Communication
According to The Joint Commission, this is one of the highest contributing root causes in medical errors.
What is ineffective communication (or communication errors)?
A huddle can be called by these people
What is Anyone?
A form of mutual support, team members protect each other from work overload situations by fostering a climate where it is expected that help be actively sought and offered.
What is task assistance?
Individual members of the team are accountable to scan their surroundings and can acquire, practice and improve on this skill.
What is Situation Monitoring?
The Patient and their loved ones
Who is an essential member of the patient care team?
Doctor: “Give 25 mg Benadryl IV push”
Nurse: “25mg Benadryl IV push?”
Doctor: “That’s correct!”
What is an example of closed loop communication?
The three strategies that team leaders can use to promote teamwork.
What are Briefs, Huddles and Debriefs?
An effective tool for resolving interpersonal conflict.
What is the DESC script?
To be successful, you should set the expectation for this tool at briefs and huddles
What is Cross-Monitoring or Cross-Check?
John repeated his concern in case his preceptor didn't hear him the first time.
What is an example of the "two challenge" rule?
A transfer of information (along with authority and responsibility) during transitions in care across the continuum. It includes an opportunity to ask questions, clarify, and confirm.
What is a Handoff
A short planning meeting to help the team anticipate the steps that will unfold in their activity.
What is a briefing?
A shared belief that no one will be punished or humiliated for speaking up with ideas, questions, concerns or mistakes
What is Psychological Safety?
This happens when all team members become part of a common vision and are on the same page.
What is a Shared Mental Model?
Human factors, communication breakdowns, poor teamwork
What are the top 3 contributors to sentinel events?
Complete, clear, brief and timely
What are the standards of effective communication?
If people feel uncomfortable approaching you directly, you may be contributing to this condition
What is Power Distance?
Constructive feedback is focused on these three things
What are Issues, Actions and Processes?
The state of knowing the conditions that affect one’s work, such as status of an event, status of the team’s patients or operational issues affecting the team
What is Situation Awareness?
These three components make up team performance
What are Knowledge (think), Attitudes (feel) and Skills (do)?
In response to Bill's ineffective communication technique, the sleepy doctor requested Bill to do this.
What is use SBAR?
When the new resident was unsure what to do, the experienced nurse in the room became this.
What is the Situational Leader?
When the triage nurse disregarded the receptionist's concern for the 2nd time, she made the difficult decision to do this
What is activate her chain of command?
I think it feels really busy. I see you have a new order on your patient and I wondered if you had a chance to see it yet?
What is a tool for an effective cross-check?
Ted, the diet aid, did not speak up to Susie RN about his concern because of this barrier to team performance
What is Excessive Professional Courtesy?