Project TICKER Development


Project TICKER is an innovative initiative that combines the complementary safe practices of TeamSTEPPS™ and integrated clinical pathways (ICPs) to achieve a more robust and effective approach to providing safe, high quality care. Combining the four TeamSTEPPS™ components of communication, leadership, situation monitoring, and mutual support with the development of clinical pathways has not been attempted in the previous decades of clinical pathway approaches. In addition, bringing families and patients together with frontline user staff into the design, implementation, and maintenance/improvement phases of clinical pathway development has not been well established. At N.C. Children’s Hospital, we have laid the groundwork and learned from several projects leading up to this approach, which truly brings the multidisciplinary team into all of the necessary components for clinical pathway success.

Previous Studies

The principal investigator, Dr. Willis, created a pediatric rapid response system at UNC Hospitals in August 2005 aimed at decreasing rates of cardiac arrests at N.C. Children's. The addition of family activation of the system came in 2007.

In 2009, UNC Health Care, in partnership with Research Triangle Institute, completed a TeamSTEPPS Adoption in Action project with the purposes of implementing and measuring the effectiveness of TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety).

The Improving Pediatric Critical Care (IPCC) program, a two-year project concluding in June 2011, aimed to create a coordinated approach for implementing a system-wide model to improve the quality and safety of care for critically ill pediatric patients at N.C. Children's.