EMPOWERED by Data CONNECTED by Purpose

TEAMWORK INTERPROFESSIONAL DEVELOPMENT THAT CREATES IMPACT

The National Perinatal Information Center is dedicated to the improvement of perinatal health through comparative data analysis program evaluation health services research and professional continuing education

NURSE PLANNER

PurposeGoal(s) of this Education Activity The purposegoal(s) of this activity is to enable healthcare providers to have a better understanding of the approaches to interprofessional teamwork development

10 Contact Hour(s) This continuing nursing education activity was approved by the Northeast Multistate Division (NEMSD) an accredited approver by the American Nurses Credentialing Centerrsquos Commission on Accreditation Maine New Hampshire New York Rhode Island Vermont Nurses Associations are members of the Northeast Multistate Division of the American Nurses Association

10 AMA PRA Category 1 Credittrade Accreditation Women amp Infants Hospital is accredited by the Rhode Island Medical Society to sponsor intrastate continuing education for physicians Women amp Infants Hospital designates this online educational activity for a maximum of 10 AMA PRA Category 1 Credittrade Physicians should only claim credit commensurate with the extent of their participation in the activity

Carolyn L Wood PhD RN Clinical Nurse Consultant

DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY

No commercial support has been provided for this activity

No persons involved in planning or presenting this program has a conflict of interest

There will be no discussion of off-label usage of any products

In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC

Teamwork Interprofessional Development that Creates Impact

Kim Armour PhD NP-BC APRN RDMS NEA-BC

Director Womenrsquos Obstetric and Neonatal Services

Northwestern Medicine Prentice Womenrsquos Hospital

Chicago IL 60611

Karmournmorg

Thursday February 15 2018

Objectives

bull Explain two generational differences that drive employees

bull Describe current leadership models

bull Describe elements of quality regarding leadership

bull Discuss psychological safety

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

NURSE PLANNER

PurposeGoal(s) of this Education Activity The purposegoal(s) of this activity is to enable healthcare providers to have a better understanding of the approaches to interprofessional teamwork development

10 Contact Hour(s) This continuing nursing education activity was approved by the Northeast Multistate Division (NEMSD) an accredited approver by the American Nurses Credentialing Centerrsquos Commission on Accreditation Maine New Hampshire New York Rhode Island Vermont Nurses Associations are members of the Northeast Multistate Division of the American Nurses Association

10 AMA PRA Category 1 Credittrade Accreditation Women amp Infants Hospital is accredited by the Rhode Island Medical Society to sponsor intrastate continuing education for physicians Women amp Infants Hospital designates this online educational activity for a maximum of 10 AMA PRA Category 1 Credittrade Physicians should only claim credit commensurate with the extent of their participation in the activity

Carolyn L Wood PhD RN Clinical Nurse Consultant

DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY

No commercial support has been provided for this activity

No persons involved in planning or presenting this program has a conflict of interest

There will be no discussion of off-label usage of any products

In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC

Teamwork Interprofessional Development that Creates Impact

Kim Armour PhD NP-BC APRN RDMS NEA-BC

Director Womenrsquos Obstetric and Neonatal Services

Northwestern Medicine Prentice Womenrsquos Hospital

Chicago IL 60611

Karmournmorg

Thursday February 15 2018

Objectives

bull Explain two generational differences that drive employees

bull Describe current leadership models

bull Describe elements of quality regarding leadership

bull Discuss psychological safety

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY

No commercial support has been provided for this activity

No persons involved in planning or presenting this program has a conflict of interest

