Hospital Best Practices: Engaging Everyone When Spreading the
Checklist
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What We Covered & What We Asked For You To Do Make sure
that the teamwork and communication items are retained in your
hospitals checklist. Find a physician champion for your
implementation team and/or to test the checklist with in the OR.
Common physician champion concerns. Engage surgical team members
with one-on-one conversations and show them how to use the
checklist before asking them to test it in the OR. Test the
checklist in the OR using a paper version of your checklist so it
can be easily modified.
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Meeting the Team Ashley Kay Childers, PhD Systems Engineer SCHA
Clemson University
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Mark Your Calendars For The Patient Safety Symposium Columbia,
South Carolina April 16 th OR Team Training, This session offered
at no cost to you. April 17 th Safe Surgery Breakout Session Third
In-Person Meeting Contact Mary Stargel For More Information:
[email protected]
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Poll 1: 1.Did you test your modified checklist with one
surgical team? Yes No, but we are planning on testing at a later
date. No, we are not going to test our checklist with one team 2.
If you answered yes, did you have a one- on-one conversation with
every member of the surgical team?
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Poll 2: Would you and/or your physician champions be interested
in attending a special webinar dedicated to talking to physicians
about this project? Yes No
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Todays Topics Engaging less enthusiastic team members with a
one-on-one conversation Principles to apply A hospitals story of
working with a skeptical surgeon What do these conversations sound
like? Two examples Organizing your implementation team to conduct
one-on-one conversations with everyone Methods to supplement your
engagement efforts Using staff and physician meetings
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Physician Acceptance and Participation is the Critical Factor
in Successful and Meaningful Use of the Checklist
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Physician Engagement Observed During a Surgical Checklist
Implementation
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The Scrub Sink Trance
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Reverence for Induction
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Respect for the Counts
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Having a One-on-One Conversations Helps Dont try to fix them
with the checklist. Have a person that they respect talk with them
in a one-on-one conversation before you hold a large or a
discipline specific meeting about the checklist. Dont force them to
use the checklist initially. Ask them to not obstruct everybody
else from using the checklist.
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Scott Parker, MD Baptist Easley Hospital
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Framing Your Conversation With A Physician Schedule a time to
meet with them. Make sure that you have a copy of your hospitals
checklist. Highlight the items on the checklist that you would like
the physician to lead. Introduce the checklist as a teamwork and
communication tool.
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Things You May Say During the Conversation Everyone in our
hospital tries to be safe. We are looking to you for leadership.
You can set the tone for the entire operation. Other members of the
surgical team will follow your patterns of communication. This is
an opportunity to make your plan clear, answer questions,
demonstrate openness, and professionalism. Do you think that this
will help anybody else here? Will you help us with this work? Thank
you
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What Does This Conversation Sound Like: Example 1
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You Should Be Prepared If the Physician Says: I am already
safe, I dont need this It takes too long We already do this My team
knows what I want without me asking.
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What Does This Conversation Sound Like: Example 2
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Take Aways At this point in the project dont force someone to
use the checklist if they are hesitant. Individuals tend to come
around eventually when they see everyone else using the checklist.
Use the debriefing as a way to fix problems that the team
identifies. Appeal to them as a respected leader.
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Organizing Your Team to Conduct One-On-One Conversations
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The Importance of the OR Personnel Sheet
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Multiplying Yourself: How to Talk to a lot of People
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Who Can Have These Conversations?
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This Weeks Homework Continue to modify and test your hospitals
checklist. If you have tested it with one team test it with one
more team to make sure it works. Create a plan for having
one-on-one conversations with everyone that will be using the
checklist. Use the OR Personnel Spreadsheet to assign members of
the implementation team to talk to everybody individually over the
next couple of weeks. If possible, hold one-on-one conversations
with the people that you identified as possible skeptics before you
hold a large meeting talking about the checklist. Mark your
calendars to attend the 2013 April Patient Safety Symposium.
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? ? Questions
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Ask Us a Question By Using the Raise Hand Button
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Office Hours: Next Wednesday at 2:00
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Next Call: Thursday, March 21st Preparation for Expanding The
Checklist: Lessons Learned from SC Hospitals
