Trauma surgery care is a specialty that requires increased concentration, team-work, and effective communication. The goal is always to assist the patient by treating their injuries promptly and effectively, while avoiding delays. It is important to this writer to offer the best quality care to the in the trauma environment. The article chosen for this assignment is “A Crew Resource Management Program Tailored to Trauma Resuscitation Improves Team Behavior and Communication,” by Hughes, K. M., Benenson, R. S., Krichten, A. E., Clancy, K. D., Clancy, K. D., Ryan, J. P., and Hammond, C. (2014). These authors described the need to increase safety in patient care in the trauma resuscitation areas arguing that Advanced Trauma Life Support and Advanced …show more content…
They had about 77,500 ER admission and 1600 are admitted to the trauma service with 15% of them having an injury severity score of >15. They established a multidisciplinary committee that offered a questionnaire using Human Factor Attitude Survey (HFAS) that addressed team leadership, team effectiveness, decision making, and communication prior to CRM training. Communication and Teamwork Skills (CATS) was used to evaluate teamwork and communication defining it in these sections: coordination of care, situational awareness, cooperation, and communications. They used a professional observer to compile results in areas of communications by HFAS and CATS guidelines. They built didactic curriculums using these results and trained all personnel involved with trauma resuscitation. After training, all involved were surveyed using the same survey, the observer scored post-training …show more content…
Even though the Joint Commission for Accreditation for Healthcare Organizations (JCAHO) has supported the CRM there is no conclusive evidence of its effectiveness, but it has been used successfully in operating rooms and in aeronautical administration. They presented a detailed discussion of the study design, methods, and results emphasizing the need to incorporate CRM into all trauma trainings to increase situational awareness, effective leadership, and closed-loop assertive communication, adaptable and supportive behavior. Their goal is to increase the culture of safety for the wellbeing of patients. They have incorporated CRM into the normal culture and part of the orientation for every new
As a volunteer in the emergency room, I was exposed to various medical procedures performed by the technicians, nurses, physician assistants and physicians. I was surprised to see how a place that seems to be constantly chaotic can still give every patient the care they need. It was not until I spent more time volunteering in the emergency room did I realize that although it seemed to be chaotic, the healthcare providers had a well established routine along with teamwork. I was shocked when I saw a physician assistant delivering lunch to a patient, as this is usually done by the nurses or technicians. It was through this that I understood how teamwork is essential to providing excellent care. The health care professionals in this emergency room never pulled rank or established clear cut responsibilities, everyone just did what they could and this was how simple their routine was. They didn’t let their pride prevent them from what needed to be done, after all every healthcare worker only has one responsibility; and that is to care for the patient to their fullest
Searches were made through the online library at Grand Canyon University. Results were refined to include on peer reviewed studies with keywords as combinations of: Safety briefing (45 results), patient safety plus nursing plus communication (1769), patient safety and interdisciplinary (45). Of the results obtained, the list was further refined to those studies that discussed the issue of communication in a team environment and risk of errors, or leadership follow up. Studies were not included if they were considered to be out of scope for the issue. Ultimately ten articles were identified as being pertinent to the subject, or had conclusions that could be extrapolated to the issue in question. From these search results four studies have been chosen for this paper to support the relevance of the issue.
Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is evidence based tools for healthcare professionals to optimize patient health outcomes using various teamwork skills. Interprofessional Grand Rounds provided opportunity for me to learn different cultures and responsibilities of Nursing, Medical and other healthcare professions through demonstrating effective communication during the 2-hour session. Prior to the session, I attended a seminar last year about how TeamSTEPPS is used in Rapid Response Team at Jefferson hospitals. From the previous seminar, I learned teamwork between healthcare professionals is essential for patient care and effective communication is crucial. TeamSTEPPS session last week helped me
The clinical element of emergency medical training can be considered one of the most important components prior to certification. This is where the students get their first real look at occurrences they may experience in the field. I decided to review an article “Clinical Rounds” written by Matt Vandzura, found on EMS World website, pertaining to such clinical rotations.
This is a reflective essay based on a event which took place in a hospital setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome.
