STEPPS: Producing Effective Medical Teams to Achieve Optimal Patient Outcomes
Slide Presentation from the AHRQ 2008 Annual Conference
STEPPS [Strategies and Tools to Enhance Performance and Patient Safety]: Producing Effective Medical Teams to Achieve Optimal Patient Outcomes
AHRQ Annual Conference Sept. 10, 2008
Andy Kosseff, MD
SSM Health Care Medical Director.
Why is STEPPS So Important Now
- Fragmentation of care.
- Multiple initiatives—are patients safer.
- Electronic health records.
- Care giving doctors and nurses are the heart of a safety culture.
- Started TeamSTEPPS™ training in Oct., 2007.
- Have trained 400 clinicians on 3 pilot units.
- Established outcomes measurement plan for each unit trained.
- Will train another 300 clinicians in 2008.
STEPPS Outcome Measures
- Number of serious and sentinel events.
- Adverse Outcome Index (OB)/Trigger tool.
- AHRQ Patient Safety Culture Survey.
- Patient, physician, and nurse satisfaction surveys.
- Nurse turnover rate
Additional Aspects of STEPPS Training
- It is acceptable communication training.
- It sets a standard for performance on clinical units—agreed upon by bedside clinicians.
- Introduction to Administrative Council.
- Introduction to doctors and nurses on unit to be trained.
- Start training.
- Coaches to sustain implementation.
- Monthly STEPPS Steering Team meeting.
- Sequential tools and concepts implementation.
- Outcome data feedback.
- Train new doctors and nurses.
- Focus on core teams.
- Use clinical cases from units being trained.
- Make initial Fundamentals training 4 hours.
- Use as a foundation of safety and care.
What We Should Have Known
- Doctors and nurses on both sides of the podium.
- Training is the easy part.
- Not all STEPPS trainers are trainers.
- Understand advocacy and assertion clearly.
- Separate teamwork training from Electronic Health Record (EHR) implementation.
SSM's STEPPS Future
- Intensive support for all trained units.
- Train our own trainers.
- Simulation training.
- Broad use of STEPPS on all clinical units.
- Please contact Andy Kosseff for further information or discussion.