Transcript Make the Debriefing Count

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 Date
Slide 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 Date
Slide 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.
Homework to Date
Slide 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, MD
Chairman, Leadership Team
Vice President of Surgical Services
McLeod 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
Ashley Kay Childers, PhD
Systems Engineer
SCHA
Clemson University
Kimberly Hubbard, MHA
Project Coordinator
SCHA
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 preanesthesia 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
Contact US
Ashley Kay Childers
[email protected]
Kimberly Hubbard
[email protected]
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 2:003:00
Next Call:
Implementation Barriers
Thursday, March 1st, 2012
2:00-3:00
Resources
Website:
www.safesurgery2015.org
Email: [email protected]