AcademyHealth National Implementation of TeamSTEPPS TM
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Transcript AcademyHealth National Implementation of TeamSTEPPS TM
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
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
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Purpose 1
To transition evidence-based best practices into tools
and strategies that maximize team performance in
the delivery of healthcare
Making Research Relevant!
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Project Drivers
To Err is Human
NDAA 2001
National Patient Safety Goals
IHI
NQF
All cite the need for team training
in healthcare
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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
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Edited Handbook
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EvidenceBased
Methods
Principles and
Guidelines
Tools for
Training and
Measurement
AcademyHealth
Collaboration Products
Teamwork &
Simulation
Relevant Evidence
Teamwork in
Healthcare
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Teamwork in
Professional
Education
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Results
Need for Public Domain Curriculum
and 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
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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
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TeamSTEPPS Framework
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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
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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
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OUTCOMES
Shared Mental Model
Adaptability
Team Orientation
Mutual Trust
Team Performance
Patient Safety!!
AcademyHealth
Purpose 2
To disseminate these tools and strategies throughout
healthcare
Making Research Accessible!
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National Implementation of
TeamSTEPPSTM
Federally funded project (AHRQ and DoD)
Objectives:
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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
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Team Resource Centers and the National
Implementation Team
Minnesota -TRC
Delmarva
AIR
Lumetra
Carilion TRC
Creighton TRC
Duke TRC
Booz | Allen | Hamilton
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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
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Progress
Training began end of January 2008
425 participants had registered for training as of June 1
Training Statistics
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Total trained to date – 271
Number of institutions they represented – 59
Number of individuals from QIOs – 122
Number of QIOs represented – 29
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Technical Assistance
1-800- XXX-XXXX
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User Support
Meetings and Conferences
Quarterly teleconferences
Topically driven webinars
TeamSTEPPS Collaborative
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2007 AIR
2008 Duke
2009 Creighton
June
National meeting of
program participants
AcademyHealth
Information Dissemination
www.ahrq.gov/teamstepps
About TeamSTEPPS
Readiness Assessment
Tools and Materials
Spotlight
More to come!
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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:
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www.ahrq.gov/teamstepps
[email protected]
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