Office of Interprofessional Education

MSC 11 6055
1 University of New Mexico
Albuquerque, NM 87131-0001

Physical Location:
SURGE Building (#226)
Suite 140, Room 151A (first floor)

Phone: (505) 272-1613

HSC Student Teams Train in IPE LoboWings 2016

The second annual IPE LoboWingsIPE LoboWings 2016--Interprofessional Student training Patient Safety training was offered on March 29, 2016 with 306 health profession students including 2nd year medical, 3rd year pharmacy, and 1st and 2nd level nursing students.  The 3.5 hour training, which includes lecture, interactive team discussion and role-playing with case analyses, was held in half-day sessions with about 50 interprofessional teams of 5-6 students each.  

The IPE LoboWings Patient Safety training provides HSC students instruction on effective interdisciplinary practice and problem solving.  LoboWings concepts are used to ensure clear roles and accountabilities; improve accuracy of team communications and functions; and how to correct and eliminate preventable errors before they result in patient harm. 

Class instruction was provided by the UNM Hospital Organizational and Professional Development instructors:  Mark Rolfson, Amy J. Baker, Gianna B. Joerg, Charles Hinson, and Jane R. Bleske.  Faculty observers/facilitators included Glynnis Ingall (Pathology); Loren Kelly (College of Nursing); and Mark Holdsworth, Michel Disco and Tracy Hunter, all from College of Pharmacy.

Using a case outline for one brief exercise, students were asked to identify the warning signs and decide when someone should intervene to break the error chain, who is the best person to “stop the line”, and what could the person have said or done.  Students learn the “red flags” to

watch for and how to communicate a red flag with self-confidence using assertive statements. 

The workshop helps students learn the steps for an effective huddle and how to debrief with the team.  They discover what a team leader should and should not do, what a team should and should not do, as well as the most important thing a leader must do.

Crew resource management or cockpit resource management (CRM) is a set of training procedures for use in environments where human error can have devastating effects. Used primarily for improving air safety, CRM focuses on interpersonal communication, leadership, and decision making in the cockpit.  LoboWings incorporates CRM skills and tools adapted from commercial aviation, to improve and standardize communication and teamwork with the primary goal of reducing or eliminating preventable medical errors.

The instruction includes lean concepts and tools.  Successful lean healthcare efforts result in measurable improvements in patient outcomes:  Improved quality, less harm due to preventable errors, better access, shorter waiting times, and better service. These patient benefits come from a joint focus on improving the work life for medical providers and hospital staff, improving processes to prevent systemic errors, reducing stress levels, and reducing waste so that hospital personnel can spend more time on and focus more on patient care. The hospital or healthcare organization benefits in a long-term perspective due to reduced capital costs and ongoing expenditures, growth opportunities created by freed-up capacity, and an improved reputation that results from better quality and service.

Members of the IPE Patient Safety & Quality Improvement workgroup (PSQI) helped adapt the LoboWings training to meet the interprofessional education criteria incorporating the IPEC competencies and creating interactive elements to engage the student teams.  Our thanks go to the following PSQI team members, who over the last year were responsible once again for bringing us this year’s program:  Glynnis Ingall, Mark Rolfson, Loren Kelly, Mark Holdsworth, Michel Disco, Sergio Adalberto Huerta, and Kristina Wittstrom.  Next, the PSQI workgroup will consider expanding the IPE safety work to another activity, such as group-based root cause analysis.