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    1. Communication Linda Ferris Hilton Hotel 15th November 2007

    4. Inter-Professional Communication

    5. Scenario 1

    6. Mortality Diagnostic Casenote Review Failure to Plan (Diagnosis / Treatment) Failure to Identify changes in the patients clinical indicators. (Heart Rate, Respirations, B/P, SPO2) Failure to Communicate (between doctors and nurses, team, no clear lead physician) Failure to Rescue or Respond to changes in the patients clinical indicators.

    8. ALERT Acute Life threatening Events Recognition and Treatment

    9. Scenario 2

    10. SBAR

    12. SBAR

    13. SBAR, is based on techniques developed in commercial aviation. Co-pilots were having a difficult time communicating clearly to pilots, in situations where there was potential danger, in part because the power gradient between them was so high. There are many examples of black box recordings found after airplane accidents, where the co-pilots were using the hint and hope approach, even as the plane was about to crash.

    14. SBAR Situation Background Assessment Recommendation

    17. Scenario 3

    19. Safety Briefing Safety briefings are an integral part of developing a culture of safety. They are used to increase staff awareness of safety issues, creating an environment in which staff share information without fear of reprisal and integrate the reporting of safety issues into their daily work. Convene at least one safety briefing each day.

    20. Safety Briefing One of the keys to success is to make sure that information generated at the briefing session is passed on to the next shift. Briefing should last 5-10 minutes Topics should include, patients, equipment, staffing, infection control.

    22. Nursing Handover Because clinical teamwork often involves hurried interactions between human beings with varying styles of communication, a standardized approach to information sharing is needed to ensure that patient information is consistently and accurately imparted. This is especially true during critical events, shift handovers, or patient transfers.

    24. Thank You Linda Ferris