TeamSTEPPS and Patient Safety

Goals

To provide data and information on the implementation of TeamStepps and the results that have contributed to patient safety.




Early Findings

GENERAL OVERVIEW OF TEAMSTEPPS

  • Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) "is an evidence-based set of teamwork tools, aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals." It was developed by the Agency for Healthcare Research and Quality.
  • It "provides training curriculum and material to integrate teamwork principles into healthcare delivery and to improve communication among health care professionals. It aims to eliminate potential barriers to quality and safety by developing skills that promote team situational awareness, clarify roles and responsibilities, resolve conflicts, and improve information sharing."
  • The TeamSTEPP process has three phases. The first phase consists of doing a pre-training assessment in which the training need for the organization is assessed. In this phase the problem, challenge or opportunity for change and the goal for intervention are determined. Specific tools used are a site assessment tool and flowcharts (to map how processes contribute to issues in the area of patient safety) are used.
  • The second phase consists of planning, training, and implementation a TeamStepp initiative customized to the organization. The tools and strategies identified are applied to the entire organization. In this phase tools such as implementation plans and communication plans are used and training such as Train-the-Trainer, TeamSTEPP fundamentals and TeamSTEPP essentials are given using multimedia course materials
  • In the third phase "improvements in teamwork performance, clinical processes, and outcomes resulting from the TeamSTEPPS initiative" are sustained and spread. Methods such as feedback and coaching are used.

RESULTS

  • Kimbrough Ambulatory Care Center used TeamSTEPPS training to improve patient safety. According to employee surveys, the biggest improvements were "the staff’s ability to anticipate each other’s needs effectively, monitor each other’s performance, and reevaluate patient care goals when conditions changed". In each area there was an improvement of 12%.
  • A training technique that was particularly useful here in improving communication was "the "brief, huddle, and debrief," where medical staff members meet briefly at the start of their work shift to discuss a patient’s condition, meet again if there are changes later on, and then recap the patient’s condition at the end of their shift."

Proposed next steps:

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Information and academic research on the TeamSTEPPS method is available in the public domain, however, the majority of the research is qualitative in nature. It is possible that quantitative research on the direct impact of the TeamSTEPPS method on patient safety is available but further research would be needed to show if this is the case. We, therefore, recommend continuing the research by providing a deep-dive of the TeamSTEPPS method. This would consist of giving a general description of the TeamSTEPP training curriculum and providing 4-5 academic articles that show the impact this method has on patient safety (giving preference to articles that show quantitative results TeamSTEPPS impact on patient safety - if available). Wonder would provide the title of the article, provide the objective of the research and a description of the results of the study. Please note that articles might not fall within the 2 year limit for sources, would this be a problem?
Additionally, Wonder could further research how improving teamwork and communication skills among healthcare professionals contribute to increased patient safety and focus on a combination of quantitative and qualitative studies and articles.