There will be no discussion of off-label usage of any products

In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC

Teamwork Interprofessional Development that Creates Impact

Kim Armour PhD NP-BC APRN RDMS NEA-BC

Director Womenrsquos Obstetric and Neonatal Services

Northwestern Medicine Prentice Womenrsquos Hospital

Chicago IL 60611

Karmournmorg

Thursday February 15 2018

Objectives

bull Explain two generational differences that drive employees

bull Describe current leadership models

bull Describe elements of quality regarding leadership

bull Discuss psychological safety

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

Teamwork Interprofessional Development that Creates Impact

Kim Armour PhD NP-BC APRN RDMS NEA-BC

Director Womenrsquos Obstetric and Neonatal Services

Northwestern Medicine Prentice Womenrsquos Hospital

Chicago IL 60611

Karmournmorg

Thursday February 15 2018

Objectives

bull Explain two generational differences that drive employees

bull Describe current leadership models

bull Describe elements of quality regarding leadership

bull Discuss psychological safety

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

Objectives

bull Explain two generational differences that drive employees

bull Describe current leadership models

bull Describe elements of quality regarding leadership

bull Discuss psychological safety

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

Concept Outline

1 Intergenerational differences in the workplace and how to lead and manage

bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN

2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team

3 Promoting team building and identifying characteristics of a healthy interprofessional team

bull Psychological Safety work

bull Amy Edmondson

Intergenerational amp Interdisciplinary Challenges in the Workplace

Managing the Intergenerational Team

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

2015 Wieck amp Moss

2015 Wieck amp Moss

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

2015 Wieck amp Moss

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

2015 Wieck amp Moss

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Leadership Models

bullTransactional

bullAdaptive

bullTransformational

bull Servant

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Culture of Safety

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Trust Respect

Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun

MUST HAVES

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Background

October 2003

ldquoThe emotions were overwhelming and chaotic I

now realize of course that the clinicians were also

crushed and devastated Nevertheless in that

moment they were not able to help me through the

experiencerdquo

September 2011

Proposal to implement

provider communication

training

Spring 2014

Over 300 NMH providers

receive training on difficult

conversations

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Patient Experience

Hidden Curriculum

Malpractice Concerns

Ethical Obligation

Why it Matters

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Patient and Provider Impact

ldquoPatients want their doctors to be

truthful caring and compassionate to

speak in simple termsrdquo

ldquo[patients] want to be given the

diagnosis and prognosis honestly and in

simple language but not too bluntlyrdquo

Patients Providers

bull Conversation delay avoidance

bull Patient-provider relationship

bull Providers as 2nd victims

ldquo[clinicians] may lack confidence and

describe themselves as ill prepared for

difficult interpersonal interactionsrdquo

ldquofear they will say too much too little

or the wrong thing altogetherrdquo

ldquoprovidersrsquo fear of being sued with

subsequent increases in malpractice

premiums or termination of

malpractice insurance coveragerdquo

bull Clinical adherence and understanding

bull Provider trust

bull Patient satisfaction

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

System-wide spread

Knowledge sharing

Measureable Impact

The Intervention

Goals Objectives

Disclosure Gap

Practical Guidance

Resources

Method

Lecture Case

studies Discussion Simulation Feedback Workshop

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Preliminary Results

33

56

88

29

36

78 82

93

62

50

64

76

89

54

45

0

10

20

30

40

50

60

70

80

90

100

Preparedness Communication skills Develop amp maintainrelationships

Confidence Level of anxiety

Pre Workshop

Post Workshop

90-Day Post

Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)

Statistically significant

ldquoItrsquos important to remember that what is normal to providers is completely unusual and

unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo

-Manager

ldquoThe most satisfying and

personally rewarding experience

Irsquove ever hadrdquo

-Actor

ldquoNurses and doctors are always fighting for the same

things but arenrsquot always on the same page ndash this

workshop helpedrdquo

-Nurse practitioner

Measurable Impact

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Psychological Safety

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Psychological Safety

Amy Edmondson

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Hum Resour Health 2013 11 19

Published online 2013 May 10 doi 1011861478-4491-11-19

PMCID PMC3662612

Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4

Interprofessional amp Intergenerational Team Development

NICU Mom Baby Labor amp Delivery

ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes

66

46

57

67 67 65 59

83 79

73 79 80

84 88

74 80

83 84 87

0

10

20

30

40

50

60

70

80

90

100

Jun-1

6

Jul-

16

Aug-1

6

Sep-1

6

Oct-

16

Nov-1

6

Dec-1

6

Jan-1

7

Feb-1

7

Mar-

17

Apr-

17

May-1

7

Jun-1

7

Jul-

17

Aug-1

7

Sep-1

7

Oct-

17

Nov-1

7

Dec-1

7

Perc

ent

of

Case

s Tre

ate

d W

ithin

60 M

inute

s

Time to Treatment Within 60 Minutes

NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

Discharge Follow-Up

56 60

53 58

30

64

46

62 67

56

75

64 62 60 54

58

84 83

75

0

10

20

30

40

50

60

70

80

90

100

Perc

ent

of

Case

s Follow

-Up A

ppoin

tment

7-1

0 D

ays

Follow-Up Appointment Scheduled Within 3-10 Days

NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

FY17-18 Unintended Extubation Rate

1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0

2

0

109

240

194

373

133

179 198

411

143

400

195

143

575

000 0

1

2

3

4

5

6

7

0

1

2

3

4

5

6

7

Tota

l U

nin

tended E

xtu

bati

ons

Unin

tended E

xtu

bati

ons

per

100 V

enti

lato

r D

ays

Unintended Extubations Unintended Extubations per 100 Ventilator Days

Target (le 218) FY18 YTD Rate (220)

