TeamSTEPPS Fundamentals Course: Module 2 Team Structure: Classroom SlidesTeamSTEPPS 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. TeamSTEPPS® Fundamentals Course: Module 2Team Structure: Classroom SlidesSlides:Slide 1. Team StructureSlide 2. ObjectivesSlide 3. TeamSTEPPSSlide 4. Partnering With the PatientSlide 5. Why Teamwork?Slide 6. High-Performing TeamsSlide 7. Barriers to Team PerformanceSlide 8. Exercise: Teams and TeamworkSlide 9. Multi-Team System (MTS) for Patient CareSlide 10. A Core Team is...Slide 11. A Coordinating Team is...Slide 12. A Contingency Team is...Slide 13. Ancillary Services provide...Slide 14. The Role of Administration is to...Slide 15. Example: A Multi-Team System in the ORSlide 16. Exercise: Your Multi-Team SystemSlide 17. Team Member CharacteristicsSlide 18. Team Failure VideoSlide 19. Teamwork Failure Video AnalysisSlide 20. What Defines a Team?Slide 21. Paradigm Shift to Team System ApproachSlide 22. Effective Team MembersSlide 23. Teamwork Actions Slide 1: Team Structure"The ratio of We's to I's is the best indicator of the development of a team."— Lewis B. ErgenReturn to Contents Slide 2: ObjectivesIdentify the characteristics of high-performing teams.Discuss benefits of teamwork and team structure.Describe components and composition of a multi-team system (e.g., Core Team, Coordinating Team, Contingency Team, Ancillary Services, and Administration).Understand what defines a team.Define the roles and effectiveness of team members. Return to Contents Slide 3: TeamSTEPPS[D] Select for Text DescriptionReturn to Contents Slide 4: Partnering with the PatientEmbrace patients as valuable and contributing partners in patient care.Learn to listen to patients.Assess patients' preference regarding involvement.Ask patients about their concerns.Speak to them in lay terms.Ask for their feedback.Give them access to relevant information.Encourage patients and their families to proactively participate in patient care.Return to Contents Slide 5: Why Teamwork?Reduce clinical errors.Improve patient outcomes.Improve process outcomes.Increase patient satisfaction.Increase staff satisfaction.Reduce malpractice claims.Return to Contents Slide 6: High-Performing TeamsTeams 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)Return to Contents Slide 7: Barriers to Team PerformanceInconsistency in team membership.Lack of time.Lack of information sharing..Hierarchy.Defensiveness.Conventional thinking.Varying communication styles.Conflict.Lack of coordination and follow-up.Distractions.Fatigue.Workload.Misinterpretation of cues.Lack of role clarity.Return to Contents Slide 8: Exercise Teams and TeamworkWrite down the names (or positions) of the people in your immediate work area or unit who contribute to successful patient care.Return to Contents Slide 9: Multi-Team System (MTS) for Patient CareA chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 10: A Core Team is....A group of care providers who work interdependently to manage a set of assigned patients from point of assessment to disposition.A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 11: A Coordinating Team is....A team comprising those work area members who are responsible for managing the operational environment that supports the Core Team.A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 12: A Contingency Team is....A time-limited team formed for emergent or specific events and composed of members from various teams.A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 13: Ancillary Services provide...Temporary resources for a specific patient interaction. A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 14: The Role of Administration is to...Establish and communicate vision.Develop policies and set expectations for staff related to teamwork.Support and encourage staff during implementation and culture change.Hold teams accountable for team performance.Define the culture of the organization.A chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 15: Example: A Multi-Team System in the ORA chart showing the team structure of the Multi-Team System for the OR. At the base of the system is Director of Surgical Services, Nursing Director—Perioperative Services. The next level is charge nurse, anesthesiologist, and unit clerk; and radiology, pathology, and housekeeping. At the next level is the surgeon, anesthesia, circulating nurse, and scrub technician. This section has an outside link to anesthesia. The patient is at the zenith of the structure.Return to Contents Slide 16: Exercise: Your Multi-Team SystemA chart showing the team structure of the Multi-Team System for Patient Care. At the base of the system is administration. The next level is coordinating team and ancillary and support services. At the next level is the core team, which has an outside link to contingency teams. The patient is at the zenith of the structure.Return to Contents Slide 17: Team Member CharacteristicsReturn to Contents Slide 18: Team Failure VideoSelect the penguin director icon below to access the video.Opportunity to apply TeamSTEPPS technique to improve outcome (Flash video, 3 min., 12 sec.; 19 MB)Return to Contents Slide 19: Teamwork Failure Video AnalysisDid the team establish a leader?Did the team assemble and assign roles and responsibilities to each member?Did the team members communicate essential information to each other?Did all team members contribute?Did the team members demonstrate mutual respect toward one another?Did the team address issues and concerns?What are some specific actions that could have been taken to improve the outcome?Return to Contents Slide 20: What Defines a Team?Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership.Return to Contents Slide 21: Paradigm Shift to Team System ApproachFrom (Individual)Single focus (clinical skills)Individual performanceUnder-informed decision-makingLoose concept of teamworkUnbalanced workloadHaving informationSelf-advocacySelf-improvementIndividual efficiencyTo (Team)Dual focus (clinical and team skills)Team performanceInformed decision-makingClear understanding of teamworkManaged workloadSharing informationMutual supportTeam improvementTeam efficiencyReturn to Contents Slide 22: Effective Team MembersAre better able to predict the needs of other team members.Provide quality information and feedback.Engage in higher level decision-making.Manage conflict skillfully.Understand their roles and responsibilities.Reduce stress on the team as a whole through better performance."Achieve a mutual goal through interdependent and adaptive actions"Return to Contents Slide 23: Teamwork ActionsAssemble a team.Establish a leader.Identify the team's goals and vision.Assign roles and responsibilities.Hold team members accountable.Actively share information among team members.Provide feedback."Individual commitment to a group effort—that is what makes a team work, a company work, a society work, a civilization work."— Vince LombardiReturn to ContentsReturn to IndexProceed to Module 3 Current as of November 2008 Internet Citation: TeamSTEPPS Fundamentals Course: Module 2: Team Structure: Classroom Slides. November 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/slteamstruct.html
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