Grab Bag
This organization put out the report saying communication breakdowns are responsible for 72% of preventable medical errors.
What is the Institute of Medicine?
Information exchange after an event.
What is a Debrief?
These two animals are used to describe when two providers are looking at one patient with different ideas.
What is a duck and a rabbit/bunny?
When these signal words are used all team members are expected to "STOP THE LINE" until the safety concern can be resolved.
What is CUS? I am CONCERNED! I am UNCOMFORTABLE! This is a SAFETY ISSUE!
This Seattle-based beverage company uses closed loop communication as a part of their employee training.
What is Starbucks?
The Steve Martin clip that shows an example of a cross check is a clip from this movie.
What is The Man With Two Brains?
It's a plot twist - an ad hoc meeting to reassess the situation, reassign roles, express concerns, and check progression towards goals.
What is a Huddle?
Monitoring the actions of other team members, thereby providing a safety net to help identify and rectify risky conditions and behaviors. Also known as "having each other's back."
What is Cross-Monitoring?
Assertively voicing your concern at least two times to be sure it has been heard. If the outcome is still not acceptable you should take a stronger course of action by utilizing the chain of command.
What is the Two-Challenge Rule?
Request, call-out, cross-check and check-back are components of this 100 level tool
Closed loop communication
The video to demonstrate active listening and not just solving the problem in Mutual Support has this title.
What is "It's Not About the Nail?"
The short planning session prior to start (prologue) to assign roles, establish expectations, and anticipate outcomes.
What is a Brief?
The combination of Situation Monitoring + Situation Awareness helps establish and maintain this important condition among team members.
What is a Shared Mental Model?
It is expected this will be actively sought, offered and accepted. Useful in protecting team members from situations of work overload and fatigue, when they are most prone to committing errors.
What is Task Assistance?
In response to a directed request or order, the team member repeats the request exactly as he or she heard it delivered.
What is a Cross-Check?
The type of haircut Ross had in the slide around change being necessary.
What is mullet?
This VA study published in NEJM demonstrated an 18% decrease in mortality in the OR by implementing these two tools
What is briefs and debriefs?
Climbing up this can lead to false assumptions, and possibly lead to unnecessary conflit
What is the Ladder of Inference?
Mutual support tools are considered this level of tools because they are culture change tools
300 level skills
This communication technique, often unsolicited, informs all team members simultaneously of important information, helping them anticipate next steps.
What is Call-Out?
The title of the book written by Dan and Chip Heath that talks about leading change.
What is Switch?
These are two types of leaders as described by TeamSTEPPS.
What is designated (assigned) and situational (emergent)?
This video demonstrates, despite our beliefs, multi-tasking is difficult
What is Monkey Business?
The E in this conflict resolution tool stands for Express (your concerns about the action).
What is DESC Script?
These words come together to form the mnemonic, "SBAR".
What is Situation, Background, Assesment, Recommendation?