team training for patient safety paul e. phrampus, md facep director peter m winter institute for...

Team Training for Patient Safety

Paul E. Phrampus, MD FACEPDirector

Peter M Winter Institute forSimulation, Education and Research (WISER)

University of Pittsburgh

Greetings and Thank You

Where in Pennsylvania is Pittsburgh?

A

BC

D

1929 - 1950

• Australia

• Canada

• Germany

• Great Britain

• Japan

• USA

• USSR

Proliferation

• Twelve pilots were killed in a 78 day period

• Implementing NEW TECHNOLOGY

Medicine

• Betsy Lehman, died from an overdose during chemotherapy

• Willie King had the wrong leg amputated

• Ben Kolb was eight years old when he died during ''minor" surgery due to a drug mix-up

Difference Between Medicine and Aviation

• Numbers Spread Across Entire Nations

• Different Mindset of the Professional

What is the REAL MESSAGE

• Were are not looking so good…….

Healthcare Education

Psychomotor Skills

Communications Skills

Professionalism Skills

Decision MakingBase Knowledge

Team Skills

Healthcare Education

Psychomotor Skills

Communications Skills

Professionalism Skills

Decision MakingBase Knowledge

Team Skills

Healthcare Education

Psychomotor Skills

Communications Skills

Professionalism Skills

Decision MakingBase Knowledge

Team Skills

What are good teamwork skills?

How can we use simulation to address medical teamwork?

A simualation teamwork example

Crisis Team Training

Crisis Team Training

Crisis Team Training

Crisis Team Training

Crisis Team Training

Position Task Completion

0%

25%

50%

75%

100%

1 2 3

Session

Co

mp

leti

on

Perc

en

tag

e

Airway

Airway Assistant

Chest compressions

Floor RN

ICU RN (Cart)

Procedure MD

Recorder ICURN

Team Leader

Improvement is rapid and measurable: Position, Individual

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

1 2 3

Session number

Mort

ality

Simulator “Mortality”

Using simulation to measure a difference made with team

training

Testing the System!

Summary and THANK YOU

www.wiser.pitt.edu