Johns Hopkins has identified several tools to help improve communication and teamwork. Each tool comes with detailed instructions.
We suggest that you adopt and implement three tools per year.
|Tool Name||Who Should Use It||Goal|
|Learning from Defects||Requirement for all units|
Set up a local process to learn from and respond to defects locally, within the unit
|Daily Goals Checklist||Units in which less than 60% agree with the item: “The physicians and nurses here work together as a well coordinated team.”|
Improve team communication regarding patient’s plan of care
|Morning Briefing||Any setting where physicians, nurses and other providers work as a team to manage patients||Promote collaboration and better care coordination between physicians and frontline nurses|
|Shadowing Another Profession||Any inpatient or outpatient care area||Identify defects in communication, collaboration and teamwork between different disciplines, and develop methods for resolving these problems|
|Observing Rounds||Recommended for all units||Enhance teamwork and communication behaviors across disciplines|
|Physician Call List||Recommended for all units|
Improve the effectiveness of nurse-to-physician communication when using the paging system
|Culture Debriefing Tool||Recommended for all units||Make culture survey results actionable through a structured process|
A critical success factor in using tools for improvement is measuring compliance with the tool. It is not enough to simply state that the tools are being used. Staff-friendly reports of compliance should be posted in the unit, along with infection reports. The combination of these reports (seeing infections decrease as compliance increases) should be a motivating factor for continuous improvement.