Reflective Review
- Team debrief
- each team member contribute equally (measured by time talking)
- reflect what worked well
- share where there were areas for improvement
- identify areas where communication was an issue
- review of shared mental model and clinical knowledge
- Full participation helps build the specific care team
- Full participation improves team communications
Patient Impact
- Playing the patient story (as identified by PSMF)
- may be the entire patient video or in part
- important for teams to understand the family impact on errors
- Review of how the team incorporated information from patient or family members
- accurate understanding of patient’s history
- acknowledgement of patient and family fears
- Communication with Patient and Family
- Potential risks
- Management of family members
- Transparency with Patients and families when adverse event happens
Processes and Procedures
- Review of existing processes and procedures
- did they meet the operational needs
- was there an impact to patient safety
- was there unnecessary waste or time spent
- proper resources
- trained staff
- medication
- equipment
- safeguards
- Look for commonality of issues from week to week
see previous: Focused Team Engagement see next: Team Engagements