0055 Teamstepps primary care – 'in-action'. (2nd November 2015)

• Record Type: Journal Article
• Authors: Randhawa, Sandeep Singh; Murdoch, Will; Stewart, Jon
• Is Part Of: BMJ simulation & technology enhanced learning. Volume 1(2015)Supplement 2
• Page Start: A42
• Page End: A43
• Publication Date: 2015-11-02
• Subjects: Medicine -- Simulation methods -- Periodicals; Medical innovations -- Periodicals; 610.113
• DOI: 10.1136/bmjstel-2015-000075.105
• Languages: English
• ISSNs: 2056-6697

Abstract

Abstract : Background: TeamSTEPPS is defined as 'Team Strategies and Tools to Enhance Performance and Patient Safety'. Research evidence has shown that TeamSTEPPS can provide skills to create and maintain high performing teams and achieve patient-centred care standards. Methods: The West Midlands Project supported by Health Education West Midlands wished to empower local GP Trainees with TeamSTEPPS. A Master Training programme was completed by the 'change team' faculty. The educational material was then formatted into a fundamentals course with mentoring support. In total 3 small group sessions (with Simulation facilities available) were utilised for core concepts namely Communication, Leading teams, Situation Monitoring and Mutual Support. Trainees were also introduced to principles beyond the fundamentals including Coaching, Change Management and Implementation. Results – projects in action: Local GP trainees' formulated individualised practice based plans for specific team needs. STEP checklist: A situational monitoring tool utilised as an audit for patients being prescribed Methotrexate Status of the patient Team members Environment Progress towards the goal Closed loop communications: Another trainee wanted to help standardise electronic communications. This was in response to a significant event of patients being lost to follow up on test results. A closed loop communication cycle was thus put into place. This empowered administration staff and levelled hierarchy with clinical staff. A similar method was also utilised to standardise approach to late arrival patients in practice. Conclusions: This project has introduced concepts and principles of TeamSTEPPS to local trainees who have put projects directly into action by utilising the support tools. The practice model could well be utilised more widely for teamwork improvement. Support to overcome potential barriers to change should also be considered References: Thomas EJ. Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf 2011-000117 Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual 2007;22:214–17 Weaver SJ, Lyons R, DiazGranados D, et al . The anatomy of health care team training and the state of practice: a critical review. Acad Med 2010;85:1746–60