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Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research (WISER) University of Pittsburgh

Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

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Page 1: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Team Training for Patient Safety

Paul E. Phrampus, MD FACEPDirector

Peter M Winter Institute forSimulation, Education and Research (WISER)

University of Pittsburgh

Page 2: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Greetings and Thank You

Page 3: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Where in Pennsylvania is Pittsburgh?

A

BC

D

Page 4: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

1929 - 1950

• Australia• Canada• Germany• Great Britain• Japan • USA• USSR

http://upload.wikimedia.org/wikipedia/commons/a/ac/Link-trainer-ts.jpg
Page 5: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Proliferation

• Twelve pilots were killed in a 78 day period

• Implementing NEW TECHNOLOGY

Page 6: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Medicine

• Betsy Lehman, died from an overdose during chemotherapy

• Willie King had the wrong leg amputated• Ben Kolb was eight years old when he

died during ''minor" surgery due to a drug mix-up

Page 7: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Difference Between Medicine and Aviation

• Numbers Spread Across Entire Nations• Different Mindset of the Professional

Page 8: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

What is the REAL MESSAGE

• Were are not looking so good…….

Page 9: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Healthcare EducationPsychomotor Skills

Communications Skills

Professionalism Skills

Base Knowledge Decision Making

Team Skills

Page 10: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Healthcare EducationPsychomotor Skills

Communications Skills

Decision MakingBase Knowledge

Team Skills

Professionalism Skills

Page 11: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Healthcare EducationPsychomotor Skills

Communications Skills

Professionalism Skills

Base Knowledge Decision Making

Team Skills

Page 12: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

What are good teamwork skills?

Page 13: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

How can we use simulation to address medical teamwork?

Page 14: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

A simualation teamwork example

Page 15: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Crisis Team Training

Page 16: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Crisis Team Training

Page 17: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Crisis Team Training

Page 18: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Crisis Team Training

Page 19: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Crisis Team Training

Page 20: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Position Task Completion

0%

25%

50%

75%

100%

1 2 3

Session

Com

plet

ion

Perc

enta

ge

AirwayAirway AssistantChest compressionsFloor RNICU RN (Cart)Procedure MDRecorder ICURNTeam Leader

Improvement is rapid and measurable: Position, Individual

Page 21: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

1 2 3

Session number

Mor

talit

y

Simulator “Mortality”

Page 22: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Using simulation to measure a difference made with team

training

Page 23: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Testing the System!

Page 24: Team Training for Patient Safety - Laerdal Medical · Team Training for Patient Safety Paul E. Phrampus, MD FACEP Director Peter M Winter Institute for Simulation, Education and Research

Summary and THANK YOU

www.wiser.pitt.edu


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