Denver Health Research
Wednesday, January 07, 2009  | 
 
Fast Talks
 

Our follow-up education focused on reinforcing the concepts that were introduced during Dr. Leonard's presentations.  Our follow-up education has been targeted at the unit level, and our "Fast Talks" have been well received.  The “Fast Talks” are a way of providing multidisciplinary, individualized continuing education, and provide participants with ways that they can create and sustain a culture of patient safety and communication.  The topics are as follows:

 

  • Structured Communication
  • Psychological Safety & Assertion
  • Critical Language

Click here for the educational materials used to teach during "Fast Talks."

     
 
Structured Communication
 

The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between healthcare team members that can be used to organize information in preparation for notifying a provider about a change in patient status or needs.  The tool provides a standardized means for communicating in patient care situations, provides nurses and other care providers with guidelines for relevant information to have prepared when phoning or speaking to another healthcare team member, and a framework for presenting pertinent information, appropriate assessments, and recommendations. A significant component of SBAR education encourages the recognition of the expertise of nurses and other care providers to assertively make recommendations to physicians or other healthcare providers, thus facilitating a non-hierarchical structure and vastly improving patient safety (Leonard, Bonacum, & Graham).

For the educational materials used to teach SBAR click here.

     
 
Psychological Safety and Assertion
 

Picture2.jpgWhen team members feel respected, they are more likely to voice a concern because they feel it is "psychologically safe" to speak up. A key component of improving communication - and making healthcare safer - is making healthcare settings psychologically safe for every team member to raise a concern at any time. This means that every healthcare member needs to demonstrate fundamental, non-negotiable respect for every other team member, every day. Another part of psychological safety is the use of appropriate assertion in which an individual speaks up with polite persistence until there is a clear resolution. It is used for clarification and common understanding.

 

For the educational materials used to teach psychological safety and assertion click here.

     
 
Critical Language
 

Critical language are key phrases that are understood by all team members to mean “stop, listen, we have a potential problem.”  One example of this may be “I need a little clarity.”  United Airlines® came up with the “CUUS” program, which is as follows:

 

I’m Concerned

I’m Uncomfortable

This is Unsafe

I’m Scared

 

The goal of critical language is to allow providers to raise issues directly related to patient safety.

 

For the downloadable tools used to teach critical language click here.

     
Denver Health: Level One Care for All

This research is supported by the Agency for Healthcare Research and Quality, Partnerships in Implementing Patient Safety, Grant #:  1 U18 HS015846-01.  The contents of this product are the sole responsibility of Denver Health Medical Center and do not necessarily represent the official view of or imply endorsement by AHRQ or the U.S. Department of Health and Human Services.

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