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WINTER 2009A QUARTERLY NEWSLETTER TO ASSIST THE MILITARY HEALTH SYSTEM IMPROVE PATIENT SAFETY
INSIDE:Patient Safety Awareness Week Opportunities
TRI-SERVICE DENTALTRAINING A FIRST
he US Army Dental Command, nationally recognized in 2007for its innovative dental patient safety promotion booth, hasnow turned its attention to TeamSTEPPS, the teamwork training system designed to improve healthcare quality and safety developed by the DoD Patient Safety Program in collaboration with the Agency for Healthcare Research and Quality (AHRQ).Roberta Sjelin, RN, RDH, MA, MEDCOM Dental Patient
Safety Coordinator facilitated the rst Tri-Service dental Team-
STEPPS training at Tripler Army Medical Center (AMC) in
 January, at the invitation of the Army’s Pacic Regional Dental
Commander, COL William Bachand. The session, attended by over two hundred military and civilian dental professionals, wasa unique TeamSTEPPS experience because it embedded a dentalperspective into the standardized TeamSTEPPS curriculum. This,says Ms. Sjelin, was the key to making it an attractive opportunity for dental staff from Tripler AMC, Hickam Air Force Base andKoneohe Naval Station. Attendees watched video vignettes depict
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ing communication challenges during oral surgery and in a dental
ofce, and were trained by a team which included dental personnel
familiar with the TeamSTEPPS curriculum. Adapting the TeamSTEPPS concepts, scenarios, tools andtrainers to the dental setting, Ms Sjelin believes, has brought more validity to the training for its dental audience. It has also prompted
dental provider buy-in and leadership support – critical compo-
nents of TeamSTEPPS success no matter the setting or branch of 
service. An added incentive for the tri-service attendees in Hawaii
 was the provision of Continuing Education credit.Interest in TeamSTEPPS among dental providers within theDoD and beyond continues to increase. Plans are underway formore training in the U.S. and Europe this year. The Public HealthService, the Institute of Healthcare Improvement and the Ameri
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can Dental Association have all been in contact about the Army’sunique dental adaptation of TeamSTEPPS.
Army Dental Command Organizes TeamSTEPPS Training
 
T
Participants in Tri-Service dental TeamSTEPPS training make paper chainsas part of an ice-breaker exercise illustrating communication challenges.
Pictured with civilian attendee are LT Thomas Atkin, HN Hargrove fromthe Navy, and Army SPC Donald Knollenberg.
“Most important to TeamSTEPPS or dentalpersonnel is training by dentists who can ‘talkdental’ to the audience”
Roberta Sjelin,
Nurse Consultant, Dental Patient Safety, MEDCOM PSC 
TABLE OF CONTENTS
 
2
Dot-Mil-Doc
3
Mobile OB Simulator at 374 MDG
4
Reynolds ACH Shares HFMEA
 
 Too busy to read? Tune into Pentagon
  Web Radio on BlogTalkRadio. Dot MilDocs, a weekly feature of Pentagon Web
Radio, produced by the Ofce of the As-
sistant Secretary of Defense for Health Af 
-
fairs, is designed to discuss military healthconcerns. The interactive network provides
informative thirty-minute radio podcasts ona variety of health-related topics.
Of special interest to the patientsafety community are two recent episodesdetailing the introduction and continuedimplementation of TeamSTEPPS in theCombat Support Hospital, Baghdad, Iraq.Episode #35 features Army COL Peter
Napolitano, M.D. describing pre-training 
efforts and the importance of the Huddle.In Episode #41, MAJ Shad Deering, M.D.and MAJ Amber Pocrnich, both of whomare currently deployed, provide an updateon TeamSTEPPS training in theater anddiscuss its impact on patient safety. Two upcoming podcasts are designedto commemorate Patient Safety Awareness Week, which runs March 8 through 14,2009. On Show #49, airing at 2:00 pm onMarch 10, Col Lee Payne, United States Air Force, will provide an overview of theimpact of TeamSTEPPS on the quality of healthcare at the David Grant Medi
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cal Center Simulation Center, Travis AirForce Base. The Rapid Response Systemat US Army Medical Command, Fort SamHouston, Texas will be the focus of Show #50. United States Army LTC Eric Craw 
-ley, a subject matter expert and long-time
champion of the Rapid Response System, will be the featured guest on the show, toair March 12th at 2:00 pm. To access Pentagon Web Radio, register with BlogTalkRadio at www.blogtalkradio.com. Enter “Patient Safety” in the searchoption. You can also access Dot Mil Docsin the “What’s New” section of the DoDPatient Safety Program website at: http://dodpatientsafety.usuhs.mil.
 The newly-designed Patient Safety
Program exhibit booth attracts visitors atthe various national conferences where it isdisplayed. Sporting an updated image andconveying the message “All Eyes On PatientSafety”, the booth provides materials whichshowcase the range of patient safety initia
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tives across the MHS. Pictured here is Ms. Judy George, Senior Health Analyst, PatientSafety Program, manning the booth at theIHI Conference in Nashville in Decem
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ber 2008. Exhibit plans for 2009 travelinclude the Association of periOperativeRegistered Nurses (AORN) Conferencein Chicago, IL in March, and the NationalPatient Safety Foundation (NPSF) Confer
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ence, Washington, DC in May.
PENTAGON RADIO NETWORK FEATURES DOT-MIL-DOCSPATIENT SAFETY IN ACTION
Recent Episodes Highlight TeamSTEPPS Training In Theater
Experience and Suggestions From Across the MHS
PATIENT SAFETY PHOTO ALBUM
Patient Safety: All Day, Every Day Across the MHS2
WINTER 2009 PATIENT SAFETy
 
