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TeamSTEPPS: Strategies and Tools for Performance & Patient Safety

Learn how to implement TeamSTEPPS, a framework for enhancing performance and patient safety, through formal training, simulation, and sustainment. Gain valuable knowledge and tools to improve communication, leadership, situation monitoring, and mutual support. Explore case studies and resources for training providers and teams.

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TeamSTEPPS: Strategies and Tools for Performance & Patient Safety

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  1. TeamSTEPPSTeam Strategies and Tools to Enhance Performance & Patient Safety Lori Eckenrode BSN, RNC-OBStacy Norton M.D. F.A.C.O.G October 3,2018

  2. TeamSTEPPS • Team Strategies & Tools to Enhance Performance & Patient Safety Where did it come from? Why would you implement? https://youtu.be/L_oXvXtQlBA

  3. Phase One: Department Ready • Leaders: OB Hospitalist, Nurse Educator, Department Chair, Department Nursing Management, OB Rapid Response Team • Location: Family Birth Center & Women’s Care Unit Simulation: High fidelity Low fidelity (in Situ simulation)

  4. Our First STEPPS • Post Partum Hemorrhage • Cart • Staff Education • Bakri Education • Simulations

  5. Phase Two: Formal Training and a Plan • Learn Tools To Use • Performance • Knowledge • Attitudes • Leadership • Communication • Situational Monitoring • Mutual Respect Pre-Course work Problem to Solve

  6. Educate Our Team • Nursing and support staff • Physicians • OB Leadership Team • Engage other departments • Pharmacy • Blood Bank • Rapid Response • Anesthesia • Trauma https://youtu.be/VCcLY5LoCso

  7. TeamSTEPPS Framework and Competencies

  8. Communication

  9. Communication

  10. Leadership

  11. Situation Monitoring

  12. Situation Monitoring

  13. Mutual Support

  14. Mutual Support

  15. Mutual Support https://youtu.be/7-a2QBfFQeA

  16. Second “STEPPS” • Sentinel Event- Acute Hypertension • Multidisciplinary team established • Adopt best practices/Evidence based • Gain buy-in from physicians, nursing staff • OB Rapid Response Team planning and role-out • Formal Education/GNOSIS • Simulations • Debriefs and Process Improvements

  17. Labetalol Protocol

  18. Shoulder Dystocia

  19. Fire In the OR • Joint Commission Site Visit • Need • Education • Plan • Simulations

  20. Phase Three STEPPS • Sustainment • Monitor • Improve • Maintain schedule • Maintain metrics of quality improvement https://youtu.be/X7X-uchPHig

  21. Resources • Fahey, J. O., & Mighty, H. E. (2008). Shoulder dystocia: Using simulation to train providers and teams. Journal of Perinatal & • Neonatal Nursing. 22(2), 114-122. • Grobman, W.A. (2014). Shoulder dystocia: Simulation and a team-centered protocol. Seminars in Perinatology. 38(4) 205-206 • Sorensen, A., Poehlman, J., Riggan, S.,Davis, S.,Miller, K., Kahwati, L. (2015). • Training for teamwork through in situ simulations. BMJ Innovations, 1(3), 144. • TeamSTEPPS AHRQ website: http://teamstepps.ahrq.gov

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