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Call 4: Checklist Modification/Customization
Last Week’s Call
• 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 Richland shared how he administered the culture survey at his hospital.
• Strategies for getting staff and physicians to complete the survey.
How Did the Homework Go?
Homework to Date• Build an implementation team.
• Schedule a time and venue for a meeting to take place after January.
• 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.
Poll 1: How Will You Be Administering the Culture
Survey?• Staff will get the survey via email and
physicians will complete it on paper.
• Everybody will complete the survey on paper.
• We will not be administering the survey.
Poll 2: Would Surgeons at Your Hospital Be Interested in Attending a Special Webinar Dedicated to Talking
to Surgeons About This Project? This webinar would be held early in the morning or in the
evening on January 12th.
• Yes• No
Poll 3: Are you planning on being on next week’s
webinar?• Yes• No• Not sure yet
Meeting the Team
Rick Foster, MDSVP, Quality & Patient Safety
SCHA
Today’s Topics• The importance of modifying the checklist
for your hospital.
• Modification 101.
• Lynn Wythe from Palmetto Baptist will share her experiences implementing the checklist.
Checklist Modification 101
The Next Step in Your Journey:Make Me Your Own
This Checklist Is Not . . .• An algorithm.
• A tool to train people how to do their jobs.
• A “tick boxing” exercise.
This Checklist is . . .
• A reminder for the surgical team to perform/discuss critical safety steps for every patient every time.
• Performed as a team and read aloud.
Teamwork is Hiding
in the Checklist
Origin of Checklist Items
Universal Protocol/Sta
ndard of Practice
SCIP
WHO/SC Checklist
Universal Protocol/Sta
ndard of Practice
SCIP
WHO/SC Checklist
Universal Protocol/Sta
ndard of Practice
SCIP
WHO/SC Checklist
Universal Protocol/Sta
ndard of Practice
SCIP
WHO/SC Checklist
Checklist Modification Basics
The Basics
• One size doesn’t fit all. Every hospital should modify the checklist (more than one checklist might be needed).
• Checklist modification creates buy-in and ownership.
• The checklist is designed to promote teamwork and communication . . . don’t remove teamwork/communication items.
Things to Keep In Mind When Modifying the
Checklist
Brief• Each section (Before Induction of
Anesthesia, Before Skin Incision, and Before the Patient Leaves the Room) should take < 1 minute.
• The checklist should never take longer than the procedure.
• The checklist should fit on one page.
When Adding and/or Removing Items Ask Yourself . . . .
Is this a critical safety step at risk for being
missed?
Is this adequately checked by
other mechanisms?
Is this item discussed at a time when all relevant team members are
present?
Can something be done about
it?
Is this a safety step that you
might not notice if it is not done?
Is the Checklist the Best Way to Take Care of This?
• Glycemic Control• Fire Risk Assessment• Hair Removal • Checking Pressure Points
“If the item will not help you, will this item help
anybody here?”
Lynn WythePalmetto Health Baptist
This Week’s Homework• Review the checklist modification guide and
South Carolina Checklist Template.
• Modify the checklist with your implementation team.
• Email our team to let us know how you are going to administer the culture survey: [email protected].
• Complete the OR Personnel Spreadsheet with the names and roles of everybody in your OR.
??Questions
Ask Us a Question By Using the Raise Hand Button
Next Call:
Small Scale Testing, Table Top Simulation, and the
Checklist as a Documentation Tool
