TeamSTEPPS™ at UNC Health Care

Spread Graphic Dec2011

“The TeamSTEPPS training has taught me to effectively coach others; it’s taught me to recognize what we’re doing poorly and what team members are doing an outstanding job. It’s taught me that feedback is good. It’s taught me to involve patients and families, not just talk over the patient but speak to the patient.”

—UNC TeamSTEPPS facilitator

Team training is widely recognized as an important factor in improving the quality of medical care. TeamSTEPPS™ (Team Strategies and Tools to Enhance Performance and Patient Safety) is an evidence-based approach to teaching teamwork in high risk environments. TeamSTEPPS™ provides tools and strategies to improve communication, leadership, and ultimately, patient care. UNC HCS has been recognized nationally as a leader in implementation of teamwork training. Visit the Implementation and Performance Dashboard to see how we are documenting results.

UNC Health Care now has more than 90 clinical and performance improvement TeamSTEPPS™ master trainers covering 19 clinical areas (as indicated in the figure to the right showing spread across UNC Hospitals). In addition, TeamSTEPPS is an integral part of Project TICKER, a quality improvement research project.

Please visit our Frequently Asked Questions page for helpful information. For examples of how the teamwork system works, see TeamSTEPPS Tips.


Success Stories & Testimonials


"Going through introductions at the beginning of the surgery and planning out parts of the case is really helpful. I find it immensely useful when everyone knows everyone's name - makes for a much better personal team that works together, fosters respect. Also, during the brief, we talk about what we might find, how long the surgery might take, how to accommodate needs like Trendelenburg positioning, etc. We identify all the instruments we might need...TeamSTEPPS has also taught to be more aware personally of the things I bring to the OR, to think more carefully about being fed, hydrated, rested, and ready. If pages come through for myself or for the residents, I now more frequently just take a second and stop the case while the information is being conveyed rather than try to multitask as most of us impatient surgeons do. If the case isn't going well, sometimes I'll just take 5, pause, put the endoscope down, take a deep breath and, when ready, start going again...These are some of the ways TeamSTEPPS has influenced me. Overall, I have a very positive impression of the program and it's impact on my operating room."

"Kudos and High Fives! to several Family Medicine, Orange County Emergency EMS, and Emergency Department staff for facilitating the care of a patient who walked into the Family Medicine Center (Corner of Manning Drive and Fordham Boulevard) this morning. Ninety one minutes after the patient walked into the Family Medicine Center complaining of jaw pain she was in UNC's Cardiac Cath Lab.  It is not a stretch at all to say that this episode was in part due to FMC staff going to TeamSTEPPS training a month ago. We’ve started to debrief after every transfer to the ED and the suggestions and learnings from those debriefs helped improve this patient’s experience."

"We did a multidisciplinary TeamSTEPPS briefing/debriefing on Tuesday morning prior to beginning fetal surgery. This involved a team of approximately 15 members, it was awesome. I was so proud to be a part of this process!"

To read more stories and testimonials, click here.


For more information about TeamSTEPPS™, please contact Celeste Mayer, PhD.