TeamSTEPPSTM

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TeamSTEPPSTM National Implementation Creighton
as a Living Lab TRC
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Creightons Search for Team Training

• High Quality
• Accessible
• Cost effective

• Private companies offer Team Training - Quality?
  Cost?
• TeamSTEPPs
• Met our needs

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Clear Organizational Roles and Actions

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Effective Teamwork Fundamentals

• Team structure
• Leadership
• Situation monitoring
• Mutual support
• Communication

• Combine this with a culture of safety

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Impact Evaluation

• In FY 08-09, TeamSTEPPS will
• Continue to collect quantitative data for Level 1
  and Level 2 evaluation
• Develop and implement standardized Level 3 4
  assessment tools
• Include sustainment as part of system-wide
  evaluation

Level 5 Return on Investment Was the training
worth the cost?
Kirkpatricks Model
Level 4 Results Did the change in behavior
positively affect the organization?
Level 3 Behavior / Training Transfer Did the
participants change their behavior on-the-job
based on what they learned?
Level 2 Learning What skills, knowledge, or
attitudes changed after training? By how much?

• Level 1 Reaction
• Did the participants like the training?
• What do they plan to do with what they learned?

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CUMC Surgical Scores Pre- and Post TeamSTEPPS
Training
Scores
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CUMC Surgical Scores Pre- and Post TeamSTEPPS
Training
Scores
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Employee Communication and Teamwork Engagement
Ratings by Area
Score
Both OR scores showed significant change (plt0.05)
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Safety Culture SurveyOverall Patient Safety
Grade
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Things fall between the cracks when
transferring patients
Safety Culture Survey Handoffs

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Outpatient Surgical Patient Satisfaction Scores
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Outpatient Surgical Patient Satisfaction Scores
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Outpatient Surgical Patient Satisfaction Scores
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Outpatient Surgical Patient Satisfaction Scores
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Outpatient Surgical Patient Satisfaction Scores
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What is a culture?

• Shared values (what is important) and beliefs
  (how things work) that interact with an
  organizations structures and control systems to
  produce behavioral norms (the way we do things
  around here).

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National Implementation Project

• Goals
• Create a national infrastructure to support the
  adoption of TeamSTEPPS
• Quality Improvement Organizations
• Patient Safety Improvement Corps
• Make training available to early adopters!
• ACTION Partners
• Academic Medical Centers
• Others
• Spread TeamSTEPPS

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National Implementation Team
Minnesota -TRC
Delmarva
AIR
Lumetra
Carilion TRC
Creighton TRC
Duke TRC
Booz Allen Hamilton
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Program Progress
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Creightons Role as a TRC

• Provide a Team Resource Center where training can
  be conducted
• Serve as a living lab where training is given
• Trainees can take from the lessons learned at
  Creighton because of our rollout
• After training our staff serves as expert
  resources for all those trained in this program
• 79 Master Trainers trained at Creighton thus far.

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Feedback on Our Work