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National Implementation of TeamSTEPPS TM David P. Baker, PhD American Institutes for Research

National Implementation of TeamSTEPPS TM David P. Baker, PhD American Institutes for Research James Battles Agency for Healthcare Research and Quality Heidi King Department of Defense. Project Purposes.

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National Implementation of TeamSTEPPS TM David P. Baker, PhD American Institutes for Research

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  1. National Implementation of TeamSTEPPSTM David P. Baker, PhD American Institutes for Research James Battles Agency for Healthcare Research and Quality Heidi King Department of Defense

  2. Project Purposes • To transition evidence-based best practices into tools and strategies that maximize team performance in the delivery of healthcare • To disseminate these tools and strategies throughout healthcare

  3. Purpose 1 To transition evidence-based best practices into tools and strategies that maximize team performance in the delivery of healthcare Making Research Relevant!

  4. Project Drivers • To Err is Human • NDAA 2001 • National Patient Safety Goals • IHI • NQF • All cite the need for team training in healthcare

  5. AHRQ/DoD Initiatives • Activities began in 2002 • AHRQ issued PSO Task Order Contract to American Institutes of Research (AIR) • Expert Panel • Comprehensive Literature Review • Case Study Analysis • Journals/Articles • Presentations • Clinical Measures of Teamness (RAND evaluation contract Mod) • Medical Team Training Curriculum TeamSTEPPS • Edited Handbook

  6. Collaboration Products Teamwork & Simulation Relevant Evidence Teamwork in Healthcare Teamwork in Professional Education

  7. Results • Need for Public Domain Curriculumand Support Materials • Dueling Team Training in DoD elsewhere in Healthcare • Training materials not readily available • Need to get evidence base into practice • Need to focus on actual training not development of materials

  8. TeamSTEPPSTM • AHRQ and DoD public domain curriculum for teaching teamwork to healthcare professionals • Developed in the DoD • Released in Fall 2006 • National standard for team training in healthcare • Initiative based on evidence • Designed to be customizable to the institution

  9. TeamSTEPPS Framework

  10. Curriculum Content BARRIERS • Inconsistency in Team Membership • Lack of Time • Lack of Information Sharing • Hierarchy • Defensiveness • Conventional Thinking • Complacency • Varying Communication Styles • Conflict • Lack of Coordination and Follow-Up with Co-Workers • Distractions • Fatigue • Workload • Misinterpretation of Cues • Lack of Role Clarity TOOLS and STRATEGIES Brief Huddle Debrief STEP Cross Monitoring Feedback Advocacy and Assertion Two-Challenge Rule CUS DESC Script Collaboration SBAR Call-Out Check-Back Handoff OUTCOMES • Shared Mental Model • Adaptability • Team Orientation • Mutual Trust • Team Performance • Patient Safety!!

  11. Purpose 2 To disseminate these tools and strategies throughout healthcare Making Research Accessible!

  12. National Implementation of TeamSTEPPSTM • Federally funded project (AHRQ and DoD) • Objectives: • Create a national infrastructure to support the dissemination and implementation of TeamSTEPPSTM • Develop new tools, techniques, and measures to advance and sustain TeamSTEPPSTM principles • Support and sustain TeamSTEPPSTM • Evaluate program impact – locally and nationally

  13. Team Resource Centers and the National Implementation Team Minnesota -TRC Delmarva AIR Lumetra Carilion TRC Creighton TRC Duke TRC Booz | Allen | Hamilton

  14. Team Resource Centers • Train 1200 Master Trainers/Change Agents • CMS Quality Improvement Organizations (QIOs) • AHRQ High Reliability Organizations (HROs) • AHRQ ACTION Partners (120 institutions) • AHRQ Patient Safety Improvement Corps (PSIC) • Implement and demonstrate TeamSTEPPSTM Tools and Strategies • SBAR • Standardized handoffs • Conduct research on the link between effective teamwork and clinical outcomes

  15. Progress • Training began end of January 2008 • 425 participants had registered for training as of June 1 • Training Statistics • Total trained to date – 271 • Number of institutions they represented – 59 • Number of individuals from QIOs – 122 • Number of QIOs represented – 29

  16. Technical Assistance1-800- XXX-XXXX

  17. User SupportMeetings and Conferences • Quarterly teleconferences • Topically driven webinars • TeamSTEPPS Collaborative • 2007 AIR • 2008 Duke • 2009 Creighton • June • National meeting of program participants

  18. Information Disseminationwww.ahrq.gov/teamstepps • About TeamSTEPPS • Readiness Assessment • Tools and Materials • Spotlight • More to come!

  19. Summary • Large-scale effort to transition the best evidence available into practical, user friendly tools. • National training initiative to push this into the health system • More information: • www.ahrq.gov/teamstepps • teamsteppscontact@air.org

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