狀況監測 Situation Monitoring

Team work

SituationMonitoring(TRM)


(Threat & Error Management)*


!!!Situation MonitoringSituation AwarenessShared Mental Model()2. ()3. -()EyeScan and AssessReassess, UpdateKnow*


Process of actively scanning behaviors and actions to assess elements of the situation or environment

(team accountability) (Cross monitoring)

Situation Monitoring(), .*


100%O2: ?


S T E P!!*

Status Of the patient

Patient History

Vital Signs

Medications

Physical Exam

Plan of Care

Psychological Condition

Team Members

FatigueWorkload Task PerformanceSkill LevelStress Level

I=IllnessM=MedicationS=StressA=Alcohol and DrugsF=FatigueE=Eating and Elimination

IM SAFE Checklist

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Environment

Facility Information Administrative InformationHuman Resources Triage AcuityEquipment

Progress Toward Goal

Status of teams patient(s)?Goal of team?Tasks/actions that are completed or that need to be done?Plan still appropriate?


I=Illness ()M=Medication () Menstruation()S=Stress () Sleep()A=Alcohol and Drugs ()F=Fatigue ()E=Eating and Elimination () IM SAFE Checklist (IM SAFE)*


Cross Monitoring: TeamSTEPPS*


:PerceptionComprehensionProjection

Knowing what is going on around us *


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3.(shared mental model)On the same page !!

Care is synchronized

The same picture

Anticipate better

Create commonality *


;,,,?Shared mental models help teams avoid errors that place patients at risk.*


?: TeamSTEPPS*


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:...,.*


BriefHuddleDebriefCross Monitoring

STEPiIM SAFE*


Situation Monitoring

Situation AwarenessScan and AssessReassess, UpdateMonitoring and ChallengingCross MonitoringS-T-E-PIM SAFE!!*


: , STEP(Briefs), (Huddles), (Debriefs), , Teams do not seek consensus; they seek the best answer. Katzenbach and Smith*


Thank You !!*

**!!**:1. Situation monitoring,2.

:TEMSituation Monitoring Cross monitoring, STEP, IM SAFE, Shared mental Model **Situation monitoring: (scan)(assess)Situation awareness: state of knowing the conditions. Dynamic and ever-changing => continually assess the situation and update their individual SASMM: Share information with the entire team. Ensure that everyone is on the same pagecontinuous process**STEPteam member? ()STEPorganized? ? ()

*STEPteam member? ()STEPorganized? ? ()*** *The state of knowing the current conditions affecting the teams workKnowing the status of a particular eventKnowing the status of the teams patientsUnderstanding the operational issues affecting the teamMaintaining mindfulness*Failure to Share information with the teamRequest information from othersDirect information to specific team members Include patient or family in communicationUtilize resources fully (e.g., status board, automation)Document

**The perception of, understanding of, or knowledge about a situation or process that is shared among team members through communication.Teams that perform well hold shared mental models.(Rouse, Cannon-Bowers, and Salas 1992)

*Help ensure that teams know what to expect, so if necessary, can regroup to get on the same pageFoster communication to ensure care is synchronizedEnsure that everyone on the team has a picture of what it should look likeEnable team members to predict and anticipate betterCreate commonality of effort and purpose

TeamSTPPS**Briefs HuddlesDebriefsTransitions in Care ()

***Conduct team exercises to increase situation monitoring skillsShare information in a timely fashionInclude patient and/or family in communicationUse cross monitoringApply the STEP process when monitoring the situationFoster communication to ensure that all members of the team have a shared mental modelShare information during briefs, team huddles, debriefs, and transitions in care

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Documents

狀況監測 Situation Monitoring