Carilion Clinic, a not-for-profit health care system based in Roanoke, Virginia, uses AHRQ’s TeamSTEPPS® patient safety training program in its trauma crash course curriculum. Since 2007, every registered nurse hired to work in the emergency department has been trained in TeamSTEPPS. Emergency medicine and surgery residents are introduced to TeamSTEPPS during orientation. Access the case study.
Carilion Clinic Uses TeamSTEPPS To Train Emergency Department Nurses in Virginia
Carilion Clinic, a not-for-profit health care system based in Roanoke, Virginia, uses the TeamSTEPPS® patient safety training program as part of its trauma crash course curriculum. All nursing staff working in trauma settings must complete this education prior to achieving trauma nurse academy status.
Carilion has been using TeamSTEPPS since 2007 with the primary goal of improving communication and patient safety. TeamSTEPPS is an evidence-based system developed by AHRQ and the Department of Defense to improve communication and teamwork skills among health care professionals.
"We initially introduced TeamSTEPPS to our emergency department nurses who worked in the trauma setting," said Gary Meadows, M.H.A., B.S., R.N., clinical educator and emergency department disaster coordinator for Carilion Roanoke Memorial Hospital.
Carilion has held TeamSTEPPS Master Trainer courses since 2009 for both emergency department and trauma services staff. Every registered nurse hired to work in the emergency department since 2007 has been trained in TeamSTEPPS. Emergency medicine and surgery residents are also introduced to TeamSTEPPS during their orientation.
"In 2016, we initiated strategies to implement TeamSTEPPS throughout our health system. In March, we provided Master Trainer education to staff within our regional hospitals to further enhance the use of TeamSTEPPS," Mr. Meadows explained.
TeamSTEPPS will continue to be required education for all emergency department staff, as well as for the trauma and emergency medicine residency programs.
“By observing the trauma process, we saw many errors and potential errors due to the chaotic environment surrounding the resuscitation process. We identified TeamSTEPPS as a tool that we could use to improve our processes in this high-stress and rapidly changing environment,” said Mr. Meadows.
The TeamSTEPPS tools and strategies most useful in helping Carilion focus on safe and effective patient care have been: call out, check back, "CUS" (I am concerned! I am uncomfortable! This is a safety issue!), situation monitoring, pre-brief, huddle, debrief, and mutual support.
Impact Case Study Identifier:
AHRQ Product(s): TeamSTEPPS®
Topics(s): Patient Safety
Geographic Location: Virginia
Implementer: Carilion Clinic
Page last reviewed August 2016