Implement Teamwork and Communication Alternative Text
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Slide 1 Cover Slide |
(CUSP Toolkit logo) | The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. |
Slide 2 Learning Objectives |
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Slide 3 Basic Components and Process of Communication2 |
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Graphic description of the basic components and process of communication. The communication that takes place between two people is exposed to many roadblocks in between its transmission from one individual to another. First, the sender encodes, or creates, the message, which is influenced by the sender’s context, and then transmits the message to the receiver, who then must decode, or process, the message, based on the receiver’s context. While the message is being transmitted, it is exposed to noise interference that affects the context and clarity of the message that is sent and received. |
Slide 4 Four Key Components of Effective Communication1 |
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TeamSTEPPS logo and penguin |
Slide 5 Elements That Affect Communication and Information Exchange |
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Team members separated by barrier representing possible disruptions to effective communication. |
Slide 6 Communication Breakdowns Cause Treatment Delays3 |
Root Causes of Treatment Delays (1995-2004) Communication 86% Patient Assessment 77% Continuum of Care 52% Orientation and Training 41% Availability of Information 39% Competency and Credentialing 35% Staffing 25% Care Planning 20% Leadership 19% Environmental Safety and Security 19% Organizational Culture 18% Procedural Compliance 17% |
Root Causes of Treatment Delays (1995-2004) The root causes of treatment delays are as follows: Communication 86% Patient Assessment 77% Continuum of Care 52% Orientation and Training 41% Availability of Information 39% Competency and Credentialing 35% Staffing 25% Care Planning 20% Leadership 19% Environmental Safety and Security 19% Organizational Culture 18% Procedural Compliance 17% |
Slide 7 Communication Breakdowns Cause Infection-Associated Events3 |
Root causes of infection-associated events (2005) Communication 75% Environmental Safety/Security 50% Continuum of Care 39% Competency or Credentialing 38% Procedural Compliance 38% Patient Assessment 25% Leadership 25% Staffing 13% Availability of Information 13% Orientation and Training 12% Organizational Culture 12% |
Root causes of infection-associated events (2005) The root causes of infection-associated events are as follows: Communication 75% Environmental Safety/Security 50% Continuum of Care 39% Competency or Credentialing 38% Procedural Compliance 38% Patient Assessment 25% Leadership 25% Staffing 13% Availability of Information 13% Orientation and Training 12% Organizational Culture 12% |
Slide 8 Exercise |
Think of a defect that has occurred in your unit due to a communication breakdown. Using the standards of effective communication, list three to four ways in which communication could be improved to reduce the risk of similar defects occurring. | Exercise icon |
Slide 9 Barriers to Team Effectiveness1 |
Working Conditions:
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Three rectangles, one for Working Conditions, one for Resources, and one for Team Composition: TeamSTEPPS logo and penguin |
Slide 10 Positive Outcomes of Effective Teamwork on Health Care4 |
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A nurse and physician conferring with their patient and the patient’s family member. |
Slide 11 Shadowing |
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Two CUSP team members walking. |
Slide 12 Daily Goals Checklist |
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Slide 13 Daily Goals |
(vignette still) Click to play |
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Slide 14 How to Use the Daily Goals Checklist |
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Team members walking. |
Slide 15 Using the Daily Goals Checklist |
(vignette still) Click to play |
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Slide 16 Selected TeamSTEPPS Tools1 |
Four Components of Effective Teams Leadership:
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A table showing four components of effective teams In the first column, Leadership tools include brief, huddle, debrief In the second column, Situation Monitoring tools include STEP and I'M Safe In the third column, Mutual Support tools include Task Assistance, Feedback, Advocacy and Assertion, Two-Challenge Rule, DESC Script, CUS, and Collaboration In the fourth column, Communication Tools include SBAR, Call-Out, Check-Back, and Handoff (I-PASS the BATON) TeamSTEPPS logo and penguin |
Slide 17 Briefing1 |
A briefing is a discussion between two or more people, often a team, using succinct information pertinent to an event. A briefing immediately:
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Team members standing in discussion TeamSTEPPS logo and penguin |
Slide 18 Briefing in Action |
(vignette still) Click to play |
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Slide 19 Huddle1 |
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Team members engaged in a huddle. TeamSTEPPS logo and penguin |
Slide 20 Debriefing1 |
Informal information exchange session designed to improve team performance and effectiveness after each review. Debriefings answer:
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TeamSTEPPS logo and penguin |
Slide 21 STEP1 |
Status of the patient Team members Environment Progress toward goal |
TeamSTEPPS logo and penguin |
Slide 22 I’M Safe1 |
I = Illness M = Medication S = Stress A = Alcohol and Drugs F = Fatigue E = Eating and Elimination |
TeamSTEPPS logo and penguin |
Slide 23 Task Assistance1 |
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TeamSTEPPS logo and penguin |
Slide 24 Feedback1 |
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TeamSTEPPS logo and penguin |
Slide 25 Advocacy and Assertion1 |
- State the concern - State the problem—real or perceived - Offer a solution - Obtain an agreement |
TeamSTEPPS logo and penguin |
Slide 26 Two-Challenge Rule1 |
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TeamSTEPPS logo and penguin |
Slide 27 DESC Script1 |
A constructive approach for handling and managing personal conflict, the DESC script helps unit teams resolve these disputes.
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TeamSTEPPS logo and penguin |
Slide 28 CUS1 |
I am CONCERNED! I am UNCOMFORTABLE! This is a SAFETY ISSUE! |
TeamSTEPPS logo and penguin |
Slide 29 Collaboration1 |
Achieves a mutually satisfying solution resulting in the best outcome
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TeamSTEPPS logo and penguin |
Slide 30 SBAR1 |
Provides a framework for effective communication between team members for the following information:
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TeamSTEPPS logo and penguin |
Slide 31 Call-Out1 |
A strategy used to communicate critical information to all team members to prepare them for the upcoming procedures.
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TeamSTEPPS logo and penguin |
Slide 32 Check-Back1 |
A strategy that ensures messages are received.
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Diagram depicting how check-back works: The sender initiates a message to the receiver, who loops back his or her understanding and feedback to the sender. The sender then verifies the message was received. TeamSTEPPS logo and penguin |
Slide 33 Handoff1 |
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Two team members conversing. TeamSTEPPS logo and penguin |
Slide 34 I PASS the BATON1 |
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TeamSTEPPS logo and penguin |
Slide 35 Situational Awareness1 |
When team members use situational awareness, they:
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TeamSTEPPS logo and penguin |
Slide 36 Implement Teamwork and Communication: What the Team Needs to Do |
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Slide 37 Summary |
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Slide 38 Additional CUSP Tools |
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Tools icon |
Slide 39 References |
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