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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
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
