Patient Safety & Clinical Handover Kiaran Flanagan, Consultant Acute Physician Acute Medicine Team.
Team Training for Patient Safety - Laerdal Medical Patient Safety w-Team Training... · Team...
Transcript of Team Training for Patient Safety - Laerdal Medical Patient Safety w-Team Training... · Team...
Team Training for Patient Safety
Paul E. Phrampus, MD FACEPDirector
Peter M Winter Institute forSimulation, Education and Research (WISER)
University of Pittsburgh
1929 - 1950
• Australia• Canada• Germany• Great Britain• Japan • USA• USSR
Medicine
• Betsy Lehman, died from an overdose during chemotherapy
• Willie King had the wrong leg amputated• Ben Kolb was eight years old when he
died during ''minor" surgery due to a drug mix-up
Difference Between Medicine and Aviation
• Numbers Spread Across Entire Nations• Different Mindset of the Professional
Healthcare EducationPsychomotor Skills
Communications Skills
Professionalism Skills
Base Knowledge Decision Making
Team Skills
Healthcare EducationPsychomotor Skills
Communications Skills
Decision MakingBase Knowledge
Team Skills
Professionalism Skills
Healthcare EducationPsychomotor Skills
Communications Skills
Professionalism Skills
Base Knowledge Decision Making
Team Skills
Position Task Completion
0%
25%
50%
75%
100%
1 2 3
Session
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Perc
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AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader
Improvement is rapid and measurable: Position, Individual
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
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Session number
Mor
talit
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Simulator “Mortality”