FY17 YTD Rate (209)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

References amp Resources

bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013

Vol 69 Issue 3 p717-725 9p

bull Med Educ Online 2011 16 103402meov16i06035

Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM

1 Richard A Davidson MD MPH

2 Peggy Soule Odegard PharmD BCPS CDE FASCP

3 Ian V Maki

MPH3 and John Tomkowiak MD MOL

4rsquo

bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19

bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare

bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare

ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes

66

46

57

67 67 65 59

83 79

73 79 80

84 88

74 80

83 84 87

0

10

20

30

40

50

60

70

80

90

100

Jun-1

6

Jul-

16

Aug-1

6

Sep-1

6

Oct-

16

Nov-1

6

Dec-1

6

Jan-1

7

Feb-1

7

Mar-

17

Apr-

17

May-1

7

Jun-1

7

Jul-

17

Aug-1

7

Sep-1

7

Oct-

17

Nov-1

7

Dec-1

7

Perc

ent

of

Case

s Tre

ate

d W

ithin

60 M

inute

s

Time to Treatment Within 60 Minutes

NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

Discharge Follow-Up

56 60

53 58

30

64

46

62 67

56

75

64 62 60 54

58

84 83

75

0

10

20

30

40

50

60

70

80

90

100

Perc

ent

of

Case

s Follow

-Up A

ppoin

tment

7-1

0 D

ays

Follow-Up Appointment Scheduled Within 3-10 Days

NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

FY17-18 Unintended Extubation Rate

1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0

2

0

109

240

194

373

133

179 198

411

143

400

195

143

575

000 0

1

2

3

4

5

6

7

0

1

2

3

4

5

6

7

Tota

l U

nin

tended E

xtu

bati

ons

Unin

tended E

xtu

bati

ons

per

100 V

enti

lato

r D

ays

Unintended Extubations Unintended Extubations per 100 Ventilator Days

Target (le 218) FY18 YTD Rate (220)

FY17 YTD Rate (209)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

References amp Resources

bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013

Vol 69 Issue 3 p717-725 9p

bull Med Educ Online 2011 16 103402meov16i06035

Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM

1 Richard A Davidson MD MPH

2 Peggy Soule Odegard PharmD BCPS CDE FASCP

3 Ian V Maki

MPH3 and John Tomkowiak MD MOL

4rsquo

bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19

bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare

bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare

Discharge Follow-Up

56 60

53 58

30

64

46

62 67

56

75

64 62 60 54

58

84 83

75

0

10

20

30

40

50

60

70

80

90

100

Perc

ent

of

Case

s Follow

-Up A

ppoin

tment

7-1

0 D

ays

Follow-Up Appointment Scheduled Within 3-10 Days

NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

FY17-18 Unintended Extubation Rate

1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0

2

0

109

240

194

373

133

179 198

411

143

400

195

143

575

000 0

1

2

3

4

5

6

7

0

1

2

3

4

5

6

7

Tota

l U

nin

tended E

xtu

bati

ons

Unin

tended E

xtu

bati

ons

per

100 V

enti

lato

r D

ays

Unintended Extubations Unintended Extubations per 100 Ventilator Days

Target (le 218) FY18 YTD Rate (220)

FY17 YTD Rate (209)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

References amp Resources

bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013

Vol 69 Issue 3 p717-725 9p

bull Med Educ Online 2011 16 103402meov16i06035

Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM

1 Richard A Davidson MD MPH

2 Peggy Soule Odegard PharmD BCPS CDE FASCP

3 Ian V Maki

MPH3 and John Tomkowiak MD MOL

4rsquo

bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19

bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare

bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare

FY17-18 Unintended Extubation Rate

1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0

2

0

109

240

194

373

133

179 198

411

143

400

195

143

575

000 0

1

2

3

4

5

6

7

0

1

2

3

4

5

6

7

Tota

l U

nin

tended E

xtu

bati

ons

Unin

tended E

xtu

bati

ons

per

100 V

enti

lato

r D

ays

Unintended Extubations Unintended Extubations per 100 Ventilator Days

Target (le 218) FY18 YTD Rate (220)

FY17 YTD Rate (209)

Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018

References amp Resources

bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013

Vol 69 Issue 3 p717-725 9p

bull Med Educ Online 2011 16 103402meov16i06035

Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM

1 Richard A Davidson MD MPH

2 Peggy Soule Odegard PharmD BCPS CDE FASCP

3 Ian V Maki

MPH3 and John Tomkowiak MD MOL

4rsquo

bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19

bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare

bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare

References amp Resources

bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013

Vol 69 Issue 3 p717-725 9p

bull Med Educ Online 2011 16 103402meov16i06035

Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM

1 Richard A Davidson MD MPH

2 Peggy Soule Odegard PharmD BCPS CDE FASCP

3 Ian V Maki

MPH3 and John Tomkowiak MD MOL

4rsquo

bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19

bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare

bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare

Thank you for your time and consideration

QUESTIONS

Karmournmorg

312-472-3813 office

QUESTIONS AND COMMENTS

Participants are encouraged to ask questions and share comments

Please use the chat box for questions or comments

Questions and comments are visible only to presenters

Questions will be answered in the order in which they are submitted

Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you

THANK YOU FOR ATTENDING

ATTENTION

For 10 Contact Hour or

10 AMA PRA Category 1 Credittrade

DO NOT CLOSE YOUR BROWSER WINDOW

POST-TEST WILL AUTOMATICALLY APPEAR WHEN

THE WEBINAR HAS ENDED

Please complete the post-test within 24 hours

Certificates of Attendance amp Completion will be emailed within 14 business days

THANK YOU FOR ATTENDING

ATTENTION

For 10 Contact Hour or

10 AMA PRA Category 1 Credittrade

DO NOT CLOSE YOUR BROWSER WINDOW

POST-TEST WILL AUTOMATICALLY APPEAR WHEN

THE WEBINAR HAS ENDED

Please complete the post-test within 24 hours

Certificates of Attendance amp Completion will be emailed within 14 business days