Team Strategies and Tools to Enhance Performance and

Patient Safety

Module 1 Introduction

TeamSTEPPS CANADA™

Objectives

• Describe the TeamSTEPPS Canada Master Trainer OR Fundamentals course

• Describe the impact of errors and why they occur

• Describe the TeamSTEPPS framework

• State the outcomes of the TeamSTEPPS framework

1.2

TeamSTEPPS Canada™ Course offerings

Master Trainer Fundamentals Essentials

Fundamentals course, plus:• Change management• Coaching• Measurement• Implementation planning

• Team structure• Communication• Leading teams• Situation monitoring• Mutual support

Key principles and concepts of TeamSTEPPS

1.5 to 2 days 6 to 8 hours 1 to 3 hours

Master trainers are equipped to train frontline staff in TeamSTEPPS tools and resources

Ideal course offering for frontline staff who will be using TeamSTEPPS

Ideal course for clinicians who do not have time to attend a longer course but need the essentials to participate in TeamSTEPPS implementation

1.3

TeamSTEPPS Canada™ Fundamentals Core teamwork skills

1.4

1.5

Master Trainer: Coach, measure, implement, sustain

Training materialsFundamentals course• Course slides

Coach/trainer tools• Measurement tools• Course evaluation tools

Master trainers course• Course slides, speakers’ notes• Instructor’s guide• Interactive learning activity instructions• Course evaluation tools

Lesson Plans/options• Customizable materials• Scenarios/videos

1.6

Patient story video

1.7

Video discussion

• What breakdown(s) in teamwork did you observe in the patient story?

• How can we prevent medical errors?

1.8

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

follow-up• Distractions• Fatigue• Workload• Misinterpretation of cues• Lack of role clarity

1.9

TeamSTEPPS®

Patient safety movement and team training

Medical Team Training1999

“To Err Is Human”

IOM Report

TeamSTEPPS US National

Implementation Program Began

2007

2001 2002

Halifax Symposia on

Medical Error

CPSI established

2003

“Build a Safer

System” report

2004

Canadian Adverse Events Study

201720162011

2005

2006

DoDMedTeams®

ED Study

1995

PFPSC groundwork

& established

100K Lives Campaign

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2005

Safer Healthcare

Now!

SHIFT to Safetylaunch

TeamSTEPPSTeam Strategies & Tools to Enhance

Performance and 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 behavioural skills

(McEwan et al., 2017)(Cochrane et al., 2017)

(Salas et al., 2008)

1.11

What makes up team performance?

KnowledgeCognition“Think”

AttitudesAffect“Feel”

SkillsBehaviors“Do”

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High performing teams• Hold shared mental models• Have clear roles and responsibilities• Optimize resources• Have strong team leadership• Engage in a regular discipline of feedback• Develop trust and confidence • Create mechanisms to cooperate and

coordinate• Manage and optimize performance outcomes

(Salas, et al., 2004)

1.13

Evidence that TeamSTEPPS works (in Canada!)

Royal University Hospital(Saskatoon, Saskatchewan)• Acute Care Pediatrics,

(October 2015)• 89% improvement in all

survey areas• 20% increase in team

members providing feedback to each other

• 20% jump in “seeking information from available resources”

St. Boniface Hospital(Winnipeg Manitoba)• ICU, ER, then system

implementation• Year 3 of sustain plan in

2017• Patient’s family member at

bedside in CCU post-op in about 40 minutes (previously 90 minutes)

1.14

Applying TeamSTEPPS exercise

Please answer the following question on your TeamSTEPPS Implementation worksheet. We will revisit this question 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?

1.15

TeamSTEPPS Canada™ Implementation Worksheet