this presentation was the change team pre-planning I gave to attain TeamStepps 2.0 Master Trainer credential

1. BEDSIDE SHIFT REPORT – CHANGE
TEAM PRE-PLANNING : MEDICAL
SURGICAL UNIT
JALEANN M. MATOS-MCCLURG, MPH, DTM,
LSSBB

2. PROBLEM
Care Transitions have the potential for
medical errors and preventable falls due
to team miscommunication

3. EBP – JORNAL NURSING ADMINISTRATION.
2014;44:541-545.
“Bedside shift reports may decrease risk of errors
and augment teamwork, but this strategy has not
been widely integrated into nursing practice. This
review examines the evidence for bedside shift
reports and their impact on individual skill
development, communication, and patient
satisfaction.”

4. BARRIERS
Fear of Change Negotiating Interactions
Human Vs. Technology
Deal with Sensitive Info Do NOT Disturb Patient –
“We are One Team”

5. WHY CHANGE?
(+) Team
Communication
(-) Care Complications
(+) Time
& Accountability

6. TEAM GOALS & VISION
Improve Team
Communication
Decrease Handoff Time
Set patient expectations
“Increase
level of trust
among team
members &
patient/famil
y”
“Make
meaningful
Care
Connections”

7. COMMUNICATION PLAN FOR BEDSIDE SHIFT
REPORT (BSR)
• Every patient will get upon admission BSR Patient Education Brochure from RN
• Introductory video in TV System to integrate BSR and the Rounding Process
• Whiteboard Usage: Discuss Care Plan Goal(s) Vs. Patient Goal(s)
• Next Steps – “Set the Expectation for Rounding Process” to introduce other
members of Care Team
• Patient will be encouraged to ask questions – ASK Me 3Q’s

8. TEAM STEPPS 2.0 FOCUS ON SKILL DEVELOPMENT &
TEAM CULTURE DRIFT
Team Tasks - TeamStepps Project Oct-17 Nov-17 Jan-Feb 2018
Bedside Handoff and Employee Simulation
Team Observation Tool
SBAR - Bedside Handoff
Bedside Handoff Checklist
Bedside Handoff -Video
Ticket to Ride & Return Handoff
Team Attitudes Questionnaire
Team Perceptions Questionnaire
Run PDSA on Team Attitudes and Perceptions
Admission Handoff - Phase2
Surgery Handoff - Phase 2
Q3-2018

9. VIDEO PRESENTATION
• https://www.youtube.com/watch?v=PIlzIvXpSDY

10. JUST CULTURE – “THE CULTURE DRIFT”
• A learning culture that is constantly improving and
oriented toward patient safety.
• Outcome Engineering:
• 1) Duty to produce an outcome
• 2) Duty to follow a procedural role
• 3) Duty to avoid unjustifiable risk