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    Communication: Assumptions Fatigue Distractions Hipaa

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    bhongskirn
    The document discusses effective communication in healthcare teams. It defines communication and its importance for patient safety. It also identifies challenges to communication and provides strategies and tools like SBAR, call-outs, check-backs and handoffs that can improve communication among team members.

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    Communication: Assumptions Fatigue Distractions Hipaa

    Uploaded by

    bhongskirn
    24 views20 pages
    The document discusses effective communication in healthcare teams. It defines communication and its importance for patient safety. It also identifies challenges to communication and provides strategies and tools like SBAR, call-outs, check-backs and handoffs that can improve communication among team members.

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    AHRQ module

    Original Title

    Module3.slcommunication

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    The document discusses effective communication in healthcare teams. It defines communication and its importance for patient safety. It also identifies challenges to communication and provides strategies and tools like SBAR, call-outs, check-backs and handoffs that can improve communication among team members.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    24 views20 pages

    Communication: Assumptions Fatigue Distractions Hipaa

    Uploaded by

    bhongskirn
    The document discusses effective communication in healthcare teams. It defines communication and its importance for patient safety. It also identifies challenges to communication and provides strategies and tools like SBAR, call-outs, check-backs and handoffs that can improve communication among team members.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 20

    Communication

    Assumptions
    Fatigue
    Distractions
    HIPAA
    Communication

    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

    Mod 3 2.0 Page 2


    TEAMSTEPPS 05.2 2
    Communication

    Communication
     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

    Mod 3 2.0 Page 3


    TEAMSTEPPS 05.2 3
    Communication

    Importance of Communication
     Joint Commission data continues to demonstrate
    the importance of communication in patient
    safety
     1995 - 2005: Ineffective communication
    identified as root cause for nearly 66 percent
    of all reported sentinel events*
     2010 - 2013: Ineffective communication among
    top 3 root causes of sentinel events reported**

    * (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)
    Mod 3 2.0 Page 4
    TEAMSTEPPS 05.2 4
    Communication

    Communication is…
     The process by which information is exchanged
    between individuals, departments, or organizations
     The lifeline of the
    Core Team
     Effective when it
    permeates every
    aspect of an
    organization
    Assumptions
    Fatigue
    Distractions
    HIPAA

    Mod 3 2.0 Page 5


    TEAMSTEPPS 05.2 5
    Communication

    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

    Mod 3 2.0 Page 6


    TEAMSTEPPS 05.2 6
    Communication

    Brief Clear

    Timely

    Mod 3 2.0 Page 7


    TEAMSTEPPS 05.2 7
    Communication

    Communication Challenges
     Language barrier
     Distractions
     Physical proximity
     Personalities
     Workload
     Varying communication styles
     Conflict
     Lack of information verification
     Shift change

    Mod 3 2.0 Page 8


    TEAMSTEPPS 05.2 8
    Communication

    Information Exchange Strategies


     Situation – Background – Assessment –
    Recommendation (SBAR)
     Call-Out
     Check-Back
     Handoffs

    Mod 3 2.0 Page 9


    TEAMSTEPPS 05.2 9
    Communication

    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?

    Mod 3 2.0 Page 10


    TEAMSTEPPS 05.2 10
    Communication

    SBAR Video

    Mod 3 2.0 Page 11


    TEAMSTEPPS 05.2 11
    Communication

    SBAR Exercise

    Create an SBAR example


    based on your role.

    Mod 3 2.0 Page 12


    TEAMSTEPPS 05.2 12
    Communication

    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

    Mod 3 2.0 Page 13


    TEAMSTEPPS 05.2 13
    Communication

    Check-Back is…

    Mod 3 2.0 Page 14


    TEAMSTEPPS 05.2 14
    Communication

    Handoff is…
     The transfer of information during transitions in care
    across the continuum
     Includes an opportunity to ask questions, clarify, and
    confirm

    Mod 3 2.0 Page 15


    TEAMSTEPPS 05.2 15
    Communication

    Handoff Consists of…


     Transfer of responsibility and accountability
     Clarity of information
     Verbal communication of information
     Acknowledgment by receiver
     Opportunity to review

    Mod 3 2.0 Page 16


    TEAMSTEPPS 05.2 16
    Communication

    “I PASS THE BATON”


    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?

    Mod 3 2.0 Page 17


    TEAMSTEPPS 05.2 17
    Communication

    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

    Mod 3 2.0 Page 18


    TEAMSTEPPS 05.2 18
    Communication

    Tools & Strategies Summary


    BARRIERS TOOLS and OUTCOMES
     Inconsistency in Team STRATEGIES  Shared Mental Model
    Membership Communication  Adaptability
     Lack of Time • SBAR
     Lack of Information Sharing  Team Orientation
    • Call-Out
     Hierarchy  Mutual Trust
    • Check-Back
     Defensiveness  Team Performance
    • Handoff
     Conventional Thinking
     Patient Safety!!
     Complacency
     Varying Communication Styles
     Conflict
     Lack of Coordination and
    Followup with Coworkers
     Distractions
     Fatigue
     Workload
     Misinterpretation of Cues
     Lack of Role Clarity
    Mod 3 2.0 Page 19
    TEAMSTEPPS 05.2 19
    Communication

    Applying TeamSTEPPS Exercise


    1. Is your teamwork issue related to
    communication?
    2. If yes, what is the communication issue?
    3. Which TeamSTEPPS tools and/or strategies
    might you consider implementing to address the
    issue?

    Mod 3 2.0 Page 20


    TEAMSTEPPS 05.2 20

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