Teams
A type of work which involves different health and/or social professions who share a team identity and work closely together in an integrated and independent manner to solve problems and deliver services.
What is teamwork?
This has been identified among the top 3 leading root causes of sentinel events reported to the HIROC/CMPA.
What is miscommunication?
This person is the second individual viewing the fetal heart rate tracing.
What is the "buddy".
When a disagreement occurs during the “Fresh Eyes” process that either party feels cannot be discussed and/or resolved at the bedside, the discussion will be moved where?
What is, outside of the room
Misinterpretation of EFM tracings can arise from one of these factors
What is fatigue, familiarity, and limited knowledge
Three aspects that make up a good team
What is knowledge, skills, and experience?
List three things that effective communication is dependant on.
What is: Mutual respect, Language that is clear and precise, Timely flow and transfer of relevant information, Clear delineation of the roles of the communicators, Respect for confidentiality, Conducive environment, Inclusion of everyone the information affects.
This is where the Fresh Eyes assessment takes place
What is at the bedside or in patient's presence?
In effective conflict resolution, avoid making these
What are assumptions
The times when handover occurs.
What is change of shift, transfer between units, break coverage
Healthcare teams often work under these conditions.
What is stressful?
What is: Language barriers, Distractions, Fatigue, Physical proximity, Personalities, Workload, Lack of Time, Hierarchy, Varying communication styles, Conflict, Lack of information sharing or verification, Shift change, Workload, Lack of role clarity
This approach has been shown to enhance the ______ of EFM interpretation during the intrapartum period.
What is accuracy
You may need to seek this person during a Fresh Eyes disagreement
What is a third party, team leader, MRP
When maintaining situational awareness, I do these things (name two).
What is: Know the game plan and resources available through briefings and team management
Have an understanding of what`s going on and what is likely to happen next
Check-back and verify information
Provide ongoing updates - briefings, call-outs, team huddles and check-backs
This type of practice allows teams to train together so they can be prepared for patient care or emergencies.
What is simulation or mock codes?
Name an Information Exchange Strategy.
What is: SBAR, or Handover, or Fresh Eyes
Document these things after Fresh Eyes has occurred
What is:
–When Fresh Eyes was completed
•the review of risk factors that may affect fetal wellbeing;
•a systematic assessment of the FHS using EFM;
•a review of the plan of care
–The systematic interpretation by the “buddy” and completion is evident by presence of 2 care provider signatures.
An important step in conflict resolution is to listen so that you can ______ another person's story of events
What is listen
When using the SBAR-R-R tool for listening, the 'A' stands for
What is, ask questions?
Provide three reasons why teamwork is important.
What is: Reduced clinical errors, Improve patient outcomes, Improve process outcomes, Increase patient satisfaction, Increase family satisfaction, Increase staff satisfaction, Reduce staff turnover, Reduce patient and family grievances and complaints
SBARRR stands for
What is Situation, Background, Assessment, Recommendation, Reasoning, Ratification
These are the three steps of Fresh Eyes
What is Risk Identification, Systematic Interpretation, Plan
We all bring different ______ that influence our perceptions of risk
What is perspectives
A proper handover consists of these 5 elements.
Transfer of responsibility and accountability
Clarity of information
Verbal communication of information
Acknowledgment by receiver
Opportunity to review