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Webinar 3: Baseline OR Surgical Safety Cultur Survey
36

Webinar 3: Baseline OR Surgical Safety Culture Survey.

Dec 29, 2015

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Brandon Roberts
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Page 1: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Webinar 3: Baseline OR Surgical Safety Culture

Survey

Page 2: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Last Week’s Call

• Building an implementation team.

• The background of the WHO Surgical Safety Checklist.

• Website Overview.

Page 3: Webinar 3: Baseline OR Surgical Safety Culture Survey.

How Did the Homework Go?

Page 4: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Homework to Date

• Build an implementation team.

• Schedule a time and venue for a meeting to take place after January 26th.

Page 5: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Poll 1: Tell Us About Your Checklist Implementation

Team• We haven’t had a chance to do anything yet.

• We are just starting to build an implementation team and we are identifying people to be a part of it.

• We have identified some core members of the team, but we are looking for physician champions.

• We have an implementation team assembled that consists of at least one administrator/quality improvement officer, anesthesiologist/CRNA, circulating nurse, scrub tech, and surgeon

Page 6: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Poll 2: Were You Able to Identify a Time and a Venue to Hold a Large Meeting to Take Place Towards the

End of January?• Yes

• We are still working on finding a time and location.

• Our hospital does not have an established forum to hold this meeting.

Page 7: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Poll 3: Choose one thing that makes you have a really bad day

in the OR• Our team wasn’t prepared for something.

• I didn’t feel respected.

• I felt that my concerns were not heard.

• Our team didn’t have the necessary equipment.

• There were significant delays.

• The paperwork was not in order.

• I didn’t have all of the information that I needed to do my job.

• Our team did not work well together.

• There were wasted resources.

• The case didn’t end on time.

Page 8: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Meeting the Team

Lizzie EdmondsonProject Manager

Page 9: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Announcement“One of the focuses of the Joint Commission

this year is active participation from all surgical team members in the room”

Page 10: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Today’s Topics• Culture survey background and development.• The benefits of using the culture survey as a

baseline for your hospital.• Administering the culture survey in your ORs.• Eric Murdock from Palmetto Health Richland

will share how they administered the culture survey.

• Strategies for getting physicians to complete the survey.

Page 11: Webinar 3: Baseline OR Surgical Safety Culture Survey.

The Next Step in Our Journey Together Towards

A Safer ORAdministering a Culture Survey

Page 12: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Background of the Surgical Safety Checklist Culture

Survey

Page 13: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Why Administer a Culture Survey?

• Understanding where you are right now will impact the way you implement.

• Surveys can give you valuable information to measure your progress with putting the checklist into place.

• You may be surprised by what you find when see the survey results.

Page 14: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Poll 4: Your Experience with Culture Surveys

• Do you administer culture surveys in your hospital?

• Have you looked at the culture specifically in the OR?

• Have you been able to get physicians to take the culture survey?

Page 15: Webinar 3: Baseline OR Surgical Safety Culture Survey.

What is the Soil Like?

Page 16: Webinar 3: Baseline OR Surgical Safety Culture Survey.

“Teamwork in the Eye of the Beholder”

Makary MA et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006 May; 202 (5): 746-52.

Page 17: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Another Perspective

Makary MA et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006 May; 202 (5): 746-52.

Page 18: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Why are we asking you to use a different survey in the

OR?

Page 19: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Sample Questions

Page 20: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Culture Survey AnalysisOption 1

Send us your completed surveys and we will analyze them.

Send us your completed surveys and we will analyze them.

You will receive a benchmarked report comparing your hospital to other SC

Hospitals.

You will receive a benchmarked report comparing your hospital to other SC

Hospitals.

If you send us your hospital’s data it will be included in an analysis to

monitor the impact of the checklist across the state of SC.

If you send us your hospital’s data it will be included in an analysis to

monitor the impact of the checklist across the state of SC.

Your hospital’s individual results and name will never be released to the

public.

Your hospital’s individual results and name will never be released to the

public.

Page 21: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Culture Survey Analysis Option 2

Analyze Your Own DataAnalyze Your Own Data

Administer the Culture SurveyAdminister the Culture Survey

Page 22: Webinar 3: Baseline OR Surgical Safety Culture Survey.

How to Administer the SurveyTwo Approaches

Paper Surveys for All

Physicians and OR Staff

Paper Surveys for Physicians and OR Staff Complete the

Survey via Email

Page 23: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Physicians Complete the Survey on Paper

OR Staff Complete the Survey via Email

1. Complete the spreadsheet of OR Personnel and send it to us. You will need to include the email addresses for all OR Staff (do not include the email addresses for physicians).

Page 24: Webinar 3: Baseline OR Surgical Safety Culture Survey.

OR Personnel Spreadsheet

Page 25: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Physicians Complete the Survey on Paper

OR Staff Complete the Survey via Email

1. Complete the spreadsheet of OR Personnel and send it to us. You will need to include the email addresses for all OR Staff (do not include physician email addresses).

2. Modify the cover letter for your hospital and include the signature block of who it should come from within your organization. This cover letter will be used for both the paper surveys and the emails. We will send this to you in an email when we know how you will be administering the survey.

3. Send us your mailing address and we will send you a FedEx Envelope that will include all of the surveys for your hospital and a pre-paid return envelope.

4. We will send up to three emails to OR Staff over a period of 3-4 weeks asking them to complete the survey.

Page 26: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Paper Surveys For Everyone

1. Complete the spreadsheet of OR Personnel and send it to us (do not include email addresses).

2. Modify the cover letter for your hospital and include the signature block of who it should come from within your organization.

3. Send us your mailing address and we will send you a FedEx Envelope that will include all of the surveys for your hospital and a pre-paid return envelope.

Page 27: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Eric Murdock, Palmetto Health Richland

Page 28: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Getting the Best Response Rate

• Pass the surveys out at meetings and ask people to complete it.

• Put the surveys in mailboxes.

• Advertize on bulletin boards and where people gather.

Page 29: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Strategies for Getting Physicians to Complete the

Survey• Stand outside of the OR with the survey

and a pen/pencil.

• Sit in the MD Lounge with food and ask them to complete the survey.

Page 30: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Language You Can Use When You Talk to People

“I/We are asking for your help? I would like to give you a survey to fill out that has

been specifically designed for our ORs. We are trying to find out what the people

that work here think about safety and other issues in our ORs.”

Page 31: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Confidentiality

Page 32: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Homework

• Send us an email at: [email protected] letting us know how you would like to administer the survey at your hospital. Please also include your mailing address in this email.

• Download the OR Personnel Spreadsheet from our website and begin completing the information with the names, roles, and email addresses if relevant.

• Once this is complete please send it to us.

Page 33: Webinar 3: Baseline OR Surgical Safety Culture Survey.

??Questions

Page 34: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Next Week’s Webinar and Office Hours are Cancelled

Happy Thanksgiving

Page 35: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Office Hours:This Friday12:00-1:00

Page 36: Webinar 3: Baseline OR Surgical Safety Culture Survey.

Resources

Website:www.safesurgery2015.org

Email: [email protected]

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