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Human Factors and Patient Safety
Why competent people make errors: Reason's model, slips and mistakes, cognitive bias, fatigue, design, alarms, workarounds and team tools.
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Consent, privacy and communication
Teamwork and Interprofessional Collaboration
Leading, following and resolving disagreement in U.S. care teams, with TeamSTEPPS and the IPEC competencies
- 3hours
- 10sections
- 20final questions
- 80%pass mark
- PDFcertificate
- Online and self-paced, on any device
- Reflective account template
- Knowledge checks in every section
- Instant certificate of completion
What you will learn
- Describe a care team and the TeamSTEPPS multi-team system, including the patient and family as team members.
- Identify collaboration duties in U.S. professional codes, CMS interdisciplinary planning rules and accreditation standards.
- Use the 2023 IPEC Core Competencies to assess and plan improvement in your own collaborative practice.
- Apply TeamSTEPPS leadership behaviors, including explicit transfer of leadership and briefs, huddles and debriefs adapted to your setting.
- Use STEP, cross-monitoring, task assistance and constructive feedback to support colleagues and protect patients.
- Question another profession's decision, and respond to being questioned, in ways that keep the team safe.
- Make clear consultation requests, define co-management responsibilities and keep collaborative agreements real.
- Apply the 2024 CMS and Joint Commission positions on secure messaging and choose the right channel for team communication.
- Resolve disagreements about patient care using a structured approach, the chain of command and ethics consultation where needed.
- Explain how teamwork concerns are reviewed by peer review, boards and the NPDB, and build a credible remediation plan.
Who this course is for
U.S. licensed health professionals: physicians and residents, PAs, nurse practitioners and other APRNs, RNs and LPN/LVNs, pharmacists, dentists and dental hygienists, and allied health professionals.
Physicians (MD/DO) Nurses (RN, LPN, APRN) Pharmacists Dentists and hygienists Physician assistants Therapists, counselors and other licensees
After a concern
Structured learning and a written reflection to show insight after a complaint, an investigation or a board inquiry.
Routine learning
Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.
About this course
This course teaches U.S. licensees how to work effectively in interprofessional teams: how teams are structured, what professional codes and federal rules expect, how to lead and follow, how to keep a shared picture of the patient, how to support and challenge colleagues across professional lines, and how to resolve disagreement and conflict. It draws on AHRQ's TeamSTEPPS 3.0, the 2023 IPEC Core Competencies for Interprofessional Collaborative Practice, AMA Opinion 10.8, the 2025 ANA Code of Ethics for Nurses, CMS interdisciplinary care planning rules and current CMS and Joint Commission positions on secure messaging.
It is written for physicians, residents, PAs, nurse practitioners and other APRNs, registered and practical nurses, pharmacists, dentists and dental hygienists, and allied health professionals in hospitals, clinics, community pharmacies, dental practices, nursing facilities, hospice and home health. It is also useful for licensees who have received feedback, a performance plan, a peer review finding or a board concern about how they work with colleagues and want to show insight and changed practice.
Teamwork matters because most harm in U.S. health care involves several people and several handoffs of information, not one person's lack of knowledge. Boards, peer review committees and employers judge each licensee on whether they communicated, responded, collaborated and treated colleagues with respect. This course turns those expectations into practical habits and gives you tools to evidence them.
