Team structure |
Identifies goals, assigns roles and responsibilities, holds members accountable |
“I think at our update, just showing [the family] that he’s not making progress on coming off the ventilator, […] and the thing that will probably get him home quickest would be to proceed with tracheostomy.” (physician leading meeting—identifies goals) |
Leadership |
Utilizes resources; delegates tasks and balances workload; conducts briefs, huddles, and debriefs; empowers members to speak freely |
“And please correct me if I’m mistaken because I’m just going by what was reported to me.” (physician leading meeting—empowers members to speak freely) |
Situation monitoring |
Includes patient/family concerns, cross monitors members and applies the STEP process, fosters communication |
“And the parents are very interested, I think that their main concern after the cardiac arrest was neuro injury.” (physician leading meeting—includes patient/family concerns) |
Mutual support |
Advocates for the patient resolve conflict using two-challenge rule, CUS and DESC script, works collaboratively |
“Can you just show his EKG as well?” (physician leading meeting to physician running chart display—works collaboratively) |
Communication |
Provides brief, clear, specific, and timely information; seeks and communicates information from all available sources; uses SBAR, callouts, check-backs, and handoff techniques |
“Uh, Cefotaxime.” (physician leading meeting) “Cefotaxime.” (Fellow) “Yeah, cefotaxime.” (physician leading meeting—uses check-backs) |