You are so correct, it is importance for us health professionals to share a common understanding of patient safety standards and practices and improve patient safety depends largely on the ways in which we; share and learn with other health professionals as well as students. We must improve the way we treat each other by using respect and compassion, and learn from one another and from patient safety events or any challenges that impact the ability for us as health professionals, to improve is to ensure better patient outcomes and patient experience in (Milstead 2015 [Power Point slide 6-10).
In order to improve something, it must first be measured. Therefore, it is the safety policy of the Department of Veterans Affairs that incidents involving the safety of patients or staff members are reported and that the results of this reporting be trended nationwide to identify problem areas and opportunities for improvement.
Teamwork is central to supporting plans of implementing any modifications in practice. The purpose of this paper is to determine organizational readiness and define transformation opportunities on 2 east post-surgical nursing unit to assume a TeamSTEPPS initiative based on the results of the TeamSTEPPS AHRQ’s Organizational Readiness Assessment Checklist and Hospital Survey on Patient Safety. Additionally, a brief description of the organization and post-surgical unit along with staff’s perceptions and attitudes of the unit, barriers in implementing change, implications for the nurse executive to consider utilizing the TeamSTEPPS tools.
These key players of the multidisciplinary team are supporting my project as it is a core measure for the facility this year. The Knowledge, Skills, and Attitudes (KSAs) have also contributed to my project. In the Knowledge silo, I have been able to identify and ascertain contributing abilities, shortcomings, and benefits as a member of the ICU team. In addition, I have been able to distinguish hindrances of the system and been a part of a cohesive team in aiming to execute my project. In the Skills silo, I have been to demonstrate my abilities and shortcomings as a constituent of the group. I have also been able to partake in creating a strategy in championing cohesive collaboration of the group. Finally, in the Attitudes silo, I have been able to recognize my capability to participate in cohesive team performance. Furthermore, I respect the authority of system resolutions in accomplishing team
healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always
The Trauma Informed Mastery activities were helpful throughout the semester working with my clients at Hamilton Center. I utilized the activities that my supervisor and I discussed were most beneficial towards the client population I was counseling at the time. Many of my clients suffer from PTSD, Substance Use disorders, or other mood disorders. The majority of my clients are also middle aged men who politely refused any yoga activities. One client heard the choice, looked around my small office and shook his head grinning.
During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.
The emergency lights light up the hallway as the ambulance pulls in, everybody's hearts are racing but composure is held, that bay door opens and the EMT’s rush in doing chest compressions while steering the stretcher with precision the patient is safely transferred to another bed, the CPR continues and another team takes over all with the intent to save this life. This is a brief description of the teamwork involved in emergency medicine. This is the typical thoughts one may have about an emergency situation, but what they don’t realize is all the teamwork involved in medicine in general. I chose to do my career investigation project on becoming a Physicians Assistant.
According to the Joint Commission on the Accreditation of Hospitals (JCAHO) in July 2004 released a Sentinel Event Alert on the prevention of infant deaths. Its database showed that nearly three-quarters of hospitals cited communication break down and teamwork problems as a major reason for these deaths. The practice of teamwork and collaboration as a unit in patient care is especially important for the role as a professional nurse as it can make the job itself easier and more efficient. When teamwork is emphasized and valued in nursing the overall patient outcome is strongly enhanced. It is crucial all team members involved in the patient’s care work together and communicate effectively to reach the common shared goal. With the vast evolution of new knowledge and information in the medical field, patient care is more complex than ever. With such complex patient care, no one health care provider can treat a patient alone, it takes team work and collaboration between the multiple health care professionals involved in the patient care. Communication competencies should be emphasized to students as a vital aspect of a positive nursing environment during their educational experience.
Teamwork and communication are very important in providing good quality care, especially in the healthcare field. A team is described as a group of people that works together and cooperatively, between each member of the group to reach a common goal (Sullivan, 2013). For a team to function, communication is essential. A report by McKay and Crippen (2008), as stated by Alfaro-LeFevre, (2013) showed that when collaboration is in place, hospitals can decrease their mortality rate by 41%. When mortality rate is lower, hospitals does not only decreased cost, but it also means that patients are receiving good quality care.