N450 Team STEPPS I (Exam 1.3)
resources, near miss, system - ANS-things learn from airplane safety transferred to
healthcare, extensive organizational _______ devoted to safety, detailed error and
_______ _______ tracking system, shift from individual blame to _______ error, focus
on human factors and program to decrease errors
mortality, cost - ANS-medical errors lead to significant _______ and medical _______
each year
organization, team, system, level - ANS-James Reason error theory, defenses to error
include the _______, environment, _______, and individual, errors are a _______
problem but can be stopped by any one individual, errors that reach the patient involved
an error at every _______, swiss cheese model
training - ANS-continued _______ is important in error prevention, can acquire skills to
prevent error but even the best people have bad days
near miss - ANS-_______ _______ reporting is recommended but not required
culture, system, human - ANS-________ shift to view errors as an opportunity for
_______ change rather than blame, focus on _______ factors to prevent errors, still a
process in healthcare
team, performance, safety - ANS-_______ strategies to enhance _______ and patient
_______ (teamSTEPPS) implemented to reduce errors in healthcare, 2005 initiative
access, record - ANS-patient safety and quality improvement act (2005) to improve
patient _______ to medical _______
reimbursement - ANS-no medicare and medicaid _______ for preventable medical
errors and sentinel events
team, roles, goal - ANS-a _______ is two or more individuals with specified _______
interacting adaptively, interdependently, and dynamically toward a common and valued
_______
, intact, membership, building - ANS-_______ teams have a specified _______ and
history of working together, examples: administrative teams, quality improvement
teams, can engage in team ______
ad hoc, variable, training - ANS-_______ _______ teams form quickly to complete an
action, _______ membership, example: most patient care teams, requires similar
_______ among team members for quick teamwork
roles, responsibilities, resources, feedback, trust - ANS-high performing teams have a
shared mental model, clear _______ and ________, have clear, valued, and shared
vision, optimize ________, have strong team leadership, engage in a regular discipline
of _______, develop a strong sense of collective ________ and confidence, create
mechanisms to cooperate and coordinate, manage and optimize performance outcomes
training, mental model - ANS-should have enough _______ for everyone to understand
the goal and the process, shared _______ _______
communication - ANS-SBAR, call out, check back and handoff processes are designed
to improve ________
leadership - ANS-team brief, huddle, and debrief are designed to improve ________
situation monitoring - ANS-STEP and I'm safe processes designed to improve _______
_______
mutual support - ANS-task assistance, feedback, assertive statement, two-challenge
rule, CUS, DESC script designed to improve _______ ________
patient, information - ANS-Important to include the _______ as part of the team, ask
questions and give _______
core, care - ANS-_______ team provides direct patient _______
monitoring, overlap - ANS-teams should be small enough for situation _______ but
large enough for _______ and people that can help with skills
contingency, temporary, roles - ANS-_______ teams often involved in emergencies,
_______ and aren't regularly a part of providing care, people with certain, well-defined
_______
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