TeamSTEPPS Fundamentals Course: Module 3. Communication
Classroom Slides
Contents:
Slide 1: Communication
Slide 2: Objectives
Slide 3: Communication
Slide 4: Importance of Communication
Slide 5: Communication is...
Slide 6: Standards of Effective Communication
Slide 7: Brief, Clear, Timely
Slide 8: Communication Challenges
Slide 9: Information Exchange Strategies
Slide 10: SBAR Provides...
Slide 11: SBAR Video
Slide 12: SBAR Exercise
Slide 13: Call-Out is...
Slide 14: Check-Back is...
Slide 15: Handoff is...
Slide 16: Handoff Consists of...
Slide 17: "I PASS the BATON"
Slide 18: Other Example Handoff Tools
Slide 19: Tools & Strategies Summary
Slide 20: Applying TeamSTEPPS Exercise
Slide 1: Communication
Slide 2: Objectives
- Describe how communication affects team processes and outcomes.
- Define effective communication.
- Identify communication challenges.
- Identify TeamSTEPPS tools and strategies that can improve a team’s communication.
Slide 3: Communication
[D] Select for Text Description
- Effective communication skills are vital for patient safety.
- Enables team members to effectively relay information.
- The mode by which most TeamSTEPPS strategies and tools are executed.
Slide 4: Importance of Communication
- Joint Commission data continues to demonstrate the importance of communication in patient safety:
*(JC Root Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005).
**(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).
Slide 5: Communication Is...
- The process by which information is exchanged between individuals, departments, or organizations.
- The lifeline of the Core Team.
- Effective when itpermeates every aspect of an organization.
Slide 6: Standards of Effective Communication
- Complete:
- Communicate all relevant information.
- Clear:
- Convey information that is plainly understood.
- Brief:
- Communicate the information in a concise manner.
- Timely:
- Offer and request information in an appropriate timeframe.
- Verify authenticity.
- Validate or acknowledge information.
Slide 7: Brief, Clear, Timely
Cartoon images illustrate these three points with bad examples:
- Brief: A sign posted on the ice says: "Notice: Public Water. Our Public Water is Currently CLOSED Because it is not OPEN. The MANAGEMENT."
- Clear: A puzzled penguin looks at a signpost with several signs of fish and arrows pointing in all directions.
- Timely: Two penguins in the water watch a penguin on land who is putting up a sign stating "DANGER. SEALS in WATER Don't SWIM."
Slide 8: Communication Challenges
- Language barrier.
- Distractions.
- Physical proximity.
- Personalities.
- Workload.
- Varying communication styles.
- Conflict.
- Lack of information verification.
- Shift change.
Slide 9: Information Exchange Strategies
- Situation—Background— Assessment—Recommendation (SBAR).
- Call-Out.
- Check-Back.
- Handoffs.
Slide 10: SBAR Provides...
A framework for team members to effectively communicate information to one another.
Communicate the following information:
- Situation—What is going on with the patient?
- Background—What is the clinical background or context?
- Assessment—What do I think the problem is?
- Recommendation—What would I recommend?
Slide 11: SBAR Video
Select the link below to access the video.
SBAR (1 min., 35 sec.)
Slide 12: SBAR Exercise
Create an SBAR example based on your role.
Slide 13: Call-Out is...
A strategy used to communicate important or critical information.
- It informs all team members simultaneously during emergency situations.
- It helps team members anticipate next steps.
Select the link below to access the video.
Call-Out (18 sec.)
Slide 14: Check-Back is...
Select the link below to access the video.
Check-Back (15 sec.)
Slide 15: Handoff
- The transfer of information during transitions in care across the continuum.
- Includes an opportunity to ask questions, clarify, and confirm.
Slide 16: Handoff Consists of...
- Transfer of responsibility and accountability.
- Clarity of information.
- Verbal communication of information.
- Acknowledgment by receiver.
- Opportunity to review.
Select the link below to access the video.
Handoff (15 sec.)
Slide 17: "I PASS the BATON"
Step | Description |
---|---|
Introduction: | Introduce yourself and your role/job (include patient). |
Patient: | Identifiers, age, sex, location. |
Assessment: | Present chief complaint, vital signs, symptoms, and diagnosis. |
Situation: | Current status/circumstances, including code status, level of uncertainty, recent changes, and response to treatment. |
Safety: | Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls, isolation, etc.). |
THE | |
Background: | Comorbidities, previous episodes, current medications, and family history. |
Actions: | What actions were taken or are required? Provide brief rationale. |
Timing: | Level of urgency and explicit timing and prioritization of actions. |
Ownership: | Who is responsible (nurse/doctor/team)? Include patient/family responsibilities. |
Next: | What will happen next? Anticipated changes? What is the plan? Are there contingency plans? |
Select the link below to access the video.
I PASS the BATON (1 min., 14 sec.)
Slide 18: Other Example Handoff Tools
- ANTICipate:
- Administrative Data; New clinical information; Tasks to be performed; Illness severity; Contingency plans for changes.
- I PASS:
- Illness severity; Patient Summary; Action list for the new team; Situation awareness and contingency plans; Synthesis and "read back" of the information.
- SHARQ:
- Situation; History; Assessment; Recommendations/Result; Questions.
Slide 19: Tools & Strategies Summary
Barriers | Tools & Strategies | Outcomes |
|
Communication:
|
|
Slide 20: Applying TeamSTEPPS Exercise
- Is your teamwork issue related to communication?
- If yes, what is the communication issue?
- Which TeamSTEPPS tools and/or strategies might you consider implementing to address the issue?