Longitudinal team training program in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with implementation

Table 3 Implementation of TeamSTEPPS tools and strategies

Time		Tools and strategies	Implementation arena
2016	May	Closed loop	Exchange of critical information
	Jun	ISBAR^a	Communicating of critical patient information
	Aug	Briefs	Start of every shift
	Sept	Huddles	Redistribution of tasks at patient safety whiteboard meetings
	Oct	Cross-monitoring	Double control by intravenous medication administration
2017	Jan	Debriefs	Manager with nursing staff, once a week
		Task Assistance	Distribution of workload
	Feb	STEP^b	Updated in electronic care plan
	Mar	Two-Challenge Rule	When an initial assertive statement is ignored
	May	I-PASS^c	Handoffs with focus on patient safety risks

^aISBAR Introduction, Situation, Background, Assessment, Recommendation
^bSTEP Status of the patient, Team members, Environment, Progress towards the goal
^cI-PASS Illness severity, Patient summary, Action list, Situation awareness and contingency planning, Synthesis by receiver

ISSN: 1472-6963