Improving Teamwork in HealthcareImproving Teamwork in HealthcareKaren Frush, MDKaren Frush, MD -Duke University Health System; -Duke University Health System;

Christine Goeschel RN, MPA, MPSChristine Goeschel RN, MPA, MPS - Johns Hopkins University - Johns Hopkins University Jeanne-Marie Guise, MD, MPH – Jeanne-Marie Guise, MD, MPH – Oregon Health Sciences UniversityOregon Health Sciences University

  Heidi KingHeidi King - - Department of DefenseDepartment of Defense

AHRQ Annual ConferenceAHRQ Annual ConferenceSeptember 28, 2007

Teamwork Is All Around UsTeamwork Is All Around Us

Evolution of TeamSTEPPS- Evolution of TeamSTEPPS- Train the trainer successTrain the trainer success

AHRQ High Reliability Program ( HRO)•12 Healthcare Systems

•69 Individuals

Civilian Training•470 trainers and staff  •Over 1500 attendees of Essentials Course

ACHEHarvard ColloquiumArdent Health SystemERM Conference Singapore, Turkey and JCR

Department of Defense

AHRQ Patient Safety Improvement Corp

200 Individuals14 QIOs

Improving Teamwork in Improving Teamwork in HealthcareHealthcare

Heidi King, Department of DefenseHeidi King, Department of Defense

Karen Frush, Duke UniversityKaren Frush, Duke University

Christine Goeschel, Johns HopkinsChristine Goeschel, Johns Hopkins

Jeanne-Marie Guise, OHSUJeanne-Marie Guise, OHSU

Common ThemesCommon Themes

Team training comes in multiple formatsTeam training comes in multiple formats– No “drive by” solutionNo “drive by” solution– CustomizableCustomizable– AdaptableAdaptable

Team work moves culture and is measurableTeam work moves culture and is measurable Team training applies across all areas of healthcare, Team training applies across all areas of healthcare,

all specialties and clinical care areasall specialties and clinical care areas Team training can be used with all levels of providers- Team training can be used with all levels of providers-

not just nurses or doctors.not just nurses or doctors. Start with one part/aspect and evolve to meet needsStart with one part/aspect and evolve to meet needs Leadership and coaching countsLeadership and coaching counts A learning process- not a definitive solutionA learning process- not a definitive solution

A journey of 1000 miles starts with a A journey of 1000 miles starts with a single step…in the right directionsingle step…in the right direction