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Interprofessional Communication:Challenges and Opportunities
Walter Eppich, MD, MEdAssociate Professor of Pediatrics and Medical Education
Northwestern University Feinberg School of MedicineAnn & Robert H. Lurie Children’s Hospital of Chicago
Chicago/USA
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Why this matters
Walter Eppich, MD, MEd
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Learning through talk
Walter Eppich, MD, MEd
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Learningconversations
Walter Eppich, MD, MEd
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Walter Eppich, MD, MEd
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When communication breaks down,learning breaks down
Walter Eppich, MD, MEd
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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 2012Walter Eppich, MD, MEd
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Collective (in)competence
Walter Eppich, MD, MEd
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Collective (in)competence
Walter Eppich, MD, MEd
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The foundation:Supportive workplace culture
Walter Eppich, MD, MEd
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Nicholas_T on FlickrCorey Leopold on Flickr
How is your workplace culture?
Walter Eppich, MD, MEd
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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
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PsychologicalSafetyChallenge &
Responsibility
Walter Eppich, MD, MEd
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Safety is not a word; safety is a feeling
Walter Eppich, MD, MEd
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Safety is not a word; safety is a feeling
Walter Eppich, MD, MEd
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Walter Eppich, MD, MEd
Clin Ped Emerg Med 2015
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Speaking up
Walter Eppich, MD, MEd
Disruptivebehavior
Witnessingrudeness
“Pimping”
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Walter Eppich, MD, MEd
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Implications for clinical practice
Walter Eppich, MD, MEd
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http://www.orchardafrica.org/images/ITAV_logo.png
TEAMWalter Eppich, MD, MEd
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• 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
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Steering the talk
Walter Eppich, MD, MEd
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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
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Checklists
Walter Eppich, MD, MEd
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Walter Eppich, MD, MEd
http://be
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Walter Eppich, MD, MEd
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Culture MattersWalter Eppich, MD, MEd
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Walter Eppich, MD, MEd
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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