The rate of survival at OSF Saint Francis Medical Center following CPR is well above the national average of more than 18-20%. But I have what might seem like an ambitious goal: to become even better.
There’s always room for improvement, and I would like to see Saint Francis become known as one of the leading medical institutions in resuscitation outcomes. This can be achieved through continued training of our caregivers using simulation and interprofessional education.
Jump faculty recognizes the importance of “learning by doing” in a safe simulated environment. They also recognize it’s more difficult to serve people with the greatest care and love if our physicians, advanced practice providers, nurses, and other caregivers work in silos. It also impedes the transformation of health care. Medical professionals need to practice working as a group through simulation training to enhance communication and team dynamics.
That’s why we’ve incorporated Team Strategies and Tools to Enhance Performance and Patient Safety - or TeamSTEPPS® - into our curriculum at Jump.
TeamSTEPPS® Enhances Interprofessional Education
The Agency for Healthcare Research and Quality developed this evidence-based program for the entire interprofessional health care team to enhance communication and collaboration to not only provide safe, quality, and world-class care—but help improve patient outcomes.
There has been a long-established hierarchy in medicine where medical residents, advanced practice providers, nurses, CNAs, and other disciplines that are part of the patient care team have been perceived as not being valued by doctors and surgeons. By utilizing the TeamSTEPPS® Key Principles and tools at Jump, we’re doing away with those stereotypes, and demonstrating that all individuals on the patient care team have an important role.
We are seeing the difference in those who have received this training: Nurses are more comfortable challenging physicians with their concerns when the patient’s safety is at risk, and physicians are seeking recommendations from the nursing staff. The health care team is now realizing that the person who should truly be at the top of the hierarchy is the patient!
Improving Resuscitation Outcomes
The big question is how do we know if simulation and interprofessional education are improving outcomes after cardiac arrest? We already have numbers to demonstrate the value.
In 2011 and 2012, about 1,200 nurses were trained over a nine-month period to use the TeamSTEPPS® Key Principles and tools during their simulation code blue mandatory training. The results after this training were substantial.
Patients discharged home after cardiac arrest at Saint Francis has been sustained around the 30th percentile for many years. In 2012, the rate had increased by more than 20% after the TeamSTEPPS® and code blue mandatory training.
Think of how those numbers can improve as more doctors, nurses and clinicians are introduced to TeamSTEPPS® and simulation programs at Jump.
Improved outcomes translate into getting more patients back home enjoying a good quality of life safely and faster.