Creating a Culture of Safety: Crew Resource Management Principles for Patient Safety, Efficiency, and Quality Management Claude Oppikofer Montreux, Switzerland

Creating a Culture of Safety: Crew Resource Management Principles

for Patient Safety, Efficiency, and Quality Management

Claude Oppikofer

Montreux, Switzerland

www.chirurgie-plastique-riviera.com

http://www.chirurgie-plastique-riviera.com/

CRM - safety culture05-06-2012 ASAPS Vancouver © OP/CPRSA 2

DISCLOSURES

LifeWings®Advisory Board, no money

www.mediqual.chAdvisory Board, no money


http://www.oppikofer.com/page30/page30.html



Tony Parker

$13,500,000

2399 FT

©www.basketball-reference.com



The humanfactor




QuickTime™ et undécompresseur

sont requis pour visionner cette image.


Foto C. Oppikofer


Crew Resource Management(CRM)

Improve efficiency and security by making optimum use of all available resources of a team, especially the human factor


« Aviation culture »

• Working with checklists • Briefing/debriefing• Error management


Icebreaker Aurora Australis: Australian supply ship


2000 miles / 1 week / 450 K$: How to avoid?


Checklists



Cessna 172




Admiral Charles R. Michaelis


Left is portRight is

starboard



Briefing

Foto C.Oppikofer


Briefing

• mission• constraints• alternatives• etc.• encourage «speaking up»


Debriefing

• what was good• what contributed to the success• where could we have done better

Very important for team


Source:

www.saferpatients.com


Patient as part of the team

• Local anesthesia

• Include in the briefing

• or separate briefing for patient


remember:

CRM

Improve efficiency and security by making optimum use of all available resources of a team, especially the human factor


Speaking up


Situational awareness:

The White Team


QuickTime™ et undécompresseur xvid



13

…but what about the moonwalking bear?


QuickTime™ et undécompresseur xvid



Toyota: the Andon Cord



Communication





Critical Incidence Reporting System

CIRS



www.wimed.org/asaps


Dealing with errors

What is wrong?

not

Who is wrong?




Quality Culture

Safety Culture


ISO/ANSI 9001:2008

• Process approach • Customer satisfaction• Continuous improvement


(source: ICAO Safety Management Manual. 1st edition)


(source: ICAO Safety Management Manual. 1st edition)


Caracteristics of a culture of safety in plastic surgery:

• Recognizing safety as a top level-priority• Consciousness of the presence of risk in every activity• Consciousness of the human factor and of human error• Environment allowing team members to report errors and “near misses” without fear of punishment• Readiness to learn from errors and “near misses”• Awareness of every in team member of his/her role and importance in he safety process• Readiness of every team member to help solving safety issues together• Willingness to provide resources for the safety process

(adapted from VL Young)


Foto C.Oppikofer


Foto C.Oppikofer


Take home messages

• Use all resources of the team• You are part of the team• The patient is part of the team• Safety measures are not for the lawyers but for the patients• Quality = Safety


Foto C.Oppikofer

Thank you


http://www.oppikofer.com/page30/page30.html


Documents

Creating a Culture of Safety: Crew Resource Management Principles for Patient Safety, Efficiency, and Quality Management Claude Oppikofer Montreux, Switzerland