Embed Size (px)
Citation preview
National Implementation of TeamSTEPPSTM
David P. Baker, PhDAmerican Institutes for Research
James BattlesAgency for Healthcare Research and Quality
Heidi KingDepartment of Defense
TEAMSTEPPS 05.2Mod 1 05.2 Page 2DRAFT 1.1 Page 2
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 3DRAFT 1.1 Page 3
AcademyHealth
Purpose 1
To transition evidence-based best practices into tools and strategies that maximize team performance in
the delivery of healthcare
Making Research Relevant!
TEAMSTEPPS 05.2Mod 1 05.2 Page 4DRAFT 1.1 Page 4
AcademyHealth
Project Drivers To Err is Human
NDAA 2001
National Patient Safety Goals
IHI
NQF
All cite the need for team training in healthcare
TEAMSTEPPS 05.2Mod 1 05.2 Page 5DRAFT 1.1 Page 5
AcademyHealth
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
Evidence-Based
Methods
Tools forTraining and
Measurement
Principles andGuidelines
TEAMSTEPPS 05.2Mod 1 05.2 Page 6DRAFT 1.1 Page 6
AcademyHealth
Collaboration Products
Teamwork in Professional
Education
Relevant Evidence Teamwork in Healthcare
Teamwork &
Simulation
TEAMSTEPPS 05.2Mod 1 05.2 Page 7DRAFT 1.1 Page 7
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 8DRAFT 1.1 Page 8
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 9DRAFT 1.1 Page 9
AcademyHealth
TeamSTEPPS Framework
TEAMSTEPPS 05.2Mod 1 05.2 Page 10DRAFT 1.1 Page 10
AcademyHealth
Curriculum Content TOOLS and
STRATEGIESBrief
Huddle DebriefSTEP
Cross MonitoringFeedback
Advocacy and AssertionTwo-Challenge Rule
CUSDESC ScriptCollaboration
SBARCall-Out
Check-BackHandoff
OUTCOMES
Shared Mental Model
Adaptability
Team Orientation
Mutual Trust
Team Performance
Patient Safety!!
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 11DRAFT 1.1 Page 11
AcademyHealth
Purpose 2
To disseminate these tools and strategies throughout healthcare
Making Research Accessible!
TEAMSTEPPS 05.2Mod 1 05.2 Page 12DRAFT 1.1 Page 12
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 13DRAFT 1.1 Page 13
AcademyHealth
Team Resource Centers and the National Implementation Team
Carilion TRC
Duke TRC
Creighton TRC
Minnesota -TRC
AIR
Lumetra
Delmarva
Booz | Allen | Hamilton
TEAMSTEPPS 05.2Mod 1 05.2 Page 14DRAFT 1.1 Page 14
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 15DRAFT 1.1 Page 15
AcademyHealth
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
TEAMSTEPPS 05.2Mod 1 05.2 Page 16DRAFT 1.1 Page 16
AcademyHealth
Technical Assistance1-800- XXX-XXXX
TEAMSTEPPS 05.2Mod 1 05.2 Page 17DRAFT 1.1 Page 17
AcademyHealth
User SupportMeetings and Conferences
Quarterly teleconferences
Topically driven webinars
TeamSTEPPS Collaborative 2007 AIR
2008 Duke
2009 Creighton
June
National meeting of program participants
TEAMSTEPPS 05.2Mod 1 05.2 Page 18DRAFT 1.1 Page 18
AcademyHealth
Information Disseminationwww.ahrq.gov/teamstepps
About TeamSTEPPS
Readiness Assessment
Tools and Materials
Spotlight
More to come!
TEAMSTEPPS 05.2Mod 1 05.2 Page 19DRAFT 1.1 Page 19
AcademyHealth
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
