TeamSTEPPS ® – A Communication Tool for Patient Safety

1. TeamSTEPPS®– A Communication Tool for Patient Safety Cmdr. Andrea Petrovanie, rn, acns-bc Officer In Charge Branch Health Clinic Jacksonville

2. Naval Hospital • Jacksonville’s • priority is to heal our • nation’s heroes— • it’s that simple!

3. TeamSTEPPS® Team Strategies and Tools to Enhance Performance & Patient Safety “An Initiative based on evidence derived from team performance...leveraging nearly 30 years of research in military aviation, nuclear power and industry to acquire team competencies.” http://teamstepps.ahrq.gov

4. TeamSTEPPS® • Official DoD Patient Safety Program • Addresses The Joint Commission patient safety factors: • Communication • Leadership • Human Factors • Culture of Safety

5. TeamSTEPPS® • Four Learnable/Teachable Principles: • Team Communication • Leadership • Mutual Team Support • Situation Monitoring • Fosters Team Approach • All Team Members Empowered to Speak Up • Complements Caring Communications

6. TeamSTEPPS®All About Culture Change! Kotter’s 8 Steps to Culture Change…

7. Rollout– May 2009 MOR • L&D • MIU • ED

8. Rollout –Sept. 2010 Clinics • Wards •Branch Health Clinics

9. Additional TeamSTEPPS® Initiatives Executive Walkrounds

10. Additional TeamSTEPPS®Initiatives Annual Staff Refresher Training

11. Related Initiatives • Medical Home Port—14 PCM-Led Teams • CMS Partnership for Patients • DoD Team Up • HEDIS • NPSG • Patient Safety Reports • Patient Advisory Council & “Secret Shoppers” • Health Care Resolutions • Caring Communications

12. The Patient Experience • An Iraq veteran requiring a complex, multi-step, equipment-intensive, two-orthopedic-surgeon reconstructive ankle surgery • Multiple Briefs before surgery included Patient, Surgeon, • Anesthesia Provider, Family members • Truly Collaborative Approach to the Patient’s Care

13. The Patient Experience “The patient-centric atmosphere that was prevalent through the entire case occurred because of the seemingly second-nature participation by everyone with the TeamSTEPPS process. As a result, Four complex procedures were successfully performed within Four hours of operative time—a true economy of tourniquet time, and a calm (dare I say) fun atmosphere prevailed.” – Cmdr. Mark Gould, Orthopedic Surgeon

14. The Patient Experience “I’ve had multiple surgeries on this ankle… This was the best experience ever!” - Patient

15. Naval Hospital Jacksonville:We Are TeamSTEPPS® Coaching • Sustainment • Integration

16. THANK YOU! Cmdr. Andrea Petrovanie, rn, acns-bc andrea.petrovanie@med.navy.mil 904.546.7032 www.med.navy.mil/sites/navalhospitaljax