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Team Training for Patient Safety
Paul E. Phrampus, MD FACEPDirector
Peter M Winter Institute forSimulation, Education and Research (WISER)
University of Pittsburgh
Greetings and Thank You
Where in Pennsylvania is Pittsburgh?
A
BC
D
1929 - 1950
• Australia• Canada• Germany• Great Britain• Japan • USA• USSR
Proliferation
• Twelve pilots were killed in a 78 day period
• Implementing NEW TECHNOLOGY
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
Difference Between Medicine and Aviation
• Numbers Spread Across Entire Nations• Different Mindset of the Professional
What is the REAL MESSAGE
• Were are not looking so good…….
Healthcare EducationPsychomotor Skills
Communications Skills
Professionalism Skills
Base Knowledge Decision Making
Team Skills
Healthcare EducationPsychomotor Skills
Communications Skills
Decision MakingBase Knowledge
Team Skills
Professionalism Skills
Healthcare EducationPsychomotor Skills
Communications Skills
Professionalism Skills
Base Knowledge Decision Making
Team Skills
What are good teamwork skills?
How can we use simulation to address medical teamwork?
A simualation teamwork example
Crisis Team Training
Crisis Team Training
Crisis Team Training
Crisis Team Training
Crisis Team Training
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
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”
Using simulation to measure a difference made with team
training
Testing the System!
Summary and THANK YOU
www.wiser.pitt.edu