IHI- Teamwork – Flashcards

Effective health care teams have several important characteristics, including: a) The ability to rehearse procedures together, like a choir or a sports team. b) Stable membership; that is, they have the same people on the team from day-to-day. c) Effective two-way communication. d) The ability to achieve good results without strong communication.

Which of the following is likely to be the most immediate result of building an effective health care team? a) Less costly health care b) More effective handoffs c) Fewer delays in care d) Elimination of waste in the system

As a nurse practitioner in a small, rural urgent care clinic, you believe that your clinic team works well together. Which of the following facts would best support your belief? a) Not a single complaint about unprofessional behavior has been filed by clinic members over the past year. b) The providers work in rotating shifts and rarely need to transmit information from one shift to the next. c) The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure. d) All of the above.

One reason it's critical for caregivers to improve their teams' effectiveness is: a) Effective teams reduce the risk of errors by providing a "safety net" for individual caregivers. b) Effective teams limit the number of caregivers patients have to speak with, reducing confusion among patients and families. c) Teams rely less on technology and more on human capabilities, thus leading to better care. d) All of the above

When considering your role within a health care team, it is important to keep in mind that: a) No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective. b) You may be part of a team, but will likely be able to work autonomously without much input or help from others. c) Teamwork skills will come naturally to you, because we all learn them in other settings. d) You will need to be a good team member until you become an expert in your field, at which point you probably won't need teamwork skills.

Effective team leaders: a) Have multiple degrees. b) Are usually physicians. c) Seek input from all members of the team. d) Know the correct answer in any given situation.

In health care, briefings: a) Are of limited effectiveness. b) Are a type of structured communication. c) Involve only doctors and nurses. d) Need to take place as soon after an event as possible, to maximize learning for the entire group.

During the debriefing, it becomes clear that a nursing assistant was concerned about the patient's breathing just after the drug was administered, but he did not feel comfortable telling the physician. What conclusion can you draw about the unit where this adverse event occurred? a) The unit's culture doesn't promote psychological safety. b) There are too many patients in the ICU. c) The unit's lack of an electronic health record endangers patients. d) SBAR is not a good communication strategy for this unit.

The unit leaders are trying to figure out what changes they should make to prevent this treatment delay from happening again. Given what you know about the incident, what change would you recommend? a) Implement mandatory debriefings after the team works together on a patient. b) Fire the physician who failed to respond in a timely way. c) Stop using nursing assistants in the ICU. d) Implement the use of critical language in the ICU.

SBAR stands for: a) Stop, Breathe, Act, Reflect b) Stop, Brief, Alert, React c) Situation, Background, Assessment, Recommendation d) Situation, Brief, Assessment, React

SBAR is an example of what type of communication? a) Team-based b) Critical language c) Structured communication d) All of the above

Which of the following is a possible negative consequence of this type of patient handoff? a) Information may be confusing because it is transmitted verbally. b) Information may be miscommunicated because there is no opportunity to ask questions. c) Information may be miscommunicated because the nurse who records the report does not use a checklist. d) There is no possible negative consequence; this is an excellent handoff technique.

How might the handoff have contributed to this situation? a) The handoff was too brief and failed to include important information. b) The handoff was hard to understand. c) You weren't paying close attention to the information you were being given. d) You had no opportunity for verbal repeat back.

Which of the following describes an effective setting for a handoff? a) In a hallway, where others can quickly find you if they have questions. b) In the cafeteria, where you can both grab something to eat between shifts. c) In a back room, where you are not likely to be easily interrupted. d) Over the phone, so you can both be wherever is most convenient.

Patient handoffs can occur: a) Between physicians b) Between a doctor and a nurse c) Between two health care organizations d) All of the above

Which of the following actions is essential for closed-loop communication? a) The sender gives a great deal of detailed information to the receiver, making sure not to leave anything out. b) The receiver responds to all information, even if it is only with an "okay" or "uh-huh," to acknowledge that he has heard the sender. c) The receiver repeats to the sender what he has heard. d) None of the above is essential.

Having an effective care plan can: a) Prevent patient emergencies such as a reaction to a new drug. b) Allow an institution to better respond to unsafe behavior by employees. c) Save money. d) Diffuse responsibility for sharing information among multiple caregivers.

One characteristic of effective plans is that they: a) Tell team members exactly what to do. b) Specify who is responsible for carrying out each part of the plan. c) Provide a comprehensive evaluation of likely patient outcomes. d) Are not needed for experienced teams.

Effective structured communication: a) Must be initiated by the team leader. b) Includes SBAR, briefings, and debriefings. c) Is more important for nurses than for physicians. d) Includes email, text messaging, and debriefings.

Which of the following is a likely result of effective planning? a) The team will be able to accomplish its work with fewer people. b) Crucial patient information will be lost. c) There will be fewer lawsuits. d) The team will be more adaptable to change.