Know 5ive, Save lives.
Practice with a questioning attitude
Stop, reflect and resolve in the face of uncertainty
• Stop: Review the plan
• Reflect: Validate information and assumptions
• Resolve: Seek help to make the best decision
Communicate clearly
Use SBAR-Q to share information
• Situation: Person or issue you’re communicating about – the headline
• Background: Brief description and relevant history of situation
• Assessment: Your view and perception of urgency for action
• Recommendation: Your suggested action to resolve the situation or request for guidance
• Questions: Any outstanding issues that need attention or clarification
Communicate using three-way repeat backs and read backs
• Sender initiates communication/receiver repeats back/sender acknowledges accuracy
• Ask and encourage clarifying questions to solidify understanding
• Use phonetic and numeric clarifications
Know and comply with red rules
Practice 100 percent compliance with red rules
Expect red rule compliance from all team members
Self-check: Focus on task
Use the STAR technique
• Stop: Pause for one second to focus attention on task
• Think: Consider the action you’re about to take
• Act: Concentrate and carry out the task
• Review: Check to make sure that the task was done right and that you got the right result
Support each other
Cross-check and assist
Use 5:1 feedback to encourage safe behavior (five positives for every one negative)
Speak up using ARCC – “I have a concern”
• Ask questions: Inquire when uncertain
• Make requests: Ask for a change in practice
• Voice concerns: Never hesitate to speak up; be alert for safety words: “I have a concern”
• Use chain of command: Swiftly escalate unresolved issues to superiors |