TeamSTEPPS Fundamentals Course: Module 1. Introduction

Classroom Slides

TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety.

 Contents

Slide 1. TeamSTEPPS 2.0
Slide 2. Introductions
Slide 3. Teamwork Exercise #1
Slide 4. Objectives
Slide 5. Course Agenda
Slide 6. Day 1—Core Teamwork Skills
Slide 7. Day 2—Coach, Implement, Sustain
Slide 8. Master Training Materials
Slide 9. Sue Sheridan Video
Slide 10. Video Discussion
Slide 11. Barriers to Team Performance
Slide 12. Patient Safety Movement & Team Training
Slide 13. TeamSTEPPS
Slide 14. What Makes Up Team Performance?
Slide 15. Outcomes of Team Competencies
Slide 16. High-Performing Teams
Slide 17. Evidence That TeamSTEPPS Works
Slide 18. Applying TeamSTEPPS Exercise


Slide 1: TeamSTEPPS 2.0

TeamSTEPPS 2.0

 

Strategies and Tools to Enhance Performance and Patient Safety.

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Slide 2: Introductions

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Slide 3: Teamwork Exercise #1

Teamwork Exercise #1

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Slide 4: Objectives

Objectives

  • Describe the TeamSTEPPS Master Trainer course.
  • Describe the impact of errors and why they occur.
  • Describe the TeamSTEPPS framework.
  • State the outcomes of the TeamSTEPPS framework.

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Slide 5: Course Agenda

Course Agenda

Day 1:

  • Module 1—Introduction.
  • Module 2—Team Structure.
  • Module 3—Communication.
  • Module 4—Leading Teams.
  • Module 5—Situation Monitoring.
  • Module 6—Mutual Support.
  • Module 7—Summary—Putting It All Together.

Day 2:

  • Change Management: How to Achieve a Culture of Safety.
  • Coaching Workshop.
  • Measurement.
  • Implementation Planning.

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Slide 6: Day 1—Core Teamwork Skills

Day 1 - Core Teamwork Skills

Image: The TeamSTEPPS Logo. [D] Select for Text Description.

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Slide 7: Day 2—Coach, Implement, Sustain

 

The shift process shown in this slide has three phases. 

Phase I: Assessment. Pretraining assessment includes site assessment, culture survey and data/measures. Are these ready? If no, pass through climate improvement and return to pretraining assessment. If yes proceed to action plan and then move on to Phase II. 

Phase II: Planning, training and implementation. Training leads to intervention. Intervention includes testing and leads to Phase III. 

Phase III: Sustainment. This phase includes culture change: coach and integrate, monitor the plan, and continuous improvement. Continuous improvement includes going back to training to lead to more culture change. 

In summary: Set the stage, decide what to do, make it happen and make it stick.

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Slide 8: Master Training Materials

Master Training Materials

  • Instructor Manual:
    • Course Management Guide.
    • Instructor Manuals.
    • Course slides.
    • Measurement tools.
  • DVD:
    • Customizable materials.
    • Videos.

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Slide 9: Sue Sheridan Video

Sue Sheridan Video

Select the link below to access the video. 

'Roll 'Em!' Play Video (icon: penguin film director)  
Sue Sheridan video (Flash video, 9 min., 49 sec.; 60.8 MB)

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Slide 10: Video Discussion

  • What breakdowns in teamwork did you observe in the two stories?
  • How can we prevent medical errors?

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Slide 11: Barriers to Team Performance

  • Inconsistency in team membership.
  • Lack of time.
  • Lack of information sharing.
  • Hierarchy.
  • Defensiveness.
  • Conventional thinking.
  • Varying communication styles.
  • Conflict.
  • Lack of coordination and followup.
  • Distractions.
  • Fatigue.
  • Workload.
  • Misinterpretation of cues.
  • Lack of role clarity.

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Slide 12: Patient Safety Movement & Team Training

Patient Safety Movement & Team Training

This slide shows a timeline for the patient safety movement. The timeline is as follows:

1995: DoD MedTeams® ED Study
1999: "To Err is Human" IOM Report
2001: Executive Memo from President
2003: JCAHO National Patient Safety Goals
2004: Institute for Healthcare Improvement 100K lives Campaign
2005: TeamSTEPPS
2005: Patient Safety and Quality Improvement Act of 2005.
2006: TeamSTEPPS Released to the Public.
2007: TeamSTEPPS National Implementation Program Began.
2008: National Implementation of CUSP.
2011: Centers for Medicare & Medicaid Services Partnership for Patients Campaign

An arrow labeled "Medical Team Training" points from left to right beneath the timeline.

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Slide 13: TeamSTEPPS

Team Strategies & Tools to Enhance Performance & Patient Safety

  • Based on more than 30 years of research and evidence.
  • Team training programs have been shown to improve attitudes, increase knowledge, and improve behavioral skills.
  • Salas, et al. (2008) meta-analysis provided evidence that team training had a moderate, positive effect on team outcomes (ρ = .38).

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Slide 14: What Makes Up Team Performance?

What Makes Up Team Performance?

Image: The TeamSTEPPS logo is shown; arrows point from three text boxes to the pertinent sections of the logo: 

  • Knowledge: Cognitions, 'Think'. 
  • Attitudes: Affect, 'Feel'.
  • Skills: Behaviors, 'Do'.

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Slide 15: Outcomes of Team Competencies

Outcomes of Team Competencies

  • Knowledge
    • Shared Mental Model.
  • Attitudes
    • Mutual Trust.
    • Team Orientation.
  • Performance
    • Adaptability.
    • Accuracy.
    • Productivity.
    • Efficiency.
    • Safety.

Image: The TeamSTEPPS logo.

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Slide 16: High-Performing Teams

Teams that perform well:

  • Hold shared mental models.
  • Have clear roles and responsibilities.
  • Have clear, valued, and shared vision.
  • Optimize resources.
  • Have strong team leadership.
  • Engage in a regular discipline of feedback.
  • Develop a strong sense of collective trust and confidence.
  • Create mechanisms to cooperate and coordinate.
  • Manage and optimize performance outcomes.

(Salas, et al., 2004)

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Slide 17: Evidence That TeamSTEPPS Works

  • Capella, et al. (2010)
    • Trauma resuscitation team implementation.
    • Pre- and post-TeamSTEPPS training results:
      • Team performance improved across all teamwork skills: Leadership, Situation Monitoring, Mutual Support, Communication.
      • Significantly decreased times from arrival to CT scanner, endotracheal intubation, and operating room.
  • Thomas & Galla (2013)
    • Systemwide implementation.
    • Pre- and post-TeamSTEPPS training results:
      • Significant improvement in HSOPS scores on Feedback and Communication About Error, Frequency of Events Reported, Hospital Handoffs and Transitions, and Teamwork Across Units.
      • Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other incidents.

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Slide 18: Applying TeamSTEPPS Exercise

Please answer the following question on your TeamSTEPPS Implementation Worksheet, which we will continue to complete at the end of each of the Fundamentals Course modules:

  • What is the patient safety issue your organization is facing that is linked to a problem with teamwork?

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Current as of March 2014
Internet Citation: TeamSTEPPS Fundamentals Course: Module 1. Introduction : Classroom Slides. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.html