What makes Team Based Care Effective?

Successful leaders posses:

-patient centered -professional -selfless -emotionally intelligent -team player -effective communicator -patient advocate -systems thinker -data driven decision maker -values based visionary and strategist -culture and change enthusiast

The Institute of Medicine (IOM) identified the following care competencies

-provide patient centered care -employ evidence based practice -apply quality improvement -utilize informatics -work in interdisciplinary teams

What proportion of serious adverse events indicating a patient safety or quality of care issue is a result of poor communication among team members?

2/3

Which of the following is included in quality improvement in a team setting?

Identify errors Implement basic safety design principles Continually measure quality of care Test interventions that change process

What is one factor that can lead to poor team performance?

Lack of understanding roles

A shared goal is considered crucial to an effective team. What does a shared goal mean?

Shared perception of a situation / task. Team-wide understanding of the goal

clear roles

Shared understanding of team structure, tasks and roles aligned with team member strengths are necessary for a high functioning team

Which of these are characteristics of high performing teams?

Shared understanding of the team goal. Clear definitions as to member's roles. Team cohesion and low levels of conflict

Describe the importance of teams to patient safety and patient centered care

Teamwork is key to making many high-reliability organizations function with few mistakes over long periods of time. A health centered focus will improve outcomes in health care Shared primary goal: improving health and well being of patient

storming

attitude changes, competitiveness, tension, disunity

Characteristics of a high-performing collaborative team

common goal cohesion clear roles communication

forming

exploration, building trust

Stages of team development

forming storming norming performing

performing

high level of interaction, performance increased and optimized, confidence within team

cohesion

mutual respect and trust are necessary for team cohesion and unity. Effective teams coordinate efforts based on the current situation. The most effective teams feature a diversity of backgrounds and perspectives

communication

open, consistent , concise, frequent and planned communication is paramount to the success of teams

norming

satisfaction, respect development, and decision making

common goal

team wide understanding of the goal and a shared perception of the situation or task. A team is considered effective when it consistently achieves its goal

Identify who comprises a team

the health care team is comprised of all staff members tending to a patient -- as well as the patient and his / her family. All have a shared primary goal of improving health and well being of patient overall