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Teamwork and Communication in Healthcare, Exams of Advanced Education
An overview of key concepts and best practices related to teamwork and communication in healthcare settings. It covers topics such as psychological safety, active leadership, transparency, and fairness in creating a culture of safety. The document also discusses effective communication strategies, including the use of structured communication tools like sbar and the 2-challenge rule. By understanding these principles, healthcare professionals can improve patient safety, job satisfaction, and overall team performance. Likely useful for healthcare students, professionals, and administrators looking to enhance their teamwork and communication skills.
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IHI PS 104: TEAMWORK/COMMUNICATION
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In a _______ culture, those who are lower in the hierarchy will be less scared to speak up. - Open Why are transfers risky times? - A lot of information has to be communicated in a short amount of time. What is a culture of safety? - An environment of trust where all members feel that they can speak up about a safety concern. What is psychological safety? - People know that their concerns will be respected What is active leadership? - Creating an environment where all are comfortable sharing concerns What are 4 things that go into a culture of safety? - 1. Psychological safety, 2. Active leadership, 3. Transparency, 4. Fairness What is a way to show respect to a new, inexperienced person? - Being patient with someone who is nervous What are 3 qualities of a good leader? - 1. Inviting all to the conversation, 2. Approachable, 3. Establish share goals What is "hint and hope"? - Insinuating something that worries you, but not being clear about it. What is a way to be persistent and polite? - Even if you are told no, hold your ground. What is the fairness algorithm? - A way to determine accountability
- Was harm intended?
- Were they under the influence?
- Did they know it was unsafe?
- Would anyone have made this mistake?
- Have they made this mistake before If someone is repeatedly in a situation of error, what might be the problem? - Problem with the system A safe work environment has 4 elements - 1. Learning (all are still learning)
- Risk management (speak about concerns)
- Innovation
- Job satisfaction Communication should be structured or unstructured to be effective? - Structured What is critical language? - An agreed-upon term to use when someone realizes there is something unsafe. What is advocacy-inquiry? - When you realize something is unsafe, you phrase it in a way to show that you value the other person's opinion, but are concerned. The airlines use CUUS to communicate. What is it? - Concerned, uncomfortable, unsafe, scared What is the 2 challenge rule? - If a worker inquires twice and the superior ignores him/her, they can take over What should you focus on during debriefings? - Be positive and should focus on the goal. When should you use SBAR? - Use during transitions What does SBAR stand for? - Situation, Background, Assessment, Recommendation What is a "closed-loop communication tool?" - Repeat to show understanding.
What is teach back? - Ask patient to repeat to show understanding. Make sure they don't feel like they are being tested.