Objectives Discuss how situation monitoring affects team processes and outcomes List components of the STEP mnemonic Explain situation awareness and identify undermining conditions Define a shared mental model and how it is cultivated within a team ID: 1044128
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1. Situation Monitoring
2. 2 ObjectivesDiscuss how situation monitoring affects team processes and outcomesList components of the STEP mnemonic Explain situation awareness and identify undermining conditionsDefine a shared mental model and how it is cultivated within a team
3. 3 Endsley and Jones (2012) discussed Situation Awareness as “being aware of what is happening around you and understanding what information means to you now and in the future.” The key concepts: State of the environment.Decision-making ability.Performance of actions.Feedback that helps to identify important issues.
4. 4 Endsley (2012) Situation Awareness
5. Situation Monitoring Columbia Space Shuttle Disaster Nova documentaryVideo #1
6. Situation Monitoring Columbia Space Shuttle Disaster Nova documentaryVideo #2
7. 7 Situation Monitoring Ensures new or changing information is identified for communication and decision-makingLeads to effective support of fellow team members
8. 8 A Continuous ProcessSituationMonitoring(Individual Skill)SituationAwareness(Individual Outcome)Shared Mental Model(Team Outcome)
9. Situation Monitoring Code Black 9
10. 10 Components of Situation Monitoring:
11. 11 Patient HistoryVital SignsMedicationsPhysical ExamPlan of CarePsychosocial ConditionStatus of the Patient
12. 12 FatigueWorkload Task PerformanceSkill LevelStress LevelTeam Members
13. 13 Situation Monitoring How Did Dallas Nurse Catch Ebola?
14. 14 I = IllnessM = MedicationS = StressA = Alcohol and DrugsF = FatigueE = Eating and Elimination I’M SAFE Checklist
15. 15 Facility Information Administrative InformationHuman Resources Triage AcuityEquipmentEnvironment
16. 16 Call a Huddle!Status of Team’s Patient(s)Goal of TeamTasks/Actions That Are or Need To Be Completed Plan Still AppropriateProgress Toward Goal
17. 17 Includes knowing…Status of the patientStatus of other team membersEnvironmental conditionsCurrent progress toward the goalThe state of knowing the current conditions affecting one’s work.Situation Awareness is…
18. 18 Conditions That Undermine Situation AwarenessFailure to Share information with the teamRequest information from othersDirect information to specific team members Include patient or family in communicationUtilize resources fully (e.g., status board, automation)Maintain documentationKnow and understand where to focus attentionKnow and understand the planInform team members the plan has changed
19. 19 A Shared Mental Model is…The perception of, understanding of, or knowledge about a situation or process that is shared among team members through communication
20. 20 Lead to mutual understanding of situationLead to more effective communication Enable back-up behaviorsHelp ensure understanding of each other’s roles and how they interplayEnable better prediction and anticipation of team needsCreate commonality of effort and purposeHow Shared Mental Models Help Teams
21. 21 When:BriefsHuddlesDebriefsTransitions in CareWhen and How to Share?How:SBARCall-outsCheck-backs
22. 22 Tools & Strategies SummaryTOOLS and STRATEGIESCommunicationSBARCall-OutCheck-BackHandoffLeading TeamsBriefHuddle DebriefSituation MonitoringSTEPI’M SAFEOUTCOMESShared Mental ModelAdaptabilityTeam OrientationMutual TrustTeam PerformancePatient Safety!!BARRIERSInconsistency in Team MembershipLack of TimeLack of Information SharingHierarchyDefensivenessConventional ThinkingComplacencyVarying Communication StylesConflictLack of Coordination and Followup With CoworkersDistractionsFatigueWorkloadMisinterpretation of CuesLack of Role Clarity
23. Situation Monitoring Mayo ClinicVideo #1
24. Situation Monitoring Mayo ClinicVideo #2
25. Situation Monitoring Mayo ClinicVideo #3