Course details
- Learning time
- Approximately 3 hours (estimated learning time including knowledge checks, reflection and assessment)
- Standards covered
- AHRQ TeamSTEPPS 3.0; IPEC Core Competencies Version 3 (2023); AMA Code of Medical Ethics Opinion 10.8; ANA Code of Ethics for Nurses (2025) Provisions 6.3 and 8.1; APhA Code of Ethics; ADA Code Section 2.B; ANA position statement on incivility and bullying (2015); 42 CFR 483.21(b)(2), 418.56, 482.23(b)(4) and 482.24; CMS QSO-24-05 (2024); Joint Commission LD.03.01.01 / NPG.02.03.01 (hospitals, from January 2026) and secure texting position (2024); HCQIA and NPDB reporting; state practice acts
- Format
- Self-paced, gated lessons with knowledge checks, case studies and reflection
- Assessment
- 20 scenario-based questions, 80% to pass (16 of 20)
- Outcome
- Certificate of completion and a written reflection for your learning record
- Alignment
- Mapped to AHRQ TeamSTEPPS and IPEC competencies, U.S. professional codes, CMS Conditions of Participation and Joint Commission expectations, and the conduct standards applied by state boards and peer review; education, not board-approved
Course curriculum
10 sections · 24 lessons · 3 hours · 20-question final assessment
-
1Teams and collaboration in U.S. health care3 lessons
- What a health care team is, and who belongs to it
- Why collaboration matters: evidence and national policy
- Teamwork in your professional codes and in federal rules
-
2The IPEC competencies in everyday practice3 lessons
- The IPEC Core Competencies: a shared language for collaboration
- Values, ethics, roles and responsibilities in daily work
- Communication and teamwork competencies in practice
-
3Leading teams: structure, leadership and shared planning3 lessons
- Leading a team: designated and situational leaders
- Briefs, huddles and debriefs as collaboration tools
- Interprofessional rounds and care conferences
-
4Situation monitoring and mutual support3 lessons
- Shared mental models and cross-monitoring
- Mutual support: task assistance and feedback
- Advocacy across professional lines
-
5Collaborating across professions and settings3 lessons
- Formal collaborative arrangements between professions
- Consultation, referral and co-management
- Collaborating through digital tools
-
6Conflict, civility and team climate4 lessons
- Understanding conflict in health care teams
- Resolving disagreement about patient care
- Incivility, bullying and their effect on teams
- Psychological safety and inclusive teams
-
7When teamwork fails: accountability and remediation2 lessons
- Individual accountability when a team fails
- Showing insight and remediating a teamwork concern
-
8Conclusion and key points1 lesson
- Conclusion and key points
-
9References and further reading1 lesson
- References and further reading
-
10Your reflective account1 lesson
- Your reflective account
Assessment and certificate
Final assessment
20scenario-based questions
- Pass mark 80%: 16 correct out of 20
- Knowledge checks in each section as you go
- Tests whether you can apply the standards, not recall a page
- Not passed yet? Review the sections and retake it
Certificate of completion
Certificate of completion. Not CE or CME credit unless accepted by your board.
- Your name, the course title and the hours
- Completion date and a unique certificate ID that can be verified
- Ready to download as a PDF as soon as you complete the course
Your reflective account
The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your learning portfolio.
Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.
Questions about this course
What are the 2023 IPEC Core Competencies?
The Interprofessional Education Collaborative's 2023 competencies group collaboration skills into four domains (ethics and values, roles, communication, teamwork). The course uses them as a self-assessment tool, so you can identify where your own collaborative practice is strong and where to improve.
How do I question another profession's decision without damaging the team?
State your concern clearly, explain the safety reason, propose an action, and if that does not work use CUS language or the two-challenge rule. The course also covers how to respond well when your own decision is questioned, which matters as much for team safety.
Can I send orders or patient information by text message?
The course explains the 2024 CMS and Joint Commission positions on secure texting, including when sending orders by secure text may be acceptable within a compliant platform and policy. It helps you choose the right channel for each type of team communication and avoid unsecured messaging.
What happens when teamwork problems reach peer review or a board?
Disruptive behavior, failing to respond to calls or refusing to collaborate can lead to peer review findings, privileges actions, NPDB reports and board complaints. The course explains how these concerns are reviewed and how to build a credible remediation plan with evidence of changed practice.
What is included in the teamwork course?
$89 for three self-paced hours that draw on TeamSTEPPS 3.0, AMA Opinion 10.8 and the 2025 ANA Code. Checks run throughout and the final 20 questions need 80%; you then get a certificate and a teamwork reflection. Access begins immediately.
How this course was built
Official sources only
Every legal and regulatory point comes from primary sources: state practice acts and board rules, federal law and national professional codes of ethics. Anything we cannot confirm is left out.
Original, edition by edition
Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.
Reviewed when rules change
When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.
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