Improving Teamwork in Healthcare

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Improving Teamwork in Healthcare
Karen Frush, MD -Duke University Health System
Christine Goeschel RN, MPA, MPS - Johns Hopkins
University Jeanne-Marie Guise, MD, MPH Oregon
Health Sciences University  Heidi King -
Department of Defense AHRQ Annual
Conference September 28, 2007
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Teamwork Is All Around Us
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Evolution of TeamSTEPPS- Train the trainer success
AHRQ Patient Safety Improvement Corp 200
Individuals 14 QIOs

• Civilian Training
• 470 trainers and staff  
• Over 1500 attendees of Essentials Course
• ACHE
• Harvard Colloquium
• Ardent Health System
• ERM Conference Singapore,
• Turkey and JCR

• AHRQ High Reliability Program ( HRO)
• 12 Healthcare Systems
• 69 Individuals

Department of Defense
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Improving Teamwork in Healthcare

• Heidi King, Department of Defense
• Karen Frush, Duke University
• Christine Goeschel, Johns Hopkins
• Jeanne-Marie Guise, OHSU

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Common Themes

• Team training comes in multiple formats
• No drive by solution
• Customizable
• Adaptable
• Team work moves culture and is measurable
• Team training applies across all areas of
  healthcare, all specialties and clinical care
  areas
• Team training can be used with all levels of
  providers- not just nurses or doctors.
• Start with one part/aspect and evolve to meet
  needs
• Leadership and coaching counts
• A learning process- not a definitive solution

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• A journey of 1000 miles starts with a single
  stepin the right direction