1. Describe TeamSTEPPS and the impact it has on skills, especially communication.
2. The Centers for Medicare & Medicaid Services (CMS) formed its no-pay policy based on the growing work of the National Quality Forum (NQF) of “never events.” In other words, CMS will no longer pay for certain conditions that result from what might be termed poor practice or events that should never have occurred while a patient was under the care of a healthcare professional. Discuss examples of “never events” and their impact in the workplace. What are some of the controversies that arise from the situation?
3. The Institute for Healthcare Improvement (IHI) is dedicated to rapidly improving care through a variety of mechanisms including rapid cycle change projects. The common core of most projects is patient safety. Leaders must be able to create a culture that encourages adherence to standards for patient safety. Lewin’s change theory talks about 3 steps: unfreezing, changing, & refreezing as a method of introducing a new change and helping others to try it, and then making it part of the daily routine. Example: Wanting to lose weight is not enough. You need to eat fewer calories and exercise more, as well as maintaining this routine over time until it becomes a habit, to be successful.
Identify a situation in which you as a leader would revise or change practice to enhance safety.
How would you introduce this change to your staff using the diffusion theory?
What strategies would you use for enlisting “early adopters” of this change theory to see your view?
