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0055 Teamstepps primary care – ‘in-action’
  1. Sandeep Singh Randhawa1,2,
  2. Will Murdoch2,
  3. Jon Stewart3
  1. 1University of Birmingham, Edgbaston, Birmingham, UK
  2. 2Hollier Simulation Centre, Sutton Coldfield, West Midlands, UK
  3. 3Safer Patient Care, Little Aston, West Midlands, UK


Background TeamSTEPPS is defined as ‘Team Strategies and Tools to Enhance Performance and Patient Safety’. Research evidence has shown that TeamSTEPPS can provide skills to create and maintain high performing teams and achieve patient-centred care standards.

Methods The West Midlands Project supported by Health Education West Midlands wished to empower local GP Trainees with TeamSTEPPS.

A Master Training programme was completed by the ‘change team’ faculty. The educational material was then formatted into a fundamentals course with mentoring support.

In total 3 small group sessions (with Simulation facilities available) were utilised for core concepts namely Communication, Leading teams, Situation Monitoring and Mutual Support. Trainees were also introduced to principles beyond the fundamentals including Coaching, Change Management and Implementation.

Results – projects in action Local GP trainees’ formulated individualised practice based plans for specific team needs.

STEP checklist

  • A situational monitoring tool utilised as an audit for patients being prescribed Methotrexate

  • Status of the patient

  • Team members

  • Environment

  • Progress towards the goal

Closed loop communications Another trainee wanted to help standardise electronic communications. This was in response to a significant event of patients being lost to follow up on test results. A closed loop communication cycle was thus put into place. This empowered administration staff and levelled hierarchy with clinical staff.

A similar method was also utilised to standardise approach to late arrival patients in practice.

Conclusions This project has introduced concepts and principles of TeamSTEPPS to local trainees who have put projects directly into action by utilising the support tools.

The practice model could well be utilised more widely for teamwork improvement. Support to overcome potential barriers to change should also be considered


  1. Thomas EJ. Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf 2011-000117

  2. Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual 2007;22:214–17

  3. Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of practice: a critical review. Acad Med 2010;85:1746–60

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