used the evidence-based teamwork system to build a foundation for patient safety. TeamSTEPPS 2.0 is a complete update and streamlining of the original curriculum. It includes several significant changes:

  • A new measurement module provides information about ways to measure the impact of TeamSTEPPS and the available tools to support evaluation.
  • The communication module has been moved up in the order of instruction to better align with the emphasis on overcoming communication errors within teamwork.
  • The course management guide has been updated to include TeamSTEPPS modules and versions that have been added for the user's reference.

The curriculum is available online and in DVD format and includes slide presentations, teaching modules and video vignettes. To order the DVD, contact the AHRQ Publications Clearinghouse or call (800) 358-9295.

2. New HCUP Methods Report Evaluates Reporting of E Codes

AHRQ has released a new study that evaluates the reporting of external cause of injury codes (E codes) on injury-related discharges in the Healthcare Cost and Utilization Project (HCUP) databases. The study, titled HCUP External Cause of Injury (E Code) Evaluation Report (PDF File, 79 KB), is part of an HCUP Method Series which features methodological information on topics dealing with HCUP databases and software tools. Injuries are a major cause of mortality, morbidity and disability. E codes are intended to provide data for injury research and evaluation of injury prevention strategies. Injury-related discharges were identified in the HCUP databases using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The percentage of injuries with injury-related E codes was determined for each of the following HCUP databases: State Inpatient Databases, Nationwide Inpatient Sample, State Emergency Department Databases, and Nationwide Emergency Department Sample.

3. Tool Helps Users Identify HIPAA Security Risks and Safeguards

A new tool from the Office of the National Coordinator for Health Information Technology (ONC) can help make the Health Insurance Portability and Accountability Act (HIPAA) Security Rule more understandable and security risk assessments easier. The Security Risk Assessment (SRA) Tool lets users take a self-directed tour of HIPAA standards and conduct a self-paced risk assessment.

Features include:

  • Context sections to help understand potential threats, vulnerabilities and impacts
  • Examples of safeguards that could be instituted
  • Ability to export the report as a Microsoft Excel® or .pdf document to share or analyze the information in a convenient format

The SRA Tool is available in Windows and iOS iPad versions. ONC will accept public comments on the tool until June 2. The comments will be used for improvements in future updates.

4. New Report Describes AHRQ Resources on Limited English Proficiency

A new article describes the development, content and testing of two AHRQ resources designed to improve safety for patients with limited English proficiency. The AHRQ resources are, Improving Patient Safety Systems for Patients with Limited English Proficiency: A Guide for Hospitals and TeamSTEPPS® Enhancing Safety for Patients with Limited English Proficiency Module. The guide contains recommendations for hospital staff to improve detection and prevention of medical errors across diverse populations. The training module, which extends the health care team to include interpreters, is a component of TeamSTEPPS, an evidence-based team-training program that aims to improve communication and teamwork among health care professionals. The article and abstract, “Identifying and Preventing Medical Errors in Patients With Limited English Proficiency: Key Findings and Tools for the Field,” appeared online March 16 in the Journal for Healthcare Quality.

5. April 23 Webinar: Implementing Long-Term Care Patient Safety Training Modules

AHRQ is hosting the second in a series of four webinars on April 23, from 1 to 2 p.m. ET, on the use of Improving Patient Safety in Long-Term Care Facilities Training Modules. The webinar, developed for nurses and staff educators in long-term care facilities, will feature effective engagement strategies to train staff to recognize and report changes in a nursing home resident's condition. Continuing Education (CE) credits will be available to participants at no cost. Registration is free, but space is limited. Registration is now open for the April 23 webinar. Also available for viewing is the first archived webinar, which provided an overview of the series and shared tips for teaching the content to others. Additional webinars in this series will cover the following topics: Communicating Change in a Resident's Condition (June 18, 1–2 p.m. ET) and Falls Prevention and Management (August 13, 1–2 p.m. ET).

6. AHRQ's Innovations Exchange Focuses on Early Intervention and Support for At-Risk Families

The latest issue of AHRQ's Health Care Innovations Exchange features three profiles about programs that provide personalized support and education for low-income or at-risk families of newborns. One featured profile describes a North Carolina program that offers families with newborns in Durham County an in-home comprehensive assessment of risk factors and provides education and support tailored to the families' risks and needs. The program has enhanced the county's ability to identify at-risk families; improved connections to community resources,  and the safety and quality of the home environment; and significantly reduced infant medical emergencies. In its first year, the program generated an estimated $3 in cost savings for every $1 invested. The Health Care Innovations Exchange includes additional profiles and tools related to support for at-risk families.

7. AHRQ in the Professional Literature

Gabler NB, Ratcliffe SJ, Wagner J, et al. Mortality among patients admitted to strained intensive care units. Am J Respir Crit Care Med. 2013 Oct 1;188(7):800-6. Select to access the abstract on PubMed®.

Johnson TJ, Weaver MD, Borrero S, et al. Association of race and ethnicity with management of abdominal pain in the emergency department. Pediatrics. 2013 Oct;132(4):e851-e858. Epub 2013 Sep 23. Select to access the abstract on PubMed®.

Raebel MA, Newcomer SR, Reifler LM, et al. Chronic use of opioid medications before and after bariatric surgery. JAMA. 2013 Oct 2;310(13):1369-76. Select to access the abstract on PubMed®.

Mitchell SE, Gardiner PM, Sadikova E, et al. Patient activation and 30-day post-discharge hospital utilization. J Gen Intern Med. 2014 Feb;29(2):349-55. [Epub 2013 Oct 4. Select to access the abstract on PubMed®.

Suskind AM, Clemens JQ, Dunn RL, et al. Effectiveness of mesh compared with nonmesh sling surgery in Medicare beneficiaries. Obstet Gynecol. 2013 Sep;122(3):546-52. Select to access the abstract on PubMed®.

Fitzgibbons RJ Jr, Ramanan B, Arya S, et al. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013 Sep;258(3):508-15. Select to access the abstract on PubMed®.

Matthews CA, Whitehead WE, Townsend MK, et al. Risk factors for urinary, fecal, or dual incontinence in the Nurses' Health Study. Obstet Gynecol 2013 Sep; 122(3):539-45. Select to access the abstract on PubMed®.

Lewandowski RE, Acri MC, Hoagwood KE, et al. Evidence for the management of adolescent depression. Pediatrics. 2013 Oct;132(4):e996-e1009. Epub 2013 Sep 16. Select to access the abstract on PubMed®.


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Page last reviewed April 2014
Internet Citation: TeamSTEPPS® 2.0 Updates, Streamlines Well-Known Patient Safety Training Curriculum: Electronic Newsletter, Issue 418. April 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/418.html