Implementation Package for TeamSTEPPS™ at UNC

Implementation of TeamSTEPPS™ in your unit or area involves four main categories - assessment, planning, training and implementation, and sustainment. The tools available here have either been adapted from national implementation materials or developed at UNC in the pilot areas, PICU and SICU. The materials may be helpful to you whether you are just starting out, providing refresher training, or sustaining improvements.

Implementation page quote

Set the Stage: Assessment

Decide What To Do: Planning

Make It Happen: Training & Implementation

"Ready" Training

Link to LMS online course (Using Internet Explorer, click on the link to the left, enter "TeamSTEPPS" into the Course Catalog search, and select online course #1)

TeamSTEPPS Fundamentals (in-class training presentation facilitated by a Master Trainer)

Master/Coach Training

TeamSTEPPS Master Trainer

There are five regional training centers offering the two-day interactive course for Master Trainer certification.  Duke University is our local training center.  You can view training dates and register online through the national implementation site.

Additional Materials

Example of a patient brochure

Make It Stick: Sustainment

Sustaining a TeamSTEPPS Intervention
Planning for Sustaining Improvements

Additional Resources

Web sites


Awad SS, Fagan SP, Bellows C, Albo D, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. November 2005; 190(5): 770-4.

Bogenstatter Y, Tschan F, Semmer NK, Spychiger M, Breuer M, Marsch S. How Accurate Is Information Transmitted to Medical Professionals Joining a Medical Emergency? A Simulator Study. Human Factors. 2009 Apr; 51 (2): 115-125.

Halverson AL, Casey JT, Andersson J, Anderson K, Park C, Rademaker AW, Moorman D. Communication failure in the operating room. Surgery. 2011 Mar;149(3):305-10.

Hohenhaus SM. Coaching for Success: Sustaining Change in Emergency Care. Journal of Emergency Medicine. 2009 Mar.

Hohenhaus SM. Leading the Revolution: Supporting and Sustaining a Culture of Safety in the Emergency Department. Journal of Emergency Nursing. 2009 Jul.

Hohenhaus SM, Hohenhaus J, Saunders M, Vandergrift J, Kohler T, Manikowski E, Swanson L, Schnure K, Holleran S. Emergency Response: Lessons Learned During a Community Hospital's In Situ Fire Simulation. Journal of Emergency Nursing. 2008 Aug.

Hohenhaus SM, Powell S. Distractions and interruptions: Development of a Healthcare Sterile Cockpit. Newborn and Infant Nursing Reviews. 2008 Jun; 8 (2): 108-110.

Hohenhaus SM, Powell S, Haskins R. A Practical Approach to Observation of the Emergency Care Setting. Journal of Emergency Nursing. 2008 Apr.

Hohenhaus SM, Powell S, Hohenhaus J. Enhancing Patient Safety During Handoffs. American Journal of Nursing. 2006 Aug; 106 (8).

Leonard M, Graham S, Bonacum, D. The human factor: The critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. October 2004; 13 Suppl 1:85-90.

Mann S, Marcus R, Sachs B. Lessons from the cockpit: How team training can reduce errors on L&D (Grand Rounds). Contemporary OB/GYN. January 2006; v51 i1:34(8).

Mayer C, Cluff L, Lin W, Willis T, Stafford R, Williams C, Saunders R, Short K, Lenfestey N, Kane H, Amoozegar J. Evaluating Efforts to Optimize TeamSTEPPS Implementation in Surgical and Pediatric Intensive Care Units. The Joint Commission Journal on Quality and Patient Safety. August 2011; 37(8):365-374.

Mazzocco, et al. Surgical team behaviors and patient outcomes. The American Journal of Surgery. 2009;197, 678-695.

Neily J, Mills PD, Young-Xu Y, Carney BT, West P, Berger DH, Mazzia LM, Paull DE, Bagian, JP. Association Between Implementation of a Medical Team Training Program and Surgical Mortality. JAMA. 2010;304(15):1693-1700.

Price A. Using Coaching Interventions to Develop Clinical Skills. Nursing Standard. 2009 Jul 8; 23 (44).

Salas E, DiazGranados D, Klein C, Burke CS, Stagl KC, Goodwin GF, Halpin SM. Does Team Training Improve Team Performance? A Meta-Analysis. Human Factors. 2008 Dec; 50 (6): 903-933.

Salisbury M, Hohenhaus SM. Know the Plan, Share the Plan, Review the Risks: A Method of Structured Communication for the Emergency Care Setting. Journal of Emergency Nursing. 2008 Feb.

Veltman LL. Getting to Havarti: Moving Toward Patient Safety in Obstetrics. Obstetrics and Gynecology. 2007 Nov; 110(5): 1146-1150.

Weaver SJ, Rosen MA, DiazGranados D, Lazzara EH, Lyons R, Salas E, Knych SA, McKeever M, Adler L, Barker M, King HB. Does Teamwork Improve Performance in the Operating Room? A Multilevel Evaluation. The Joint Commission Journal on Quality and Patient Safety. 2010 Mar; 36(3): 133-142(10).


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