Walter Eppich - Interprofessional Communication: Challenges and Opportunities

1. Interprofessional
Communication:
Challenges and Opportunities
Walter Eppich, MD, MEd
Associate Professor of Pediatrics and Medical Education
Northwestern University Feinberg School of Medicine
Ann & Robert H. Lurie Children’s Hospital of Chicago
Chicago/USA

2. Why this matters
Walter Eppich, MD, MEd

4. Learning through talk
Walter Eppich, MD, MEd

5. Learning
conversations
Walter Eppich, MD, MEd

6. Walter Eppich, MD, MEd

7. When communication breaks
down,
learning breaks down
Walter Eppich, MD, MEd

9. The problem
1. Competent individuals come together to
form incompetent teams
2. Individuals who perform competently in one
team may not in another team.
3. One incompetent member functionally
impairs some teams, but not others.
Lingard 2012
Walter Eppich, MD, MEd

10. Collective (in)competence
Walter Eppich, MD, MEd

11. Collective (in)competence
Walter Eppich, MD, MEd

12. The foundation:
Supportive workplace culture
Walter Eppich, MD, MEd

13. Nicholas_T on FlicCorey Leopold on Flickr
How is your
workplace culture?
Walter Eppich, MD, MEd

14. Psychological safety
• A belief that one will not be punished or
humiliated for speaking up with ideas,
questions, concerns, or mistakes
• Interpersonal risk-taking is possible
Edmondson 1999, 2008, 2012Walter Eppich, MD, MEd

15. Psychological
SafetyChallenge &
Responsibility
Walter Eppich, MD, MEd

16. Safety is not a word;
safety is a feeling
Walter Eppich, MD, MEd

17. Safety is not a word;
safety is a feeling
Walter Eppich, MD, MEd

18. tp://www.theinteractgroup.com/wp-content/uploads/2013/05/Child-Raising-Hand.png

19. Walter Eppich, MD, MEd
Clin Ped Emerg Med 2015

20. Speaking up
Walter Eppich, MD, MEd
Disruptive
behavior
Witnessing
rudeness
“Pimping”

21. Walter Eppich, MD, MEd

22. Implications
for clinical practiceWalter Eppich, MD, MEd

23. http://www.orchardafrica.org/images/ITAV_logo.png
TEAM
Walter Eppich, MD, MEd

25. • Understand reciprocal interdependence
• Know they don’t have every answer
• Empower team members to generate ideas,
find answers, solve problems
• Invite and welcome input
• Show fallibility
Edmondson 2012
Effective leaders
Walter Eppich, MD, MEd

26. Steering the talk
Walter Eppich, MD, MEd

27. Specific communication aids
C-U-S Words
•I am Concerned!
•I am Uncomfortable!
•This is a Safety issue!
S-B-A-R
•Situation
•Background
•Assessment
•Recommendation
Walter Eppich, MD, MEd

28. Checklists
Walter Eppich, MD, MEd

29. Walter Eppich, MD, MEd
http://berryripe.com/wp-content/uploads/2012/10/band-aid.jpg

30. Walter Eppich, MD, MEd

31. Culture Matters
Walter Eppich, MD, MEd

32. Walter Eppich, MD, MEd

33. Take-aways
• Organizations set the tone for teamwork
• Psychological safety matters
• We need collective competence
• Leaders and workplace culture support
the talk of safety and learning
Walter Eppich, MD, MEd