1st Annual Clinical Simulation
Conference
“Inter-professional Education in Perinatal Medicine”
Teamwork and Communication during an Unexpected
Intrapartum Emergency
Michele A. Manting, M.D.,M.Ed
Assistant Professor of Obstetrics and Gynecology
Hana Teissler MD
Department of Anesthesiology
Paul L. Foster School of Medicine
Texas Tech University Health Sciences Center
El Paso, TX
Teamwork and Communication
during an Unexpected Intrapartum Emergency
Learning Objectives
• Define Interprofessional Relationships
• Recognize the connection between
communication and medical error
• Describe effective strategies for information
exchange
• Identify barriers, tools, strategies, and outcomes
to communication
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OBSTETRICS
NEONATALOGY
ANESTHESIA
RESPIRATORY
STUDENTS
TECHNICIANS
NURSE-MIDWIVES
Standards of
Effective Communication
• Complete
– Communicate all relevant information
• Clear
– Convey information that is plainly understood
• Brief
– Communicate the information in a concise manner
• Timely
– Offer and request information in an appropriate timeframe
– Verify authenticity
– Validate or acknowledge information
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Barrier to Communication
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Language barrier
Distractions
Physical proximity
Personalities
Workload
Varying communication styles
Conflict
Lack of information verification
Shift change
Barriers to Team Performance
• Inconsistency in team
membership
• Lack of time
• Lack of information
sharing
• Conflict
• Lack of coordination
and follow-up
• Distractions
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Hierarchy
Defensiveness
Conventional thinking
Varying communication
styles
Fatigue
Workload
Misinterpretation of
cues
Lack of role clarity
Call Out
A strategy used to
communicate
important or critical
information
– It informs all team
members
simultaneously during
emergency situations
– It helps team members
anticipate next steps
Check Back
employs a closed loop strategy to verify
and validate information
Cross Monitoring
Information Exchange Strategies
• Situation–Background– Assessment–
Recommendation (SBAR)
• Call-Out
• Check-Back
• Cross-Monitoring
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Teamwork Actions
• Communicate with team members in a brief,
clear, and timely format
• Seek information from all available sources
• Verify and share information
• Practice communication tools and strategies
daily (SBAR, call-out, check-back, handoff)
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First Do No Harm
References
• First Do No Harm :
– http://vimeo.com/22056954
• MedicationErrors
– http://www.iom.edu/Reports/2006/PreventingMedication-Errors-Quality-Chasm-Series.aspx
• Communication videos:
– http://www.ahrq.gov/professionals/education/curric
ulum-tools/teamstepps/index.html