Webinar 12: Best Practices

Webinar 12:Best Practices

Summary of Last Week’s Call• Displaying the checklist: A Few Reminders.• Training your colleagues using a demonstration video

and the South Carolina video competition.• Creating timelines and setting goals for expanding the

checklist.• Reflecting on how you tested the checklist.

– What went right?– Why did it work when you tested it?

• Scaling the checklist.• Prioritizing surgical specialties for the roll-out.• Inter-hospital sharing network.

How Did the Homework Go?

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 [email protected]

Homework to DateSlide 3 of 4

• Identify people that you think will be skeptical of using the checklist and try to talk to them before you hold a large meeting.

• 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.

• Think about you will advertize the checklist.

Homework to DateSlide 4 of 4

• 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.

• Start holding departmental meetings in the service that you are putting the checklist into place next.

• Mark your calendars for the April Patient Safety Symposium (April 24th – 26th)

Poll 1: Tell Us What You Did When You Tested the Checklist?

(Please Check All That Apply)• We started with the people that would be willing to

use the checklist. • We talked to everybody on the surgical team about

the checklist prior to them using it in the OR.• The surgical teams practiced using the checklist

outside of the OR before they used it with a patient.• We collected feedback on what went well and what

needed to be fixed.• We were available to answer questions and to help

teams if they had an issue.

Today’s Topics• Making the debriefing count.• Tips on engaging your colleagues when

you talk about the checklist at departmental meetings or in large inter disciplinary meetings.

• SCHA Hospital Visits: The Best of South Carolina Hospitals.

Making the Debriefing Count

Mike Rose, MDChairman, Leadership Team

Vice President of Surgical ServicesMcLeod Health Board of Trustees

Poll 2: Do You Already Have a System In Place to Collect Feedback

From Surgical Teams About Equipment Problems That Need To Be Addressed and Then Fix Them?

• Yes• No• We are actively working on putting one

into place.

Tips on engaging your colleagues when you talk

about the checklist at departmental meetings or in

large inter-disciplinary meetings.

Start The Meeting By Sharing A Story

• We have provided a story in the presentation templates.

• Think of something that happened in your hospital or in a previous place where you have worked.

• Don’t share a story that can be traced to somebody in the audience.

Ask People In The Audience To Help You

Ask one of your colleagues who is sitting in the audience to share a story about

something that they have seen that could have been helped by the checklist, better teamwork, or improved communication.

The “Scrub Sink Trance”

“Reverence for Induction”

“Respect for the Counts”

The Team

Kimberly Hubbard, MHAProject Coordinator

SCHA

Ashley Kay Childers, PhDSystems Engineer

SCHAClemson University

Site Visits Overview• Visits to observe the checklist in action.• We’ve visited more than 30 hospitals and

would like to visit each of you at least once.• Verbal debrief on the day of the visit with a

formal report to follow to discuss the strengths and opportunities for improvement.

• Feedback also goes to Harvard team to help us learn about you and shape Safe Surgery 2015: SC.

Engagement• Engage everyone on the staff

– Representatives from each department on the implementation team can serve as liaisons to staff

– Ask for commitment• Engage the leadership

– Simulations– Observations

• Engage the patients

Checklist Execution• Hard stops, huddle around the patient for pre-

anesthesia and pre-incision portions• Wait until every is ready• Review checks from a hard copy

– Do not rely on memory– Paper copy, poster on the wall, displayed on monitors,

pocket cards, sterile cards, ID badges, etc.– Review checks in order; do not omit– Conversational flow

• Everyone should participate– Introductions are important– Designate talking points

Education• Newsletters, posters, flyers, emails, logos

– Horton Hears a “WHO” buttons– Safe Surgery 2015: SC logo

• Saves / good catches• Explain rationale of each check, purpose

of Safe Surgery 2015: SC initiative, etc.• Re-education!!• Morning huddles

Other interesting ideas• Debriefing output used for QI• Finding surgeon champions• Eliminate the excuses• Learn from Safe Surgery 2015 hospital

network• Personalized checklist to the facility• Student Site Visits

Contact US

Ashley Kay [email protected]

Kimberly [email protected]

This Week’s Homework• Continue to:

– Administer the culture survey.– Have one-on-one conversations with as many

people as you can. • Mark your calendars to attend the 2012 April Patient

Safety Symposium. • Continue to hold departmental meetings.• Hold the large inter-disciplinary meeting that you

scheduled at the beginning of the call series.• If you are ready, start implementing the checklist

over the next week with the service/surgeons that you think will be most receptive.

?Questions

Ask Us a Question By Using the Raise Hand Button

Office Hours:

Next Tuesday from 2:00-3:00

Next Call: Implementation BarriersThursday, March 1st, 2012

2:00-3:00

Resources

Website:www.safesurgery2015.org

Email: [email protected]