Leveraging TeamSTEPPS May 11 2016 Rules of Engagement Audio for the webinar can be accessed in two ways Through the phone Please mute your computer speakers Through your computer A QampA session will be held at the end of the presentation ID: 668415
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Slide1
Enhancing Code Blue Team Effectiveness
Leveraging TeamSTEPPS
May 11, 2016Slide2
Rules of Engagement
Audio for the webinar can be accessed in two ways:Through the phone
(*Please mute your computer speakers
)
Through your computer
A
Q&A session will be held at the end of the presentation
Written questions are encouraged throughout the presentation and will be answered during the Q&A session
To submit a question, type it into the Chat Area and send it at any time during the presentation Slide3
Upcoming TeamSTEPPS Events
Monthly WebinarsScheduled through August 2016Topics, speakers, and registration information will be posted on the portal
No webinar will be held in June due to the TeamSTEPPS National Conference
Please look for information about the July webinar in the coming weeks!
Master Training Courses
Registration open for courses scheduled through August 2016
TeamSTEPPS Advanced Course
Applications being accepted for August 2016 coursesSlide4
Upcoming TeamSTEPPS Events (Cont’d)
Online Course AvailabilityNot able to travel? Training through the TeamSTEPPS 2.0 Online Master Trainer Course is available.
Register at:
https://tslms.org
Learn more and register for all events
at
www.TeamSTEPPSportal.org
Slide5
Help Line (312) 422-2609
Or email:
AHRQTeamSTEPPS@aha.org
Slide6
Today’s Presenters
Susan Coffey Zern, MD, CHSE
Director, Virtual Education and Simulation Training
Christiana Care Health System
Michael Vest, DO, FACP, FCCP
Pulmonary and Critical Care Medicine
Christiana Care Health System
Loretta Consiglio-Ward,
MSN, RN
Quality/Safety
Education Specialist
Christiana Care Health
System
Carol Kerrigan Moore, MS,
FNP-BC
Quality/Safety Education Specialist
Christiana
Care Health SystemSlide7Slide8Slide9Slide10
Objectives
Describe the development of a Code Blue team leader curriculum that is designed to support clinical team effectivenessRecognize the importance of a learning needs assessment prior to initiation of training to assess gaps and inform curriculum design
Explain the value of post code debriefs for continuous improvement
Slide11
Polling Question #1Slide12
Polling Question #2Slide13
13
Team S
trategies and Tools
t
o
E
nhance
P
erformance and
P
atient
S
afety
“The strength of the team is
each member. The
strength of each
member
is the team
.”
~
Phil Jackson
A team of experts is not
an expert team…Slide14
Specific Tools UsedSlide15
BackgroundSlide16
Follow these ‘STEPPS’Slide17
Assessment
Online survey by Pulmonary
Critical Attending
Mithil
Gajera
, MD
Survey was sent to:
Medical Intensive Care Unit Nurses
Medical Residents
Nurses on Step Down Unit
CULTURE SURVEY
Slide18
Culture Survey
Q21: Crowd control is an issue at code blues.
Q19: The labeling of the code cart is appropriate to help me identify & locate necessary supplies in a timely manner.Slide19
Polling Question #3Slide20
Polling Question #4Slide21
Assessment Continued
Unannounced in situ Code Blue simulations
Approval was obtained from Safety First Committee, CEO, CMO, and CNO
Materials Management and Pharmacy
Portal
Announcements
SITE ASSESSMENTSlide22
Site Assessment Slide23
Site Assessment Slide24
Assessment Continued
Crowd Control
Teamwork and Communication
Number and type of responders
Number of call-outs and check-backs
Role assignment
Time to shock
DATA/ MEASURES Slide25
Assessment Continued
Crowd Control – focus group developed interventions – tested them in the simulation center, then used them in the clinical environment
Time to first shock – AED training for bedside nurses – 920 nurses trained in one month period
Teamwork and Communication – Team Leader Training
ACTION PLANSlide26
Code Blue Team Leader TrainingSlide27
Rapid Cycle Deliberate Practice (RCDP) Debriefing
Based on mastery learning theoryFeedback and corrective information given to
the learner
Just-in-time correction
Allows minor changes to occur throughout the learning process in real time
Keep practicing until the learner masters the skill
Resuscitation 85(2014)945-951Slide28
RCDP Debriefing
Microdebriefing
Cases with defined objectives based on performance standards
Educator/Debriefer - interrupts the session when a standard is breached
State
observations
Give
directions for properly performing the skill
Through discussion
Expert modeling
Practice
Rewind the clinical scenario to allow learners to implement the “practiced skill” right away
Slide29
Structure of Code Team Leader* Training Slide30
Next StepsSlide31
Next Steps Continued
Debriefing to inform continuous improvement at an individual level, team level, and system
level
CONTINUOUS
IMPROVEMENTSlide32
Post-Simulation Debrief Tool
Components of the debrief Was there a clear leader?Was the communication clear?
Were roles and responsibilities understood?
Situation awareness maintained?
Workload distribution?
Did we ask for or offer assistance?
Were errors made or avoided?
What went well, what should change, what can improve?
Are
there any physical or emotional needs for code team members at this moment
? *Slide33
Questions and AnswersSlide34
Thank You!
For more information, please contact our team at:
AHRQTeamSTEPPS@aha.org