Utilizing TeamSTEPPS resources combined with a simulated grand rounds workshop: Signature pedagogy for interprofessional practice and education

Utilizing TeamSTEPPS resources combined with a simulated grand rounds workshop: Signature pedagogy for interprofessional practice and education

Purpose: To provide hospital professional staff with the opportunity for interprofessional standardized patient conferencing, through simulated bedside grand rounds.

Background: There is a need for conferencing techniques, regarding matters of patient concern, that are capable of providing a particular level of collaboration between providers at hospital interprofessional (IP) rounds¹. This is due to the mortality attributed to preventable medical errors² along with an estimated 3.4 trillion dollars in wasteful healthcare costs/year owing to fragmented oversight.³ The AAMC’s Aligning and Educating for Quality Initiative recognizes the medical conference as a quality improvement endeavor within graduate medical education.⁴

Description: To help address these issues, conferencing techniques employing interprofessional competencies⁵ will be practiced with in-situ team-based simulated grand rounds, informed by a modified didactic TeamSTEPPS® program.⁶ Following an hour of didactic training that contains an introduction to the structure and function of grand rounds plus TeamSTEPPS® resources, participants will engage in simulated bedside IP team grand rounds. These rounds will be attended by a reference team of providers familiarized with the case. This bedside simulation occurs within the reference unit that includes a standardized patient acting as a part of the reference team. The format of the rounds begin with a brief case presentation followed by communal questioning, consideration of alternatives plus conjoint development of a working diagnosis and treatment plan.⁷

Results: A model of clinical case conferencing between the reference team and patient, in an IP grand rounds format, may measurably impact patient outcomes and improve provider interprofessional competencies.⁵

Conclusion: Specific competencies related to IP collaboration should be practiced at regularly scheduled hospital meetings utilizing conferencing techniques provided in advance by combining didactic lessons with simulated events.

Relevance: The grand round conference is a patient-centered collaborative signature pedagogy⁷ that affords providers with the opportunity to exercise interprofessional conferencing skills and competencies.

Measurable learning objectives relevant to the simulated conference goals: A theoretically grounded⁸ re-structured simulated clinical grand round conference with the effectiveness determined by IP team competencies in:

1) a pre- and post-intervention survey of team process and performance⁹

2) an observation of the qualified variables along with

3) a patient safety culture survey.¹⁰ It is hoped that this intervention may additionally provide a nexus between IP education and practice by training professionals and exposing students to functional well working interprofessional practice teams.¹¹

References

1. World Health Organization. Framework for Action on Interprofessional Education and Collaborative Care. Geneva, Switzerland: World Health Organization; 2010.
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5. Agency for Healthcare Research and Quality. Team STEPPS®. Agency for Healthcare Research and Quality, Rockville, MD. 2015.
6. Interprofessional Education Collaborative. Core competencies for interprofessional collaborative practice: report of an expert panel. Washington, DC: Interprofessional Education Collaborative; 2011.
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