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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - Section 3: Teaching the Key Concepts and Tools
Module 2: Team Leadership
Module 3: Situation … Monitoring
Module 4: Mutual Support
Implementation of TeamSTEPPS 3.0
Diagnosis … Opportunity to ask questions and review: Handoffs are a good time to have a new pair of eyes evaluate the situation … Is the same handoff method used in every situation, or do they vary?
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www.qualitymeasures.ahrq.gov/teamstepps/rrs/rrsspecscen.html
October 01, 2014 - did not have leadership, support or resources to make sure there was back-up support to leave; the situation … The physician recommended additional monitoring. … Another nurse on the floor suggested calling the RRT, which she heard had helped with this type of situation … The family can play a role in monitoring the status of the patient; the nurse could have huddled with … Discussion points might include:
What could the Responders do if they run into this situation?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-slides.pdf
August 19, 2021 - Informs the implementation of a workable
automatic referral system as well as the
structuring and monitoring … Who will handle monitoring and reporting?
How will you fill the roles? … If no success, revisit the
process workflows, adjust
and try again
23
Story From The Field: Situation … Rehab program
will accommodate the forthcoming growth.
24
Story From the Field: Diagnosing the Situation … 27
PARTICIPANTSEVIDENCE-BASED
APPROACH
MONITORING
• Track measures over time
• Create a measure dashboard
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - Selected TeamSTEPPS Tools2
Leadership Situation Monitoring Mutual Support Communication
Brief STEP … out the care plan
Identifies each team member’s role and responsibilities
Heightens awareness of the situation … Describe the specific situation
Express your concerns about the action
Suggest other alternatives
Consensus … Provides a framework for effective communication between team members for the following information—
Situation―What … to ask questions, clarify, and confirm
Tool used: I PASS the BATON
Introduction
Patient
Assessment
Situation
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/overview.html
May 01, 2023 - Introduction to Curriculum
Module 1: Communication
Module 2: Team Leadership
Module 3: Situation … Monitoring
Module 4: Mutual Support
Implementation of TeamSTEPPS 3.0
Implementation … Implementation continues with additional training, coaching and monitoring, and effective use of change
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/learnbench.html
March 01, 2014 - For the real-life situation in question 4 above, a nurse in the same circumstances, but NOT confident … He plans to introduce himself, identify the patient and describe:
Situation, Background, Assessment … An action of cross monitoring that makes teamwork safer. … E
Two-Challenge rule
CUS (Concerned-Patient Safety)
Error reduction strategy
Maybe cross-monitoring … time-out" policy on behalf of patient safety
Anyone can call for clarification
14
C
Cross-monitoring
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
January 01, 2008 - The nonverbal cues from the nurse's face might communicate the urgency of the situation and the need … SBAR stands for Situation, Background, Assessment, and Recommendation, an easy to remember mechanism … In phrasing a conversation with another member of the team, you should consider the following:
Situation … Handoffs are a good time to review and have a new pair of eyes evaluate the situation for both safety … Module 3: Communication
‹#›
Communication skills interact directly with leadership, situation monitoring
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Situation Monitoring
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
13. … Monitoring patients provides an important contribution to effective team performance.
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Situation Monitoring
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
13. … Monitoring patients provides an important contribution to effective team performance.
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Two-Day Training
Half-Day Training
Mini-Session Training
Module 3: Situation … Monitoring
Module 4: Mutual Support
Implementation of TeamSTEPPS 3.0
Diagnosis … Properly structured patient care teams facilitate effective communication, leadership, situation monitoring … to a care plan that is already in place ( Slide 31, “Monitoring and Modifying the Plan: Huddle ”). … that information is being shared, all team members have the resources they need to do their job, the situation
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module4/office_lead.html
September 01, 2015 - Quick, reactive, touch-base meetings to regain situation awareness. … It is an important tool for monitoring and updating the team. … Situation awareness.
Mutual support.
Communication. … X
Situation awareness maintained?
X
Workload distribution? … Can you think of another way the situation could have been resolved?
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/team/overview/index.html
May 01, 2023 - of Key Concepts and Tools
Section 3: Teaching the Key Concepts and Tools
Module 3: Situation … Monitoring
Module 4: Mutual Support
Implementation of TeamSTEPPS 3.0
Diagnosis … Monitoring and Modifying the Plan
Huddle — Ad hoc meeting to ensure continual progression of care to
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
March 01, 2017 - Fatigue
Workload
Misinterpretation of Cues
Lack of Role Clarity Brief
Huddle
Debrief
STEP
Cross-Monitoring … Situation awareness maintained?
Workload distribution equitable? … /CAUTI Long-Term Care Safety Modules
Teamwork and Communication | ‹#›
15
Practicing SBAR3
Situation … curriculum-tools/teamstepps/longtermcare/video/11cus_sa/index.html
20
DESC
Describe the specific situation … or behavior; provide concrete data
Express how the situation makes you feel/what your concerns are
Suggest
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module7/slsummary.html
July 01, 2018 - Communication
SBAR
Call-Out
Check-Back
Handoff
Leading Teams
Brief
Huddle
Debrief
Situation … Monitoring
STEP
I'M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge … Can be used to address barriers to team effectiveness in a given situation.
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www.qualitymeasures.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - improving the use of antibiotics for urinary tract infections (UTIs) in nursing home residents based on the Situation … It includes a readiness assessment, timeline, policies and procedures, and monitoring tools specific
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … SBAR (Situation, Background, Assessment, Recommendation and Request): A
technique for communicating … Shared mental model: Results from each team member maintaining situation
awareness and ensures that … Situation awareness: The state of “knowing what’s going on around you.” … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … SBAR (Situation, Background, Assessment, Recommendation and Request): A
technique for communicating … Shared mental model: Results from each team member maintaining situation
awareness and ensures that … Situation awareness: The state of “knowing what’s going on around you.” … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
September 01, 2020 - The recommendations provided here represent the ideal situation in which these issues can be addressed … Systems for identifying, reporting, and monitoring errors across diverse populations, and strategies … and easy integration with other reporting systems for quality of care monitoring purposes. … Findings
Our research revealed a significant need for improvement in the area of monitoring safety … The TeamSTEPPS LEP Module provides additional resources on evaluation metrics for monitoring patient
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/m1evidencebase.pdf
August 08, 2013 - aspects of teamwork that must be targeted in training include: team leadership,
mutual performance monitoring … (i.e., situation monitoring), backup behavior (i.e., mutual
support), and communication. … Evidence Base: Introduction – B-1-28 TeamSTEPPS 2.0
Introduction
Mutual
Performance
Monitoring … (aka
Situation
Monitoring)
The ability to develop a
common
understanding of the
team environment
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/mutual/teach/half-day.html
June 01, 2023 - Introduction to Curriculum
Module 1: Communication
Module 2: Team Leadership
Module 3: Situation … Monitoring
Module 4: Mutual Support
Section 1: Overview of Mutual Support Key Concepts and … If you have time, have a participant share a situation they experienced where the team did a great job