Key steps: implementation
| Key steps in implementation of a patient safety solution | TeamSTEPPS offers |
|---|---|
| Identification of solution | ▸ Out-of-the box evidence-based solution ▹ Ready-to-use educational materials and curriculum – Modules in text and presentation format – A pocket guide for staff with basic concepts – Video scenarios to illustrate key conceptsWorkshop materials on change management, coaching and implementation ▹ Implementation templates ▹ Outcome measurement tools ▹ Minimal cost impact ▹ Simplicity, increasing its applicability |
| Training | Train-the-trainer program tailored to level of team involvement:
|
| Pilot implementation plan | Pilot site implementation affords some benefits, allowing for testing and design of: ▸ Training requirements and preferences ▸ Measures ▸ Roles and responsibilities ▸ Implementation plans, for instance, ▹ By service line, by department, by geography, etc. ▸ Sustainment and integration techniques ▸ Templates for spread |
| Implementation Plan | Implementation of TeamSTEPPS should be rapid, structured and systematic. Site preparation must include: ▸ Engaging leadership and identification of goals ▸ Site readiness assessment and Hospital Survey on Patient Safety Culture ▸ Determination of ▹ Sequence of training and implementation ▹ Training length depends on number of staff ▹ Infrastructure for implementation ▹ Communication plan ▸ Implementation begins when 60% of staff are trained ▹ Integrate teamwork competencies into daily practice ▹ Monitor processes and outcomes ▹ Time required depends on selected rollout sequence; a unit/department may require six months to embed TS tools in practice ▸ Sustain and Spread (see Integration into Organisation) ▸ Evaluation postimplementation (see Measurement) |
| Integration into organisation | Solutions may be embedded by weaving them into the fabric of daily practice and work. For instance: ▸ Included safety as a core value of the organisation ▹ Organisational care model is discussed at every training to underscore the link ▸ Presenting TS basic concepts during all on-boarding ▸ Included TS concepts in relevant policy and procedure ▸ In all departments, Brief, Debrief, Huddle and Handoff are core functional activities ▸ All Leadership participate in Master Training, serving as coaches and facilitators to ensure sustainment |
| Measurement | ▸ A pretraining assessment of organisational readiness ▸ A Teamwork Perception questionnaire ▸ A Teamwork Attitudes questionnaire ▸ Three AHRQ surveys on patient safety culture: ▹ Hospital survey on Patient Safety Culture ▹ Medical office survey on Patient Safety Culture ▹ Nursing home on Patient Safety Culture |
AHRQ, Agency of Healthcare Research and Quality.