Mobile Obstetrical Emergency
Simulator (MOES) has arrived at the374 MDG, Yokota Air Base, Japan! The
simulator re-creates a variety of obstetricemergency situations. The computer-drivenfull-size adult mother mannequin and fetus
mannequin are interactive and operatedby an instructor watching from the wings. These dummies are highly sophisticatedand prove the popular wisdom that “youcan learn a lot from a dummy.” The 374th Medical Group was fortunateto land this great opportunity. Mr. ScottChittenden, Patient Safety Manager at the
374th MDG rst learned of the hi-delity 
simulator through research into Partners toImprove Patient Safety (PIPS). He believedthat the simulator would be a creativeresponse to the concern that up to forty percent of maternal deaths in the UnitedStates are potentially preventable and oftenrelated to obstetric care during emergen
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cies, as well as the related Joint Commis
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sion requirement that emergency drillsbecome part of routine training.
It is well accepted that training on high-delity simulators improves pilots’ perfor-mance. The simulator-training concept wasapplied to DoD healthcare over ve years
ago, beginning with efforts at Madigan Army Medical Center. Previous simula
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tions (ACLS, PALS, OREs) have looked at
either technical prociency or teamwork,
but rarely both of these key componentstogether to improve patient outcomes. The374th MDG mobile OB project will incor
-porate specic TeamSTEPPS skills into
the MOES drills to combine individual and
team prociency training in a unique way.
Not only will this improve our teaching methods for emergency deliveries, it willpromote and enhance our team perfor
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mance and communication.Maj Lon Taff, M.D., Medical Directorof OB services, and Maj Krisandra Smith,Surgical Specialty Flight Chief, are pointsof contact for interested providers with OB
privileges and nurses interested in cross-
training with the OB ward.
Dr. Lon Taff, MC, Maj, USAF introduces 374 MDG Family Care Unit Staff to MOES. Pictured leftto right are: Maj Cruz, Capt Evans, Lt Myers, Maj Roberts, Capt Fabre, SrA Badger, Capt Gomez, Tsgt Johnson and Dr. Taff.
 The 35th Medical Group at Misawa
 Air Base, Japan, recently upgraded itsRapid Response system. It replaced itsoriginal gurney with the new one pic
-tured here — a state-of-the-art Stryker
gurney with a weight capacity of upto 300 kg. The new gurney will maketransporting a patient in need of furtherevaluation and treatment in the UrgentCare Center much safer for both thepatient and the rapid response team. Pho
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tograph provided by Paul H. Sayles, BA,LVN, Contract Patient Safety Manager,35 MDG.
374TH MEDICAL GROUP INCORPORATES MOBILE SIMULATOR
State of the Art Training Combines Emergency and Teamwork Skills
Scott Chittenden,
RN, HRM, MBAContract Patient Safety Program Manager 
Patient Safety: All Day, Every Day Across the MHS
WINTER 2009 PATIENT SAFETy
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