Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
Abstract
Advancing to a culture of safety requires a systems change. Teamwork, a powerful patient safety tool, can achieve this goal. Lessons learned within the U.S. Department of Defense indicate that for teamwork initiatives to be effective, they must possess a clear blueprint defining the solid steps for building the desired culture. Such a blueprint must be clear, detailed, and self-evident. The blueprint must include training design; curriculum; tools and associated media; a well-grounded evaluation system; concrete structural and process change steps; and a systems feedback loop necessary for organizations, leaders, change teams, and staff to build upon, learn from, and course correct. Practical theories of training and change provide the framework for a systems model for team-driven change. The process of developing this new model, combined with analyzing the experience and lessons learned in team training, resulted in identifying the steps necessary for successful team-driven patient safety culture change. These steps detail the structures and processes necessary to (1) establish the vision of, and for, teams; (2) plan and prepare the environment; (3) train and implement behaviors and expectations; (4) monitor and coach to sustain behaviors; and (5) align and integrate the behaviors. The purpose of this paper is to describe these steps and the essential leadership actions for deploying a systems-guided teamwork initiative.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2005
- Accession Number
- ADA434377
Entities
People
- Beth Kohsin
- Heidi B. King
- Mary Salisbury
Organizations
- United States Agency for Healthcare Research and Quality