keys to successful trauma team dynamics
TRANSCRIPT
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Keys to Successful TRAUMA Team Dynamics
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TRAUMA RE-ORG
Culture
Teamwork
Communication
Leadership
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TRAUMA Re-Org “CULTURE”
Culture: The knowledge, beliefs, customs and habits possessed by a group.
The Way We do things around here….
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Culture
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Culture…will overcome any structural chart or re-organization
Climate versus Culture
Culture: More powerful, lasting
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Culture
Culture creates sustainability for an organization and acts as the most powerful force for cohesion
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Culture
Culture is learned… Power culture/ Role culture/ Achievement culture/ Supportive cult
2 main componentsSociabilitySolidarity
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Towards a better Culture
Having a Purpose:
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Our Purpose
To Bring our collective
“A-game”
consistently to each and every trauma resuscitation, in a collaborative fashion.
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Towards a better Culture
Having a Purpose
Having a Shared Vision: multi-disciplinary & professional
Visualize the journey
Involve all stake holders… Create a Dialogue
Do something together
Create wins
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Creating wins
Builds faith in the efforts
Takes power from the cynics & pessimists
Allows a useful focus/ day to day guidance
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Culture
It won’t just happen. We must make it happen!
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TeamworkPit Crew Video https://youtu.be/nQQbEfr9irE
The Story of the lug-nut 1mm ~ 0.3 sec ~ 90 ft ~ 5 car lengths
Mean margin of victory < 1.7 sec
EVERT LUG-NUT COUNTS!!
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Trauma PIT CREW model
Potential for disastrous complications
Speed; not at the expense of attention to detail
There are no small roles
Performance requires training
Leadership & Communication are paramountCrew Chief role
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Teamwork;Why? What?
Major source of M&M in trauma care
Teamwork: Cooperative efforts to achieve a common goal
Common Team failings: Inability to assign roles & responsibilities Failing to hold team members to account & elevating them Inability to advocate for a position or corrective action Failing to use closed loop communication Failing to prioritize / re-prioritize tasks Failure to rehearse
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“C”s of Communication
1. Cite names
2. Clear & Concise
3. Close the loop
4. Call out important changes
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CommunicationAppropriately timed
Sterile Cockpit rule
Avoid ambiguous speechWe need… perhaps we could... Why doesn’t
someone…
Use the right kind of speech
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LeadershipProvides a structure to chaos and organization
where previously there was none.
Facilitate shared mental model: keep folks on the same page
What do you think? What should we do?
Or… quickly establish a mental model that others will support
Update the shared mental model. “we now have new info… +FAST..”
Challenge assumptions Why are you certain that this is hemorrhagic shock? Lets see an ECG
before we run to the Operating room.
Yes this patient is unlikely to survive, but perhaps we can aggressively resuscitate for potential of organ donation
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Leadership
Leadership Styles .. Autocratic / task oriented
Supportive / Democratic
Laissez-faire
The importance of explaining why; Give people a reason when asking them to do somethinghttps://youtu.be/cYbM_eF4L0k
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Leadership
Leadership Styles .. Autocratic vs Supportive vs Laissez-faire
The importance of explaining why; Give people a reason when asking them to do something
Golden Rule: treat people as you’d like to be treated
Be poised & calm, not emotional & erratic
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TRAUMA RE-ORG 2017
Culture
Teamwork
Communication
Leadership
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TRAUMA RE-ORG 2017
Culture SociabiltySolidarityShared purpose & visionDo things togetherCelebrating small wins
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TRAUMA RE-ORG 2017
TeamworkRoles & ResponsibilitiesNo small rolesImportance of rehearsing
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TRAUMA RE-ORG 2017
Communication4 C’s (cite names, clear/ concise/ close loop/ call out changes)
Right speech at the right timeAvoid ambiguitySterile Cockpit rule
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TRAUMA RE-ORG 2017
LeadershipCommunication strategies to facilitate
shared mental modelUsing/supporting talent around youGolden rule
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WE ARE THE TRAUMA TEAM
Let’s make the Re-Org
a success story
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TRAUMA RE-ORG 2017