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The results will provide some of the baseline data needed for testing the effectiveness of the intervention. Administer the AHRQ Patient Safety Culture Survey and/or the Team Assessment Questionnaire prior to conducting medical team training or implementing your TeamSTEPPS Intervention.Process change is feasible and likely within the short-term.Breakdowns in team performance could result in harm to patients.The associated process occurs frequently.Look for problems/opportunities that meet the following criteria:.Change Teams may want to define three or four problems/opportunities and then select the highest priority for the TeamSTEPPS Intervention.Staff and/or patient satisfaction surveys.Team Performance Observation Tool (requires an observer trained in medical teamwork).These tools may be used to identify problems and also to provide baseline data for measuring the effectiveness of a TeamSTEPPS Intervention. Who: Surgeons, anesthesiologists, OR nurses, and scrub technicians in the General Surgery Service What: Communication of critical information about the patient and surgical procedure Identify the problem: Suboptimal communication between surgical team members. Who: Communication from staff L&D nurses to staff L&D physiciansĮxample 2 of a Problem Definition 1. What: Telephone communication of patient information Identify the problem: Suboptimal telephone communication of patient information between labor and delivery unit staff members. Identify the process during which the problem, challenge, or opportunity occurs by stating what the process is, who is involved, and when and where it occurs.Įxample 1 of a Problem Definition 1.Asking front-line staff, "What are bad outcomes waiting to happen because of breakdowns in the transfer of critical information?" "What are the things that keep you up at night?".Reviewing reports of root cause analyses and failure modes and effects analyses.Reviewing workspace performance and safety data such as incident reports, the AHRQ Patient Safety Culture Survey, the Team Assessment Questionnaire, the Team Performance Observation Tool, and site-specific process and outcomes measures.Identify a problem, challenge, or opportunity for improvement that you feel could be bettered with enhanced medical teamwork.What is it specifically that you want to "fix" or improve? Objective: To specifically state the problem, challenge, or opportunity for improvement that will be targeted by your TeamSTEPPS intervention and to identify the involved process. Define the Problem or the Opportunity for Improvement The Change Team then proceeds through Steps 2 to 10. Involvement of both physicians and nurses from the clinical workspace is essential.Optimal Change Team size is five or six individuals.Ideally, all Change Team members will attend team training.Choose members with relevant clinical expertise, workplace location, credibility, and direct involvement in the processes that will be affected by the TeamSTEPPS intervention. The Change Team will focus on improving processes within its own clinical workspace.Step 1 Worksheet - Creating A Change Team: Key Characteristics & Primary Roles of Essential Members.Relevant skills include data collection, analysis, and presentation. Ensure at least one member has experience in process improvement including performance trending techniques.Ensure at least one member is very knowledgeable of team strategies, tools, and training techniques.Ensure representation from three different leadership levels: Senior Leadership, Clinical/Technical Expertise, and Front-line Leadership (go to Step 1 Worksheet).Select a multidisciplinary Change Team.Objective: To assemble a team of leaders and staff members with the authority, expertise, credibility, and motivation necessary to drive a successful TeamSTEPPS Initiative.