Library resource guides: ANZCA & FPM CPD Program resources: Team scenario

Guide index

Team training scenario within own work environment, with usual work team

Training scenario with usual team including education, practice, and feedback on team performance, often in a simulated environment to facilitate practice improvement.

Undertake a team orientation for a new procedure or a revised algorithm
Undertake a team practice of a safety protocol - for example: COVID-19 airway scenario
Undertake a theatre-based simulation - for example: intra-operative cardiac arrest or COVID-19 drill
Practising oxygenator changeouts with a small group, with feedback session following
Simulation scenarios in the pre-operative area - for example: adverse drug reaction drill
Undertake a CORPULS Simulation group training session
Simulated anaesthesia events with pre-brief, intraoperative crisis management and debrief sessions
Simulated military casualty exercise
Perioperative team training - examples include: thoracic surgery and OB/GYN scenarios
MEPA (Managing Emergencies in Paediatric Anaesthesia) simulations: anaphylaxis, cardiac arrest, LA toxicity, laryngospasm, difficult airway workshop, equipment failure for visiting specialists.
Undertake a PROMPT team training scenario
Practice team emergency scenarios - for example: evacuation of the theatre in the event of fire

See also: Category 3 - Emergency response for specific emergency-related training and simulation scenarios

CPD Value: CPD participants may claim this under the Practice evaluation - reviewing performance team scenario activity.

External resources

Title: Kids Simulation Australia: Defining SIM
Duration: 2 mins
Access complete list of KSA videos

Title: Introduction to the Fundamentals of TeamSTEPPS® Concepts and Tools
Duration: 60 mins approx

AHRQ: TeamSTEPPS
Instructor-led or self-paced training offers strategies and tools to enhance team communication and patient safety.
CORPULS Simulation
With corpuls simulation we bring 100% realistic scenarios to your training. Just as pilots training in a flight simulator are thrown surprise complications, lifesavers training with corpuls simulation have to overcome unforeseen situations.
Managing Emergencies in Paediatric Anaesthesia: MEPA
We are a collaboration of specialist paediatric anaesthetists from across the globe with an interest in simulation based training.
PROMPT (PRactical Obstetric Multi-Professional Training)
Obstetric multi-professional training site with training packages and resources.
SA Health: TeamSTEPPS® 2.0 AU
Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) is an evidence-based program designed to improve teamwork and communication leading to a culture of continuous improvement and patient safety.
SA Health: TeamSTEPPS® 2.0 AU - Specialty Scenarios
The specialty scenarios on the following pages can be used to customise the TeamSTEPPS scenarios, vignettes, and practical exercises.
Uni of Washington: Simulation Team Training Toolkit
Improve communication and patient safety by incorporating simulation into curriculum and clinical settings.

Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)- TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety by Henriksen K, Battles JB, Keyes MA, et al. [eds] Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS™) is a systematic approach developed by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to integrate teamwork into practice. It is designed to improve the quality, safety, and the efficiency of health care. TeamSTEPPS is based on 25 years of research related to teamwork, team training, and culture change. As a direct outcome of the 1999 Institute of Medicine (IOM) report, To Err is Human, TeamSTEPPS introduces tools and strategies to improve team performance in health care. This article describes the evolution of the TeamSTEPPS program and its research foundation, development, and implementation. To date, the DoD has taught TeamSTEPPS at over 68 facilities, creating approximately 1,500 trainers/coaches, who have trained over 5,000 staff members. Beginning with the public release of TeamSTEPPS resources in November 2006, AHRQ began its effort to disseminate TeamSTEPPS nationwide. To support this plan, a national infrastructure is being established for long-term sustainment through collaborative efforts of several Federal agencies, academic centers, and health care networks, aiming for wide-scale dissemination.
Publication Date: 2008 Aug.
Designing a Simulation Scenario by Douglas W. Harrington; Leslie V. Simon. Introduction A simulation scenario is an artificial representation of a real-world event to achieve educational goals through experiential learning. Designing an effective simulation scenario requires careful planning and can be broken into several steps. Simulation scenarios are designed to assess, educate, and help learners to self-identify gaps in their understanding of material or application of knowledge. Simulation may also address patient safety issues, clinical cases, teamwork opportunities, communication challenges, procedural competencies, and leadership skills. Designing an effective scenario requires planning, including knowledge of the target learners, goals and objectives, intended outcomes, and context. Knowledge of educational principles, including Bloom's Taxonomy, which describes the progression from novice to expert, helps develop educational goals. Scenario design must also consider the level of fidelity, use of props, moulage, embedded participants, simulators, and standardized patients.[1] All simulation scenarios should address a perceived knowledge or performance gap. The finished scenario should take place in a safe and non-judgemental setting.
Publication Date: Last Update: September 26, 2022.
Scenarios for Success in Patient Communication: A Training Guide for Healthcare Professionals by Luz Maria Bella-Cruz, David Correa These health scenarios are intended for health literacy education. The scenarios are real; however, the names and photos used are not those of actual patients.
Publication Date: 2013 University Health System
TeamSTEPPS Implementation of a teamwork programme into an Australian Setting Public Report on Pilot Study by Australian Commission on Safety and Quality in Health Care TeamSTEPPSTM is an evidence-based teamwork training system developed by the US Department of Defense Patient Safety Programme in collaboration with the Agency for Healthcare Research and Quality (AHRQ). It has four teamwork competencies comprising of leadership, situation monitoring, mutual support and communication that characterise effective communication and teamwork. The objectives of the project in South Australia were to implement TeamSTEPPSTM in five sites and to evaluate the content and process for its validity in handover in the Australian context. The evaluation concluded that the TeamSTEPPSTM programme is applicable, relevant and adaptable to the Australian health care context. The sites embraced the TeamSTEPPSTM philosophy of improving teamwork, communication and patient safety through structured communication techniques. Implementation generally was observed to have occurred systematically and in collaboration with multi-disciplinary team members. Process changes included improved quality of communication, handover, teamwork and relationships. The structural changes included the introduction of patient whiteboards, the restructuring of clinical loads, clear and visible team roles and responsibilities, and the introduction of patient charts to facilitate handover. Outcome changes included time and resource efficiencies and opportunities for improved coordination of clinical care. Communication and teamwork supports clinical activity, is part of delivering daily care, and provides a safety net for patients. TeamSTEPPSTM therefore should not be seen in isolation as a quality improvement activity and its system-wide benefit would be realised through its integration into existing programmes and processes.
Publication Date: May 2009

Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014 May;23(5):359-72. Keywords: Patient safety; Team training; Teamwork.
more...less...
Abstract
Background: Patients are safer and receive higher quality care when providers work as a highly effective team. Investment in optimising healthcare teamwork has swelled in the last 10 years. Consequently, evidence regarding the effectiveness for these interventions has also grown rapidly. We provide an updated review concerning the current state of team-training science and practice in acute care settings.

Methods: A PubMed search for review articles examining team-training interventions in acute care settings published between 2000 and 2012 was conducted. Following identification of relevant reviews with searches terminating in 2008 and 2010, PubMed and PSNet were searched for additional primary studies published in 2011 and 2012. Primary outcomes included patient outcomes and quality indices. Secondary outcomes included teamwork behaviours, knowledge and attitudes.

Results: Both simulation and classroom-based team-training interventions can improve teamwork processes (eg, communication, coordination and cooperation), and implementation has been associated with improvements in patient safety outcomes. Thirteen studies published between 2011 and 2012 reported statistically significant changes in teamwork behaviours, processes or emergent states and 10 reported significant improvement in clinical care processes or patient outcomes, including mortality and morbidity. Effects were reported across a range of clinical contexts. Larger effect sizes were reported for bundled team-training interventions that included tools and organisational changes to support sustainment and transfer of teamwork competencies into daily practice.

Conclusions: Overall, moderate-to-high-quality evidence suggests team-training can positively impact healthcare team processes and patient outcomes. Additionally, toolkits are available to support intervention development and implementation. Evidence suggests bundled team-training interventions and implementation strategies that embed effective teamwork as a foundation for other improvement efforts may offer greatest impact on patient outcome
Weller JM, Mahajan R, Fahey-Williams K, Webster CS. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J Anaesth. 2024 Apr;132(4):771-778. Keywords: Safety-II; artificial intelligence; communication; leadership; patient safety; situation awareness; teamwork.
more...less...
Abstract
Healthcare today is the prerogative of teams rather than of individuals. In acute care domains such as anaesthesia, intensive care, and emergency medicine, the work is complex and fast-paced, and the team members are diverse and interdependent. Three decades of research into the behaviours of high-performing teams provides us with clear guidance on team training, demonstrating positive effects on patient safety and staff wellbeing. Here we consider team performance through the lens of situation awareness. Maintaining situation awareness is an absolute requirement for safe and effective patient management. Situation awareness is a dynamic process of perceiving cues in the environment, understanding what they mean, and predicting how the situation may evolve. In the context of acute clinical care, situation awareness can be improved if the whole team actively contributes to monitoring the environment, processing information, and planning next steps. In this narrative review, we explore the concept of situation awareness at the level of the team, the conditions required to maintain team situation awareness, and the relationship between team situation awareness, shared mental models, and team performance. Our ultimate goal is to help clinicians create the conditions required for high-functioning teams, and ultimately improve the safety of clinical care.

Practice evaluation: COVID-19 - 30 min LSCS DRILL

This template, provided by the Royal Hospital for Women, NSW, outlines team members roles and stages of care for a 30-minute emergency caesarean section multidisciplinary team drill. Permission is granted by the authors to modify to reflect local practice. If conducted according to CPD requirements, this activity may qualify for CPD value under the Team training scenario within own work environment, with usual work team activity category.

CPD Value: CPD participants may claim this under the Practice evaluation Team scenario activity.

ANZCA & FPM resources

CPD Activity Guide
This guide contains a list of all the activities associated with the ANZCA and FPM CPD Program, as well as links to associated individual activity guides and forms.

ANZCA: Communication in Anaesthesia Library Guide
This guide has been designed for anaesthetists interested in Communication in Anaesthesia to locate relevant resources on this topic, including those available through the ANZCA library.
ANZCA: Roles in Practice - Communicator Library Guide
This guide contains informative, accessible and diverse training resources, including those available through the ANZCA library, to support communication activities that help establish rapport, trust, and ethical therapeutic relationships with patients and their families.
ANZCA: Safety & Quality Resources Library Guide
This guide contains resources and information to complement those on the ANZCA Safety & Advocacy website. It includes a list of relevant college professional documents (policies, position statements, guidelines).
ANZCA: Safety & Advocacy Hub
This hub brings together resources related to safety, standards of practice - including anaesthetic incident reporting (webAIRS), critical incident debriefing, advocacy, and indigenous and global health, including those resources available through the ANZCA library.
ANZCA: Professional documents and statements
Our professional documents, statements and guidelines are crucial for promoting the safety and quality of patient care for those undergoing anaesthesia for surgical and other procedures and for those receiving pain medicine treatment.