450 likes | 571 Vues
Webinar 18: Keeping the Checklist Going. Summary of Last Week ’ s Call. Teamwork in the Operating Room Overview The Checklist as a Teamwork Tool Closed Loop Communication Speaking Up Measuring Teamwork in Your Operating Rooms. How Did the Homework Go?. Homework to Date Slide 1 of 4.
E N D
Summary of Last Week’s Call • Teamwork in the Operating Room • Overview • The Checklist as a Teamwork Tool • Closed Loop Communication • Speaking Up • Measuring Teamwork in Your Operating Rooms
Homework to Date Slide 1 of 4 • Build an implementation team. • Schedule a time and venue for a meeting to take place after January. • Download the OR Personnel Spreadsheet from our website and begin completing the information with the names, roles, and email addresses if relevant. • Review the checklist modification guide and South Carolina Checklist Template. • Modify the checklist with your implementation team and use it in a “table-top simulation”. • Test the checklist with one team and modify if necessary.
Homework to DateSlide 2 of 4 • Email us a picture of your checklist implementation team. • Identify departmental meetings to have the implementation team speak after call 10. • Expand the testing of the checklist to one team using the checklist for every case for one day. Modify the checklist as necessary. • Email us your hospital’s checklist. • If you haven’t already done so, please call or email our team about whether you would like to administer the culture survey. • Email everything to safesurgery2015@hsph.harvard.edu. • Identify people that you think will be skeptical of using the checklist and try to talk to them before you hold a large meeting.
Homework to DateSlide 3 of 4 • Organize and conduct one-on-one conversations. • Create a checklist demonstration video for your hospital. • Decide if the checklist will be used in paper or poster form. • Finalize your hospital’s checklist, please send it to us so we can see how you made the checklist work for you. • Start your checklist advertizing campaign. • Prioritize surgical specialties for the roll-out using your knowledge of which surgeons will be most receptive to the checklist. • Create a timeline for your hospital’s expansion and send it to the Safe Surgery 2015 team.
Homework to DateSlide 4 of 4 • Continue to: • Administer the culture survey • Have one-on-one conversations with as many people as you can • Hold departmental meetings • Implement the checklist • Create a checklist demonstration video and consider submitting it to the video competition. • Mark your calendars and register to attend the 2012 April Patient Safety Symposium. • If you have not already done so, hold the large inter-disciplinary meeting that you scheduled at the beginning of the call series.
Today’s Topics • Ongoing Support – Keep In Touch With Us • One Hospital’s Checklist Journey, Baptist Easley • Tips on Sustaining Checklist Use • Special Thank You: • South Carolina Hospital Association • AtulGawande • A Recap of Our Journey Together
Poll 1: Are You Planning on Using the Checklist Coaching Tool to Measure Checklist Use? • Yes • No • We are still thinking about it
Poll 2: Are You Thinking About Using the Teamwork Coaching Tool? • Yes • No • We are still thinking about it
Poll 3: Would It Be Possible to Use Both of the Tools Together in a Case? • Yes • No • I am not sure
Check-in Calls & Upcoming Events Please put the following on your calendar: Patient Safety Symposium April 24th-26th Two-Month Check-in Call Thursday, June 21st 2:00-3:00 Five Month Check-in Call Thursday, September 27th 2:00-3:00
What Happens If You Aren’t Done • Every hospital is at a different stage in implementation. • Just because the call series ends doesn’t mean the work ends. • Everybody should continue with the implementation and homework assignments. • Our team is available to assist in anyway possible.
Keep In Touch With Us • Check-in Calls • Office Hours • Every Tuesday from 2:00-3:00 • Ask the SCHA to Visit Your Hospital • Email or Call Us
Feedback About the Call Series • We want to know how the call series went for you. • We will contact you over the next month to set-up a time for us to get your feedback. • What could we have done better? • Did the pace of the call series work for you? • Should we spend more/less time on certain subjects. • Should we cover other subjects?
Wave 3 • The webinar series will be repeated again in the Fall. • Wave 3 will run from October 2012 – June 2013. • Wave 3 will also include three in-person meetings and will go into more depth about reducing SSI rates and DVT Prophylaxis Prevention. • All hospitals, including yours, are welcome to participate. • We might ask for your help from time to time on the webinars.
Baptist Easley Hospital “Treat Patients Like We Would Want Our Family Members to Be Treated”
Preventing Problems One-on-One conversations
Fixing Problems • Coach surgical teams and individuals in the OR. • If you identify a team or team member that is not using the checklist have an individual or a team conversation.
What Are Some Things You Can Do Now? • Use the observation tools to see how team’s are using the checklist and coach them. Then don’t stop using them. • Collect and post instances of when the checklist catches something. • Consider having individual conversations with some front-line staff, including physicians and ask them how they think it is going. • Repeat the culture survey with us in one year.
Thank You Lorri Gibbons, RN, BSN, CPHQ Vice President Quality & Patient Safety SCHA Rick Foster, MD SVP, Quality & Patient SafetySCHA
Checklist Modification 101 Continued, Small Scale Testing, and the Checklist as a Documentation Tool
Preparation for Expansion to Full Implementation:Advertizing the Checklist
Keep In Touch With Us • Come to the Patient Safety Symposium • Call into Office Hours • Email Us • Call Us
Resources Website: www.safesurgery2015.org Email: safesurgery2015@hsph.harvard.edu Thank you!