Using the Checklist with an Additional Team

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Transcript Using the Checklist with an Additional Team

Webinar 8:
Engaging Your Colleagues
Summary of Last Week’s Call
• Updated you on the webinar specifically for surgeons.
• Checked in with participants.
• Reviewed the testing of the checklist and where we are
going over the next couple of weeks.
• Discussed expanding the checklist from one team using
it in one case to testing the checklist for an entire day
with one team.
• Discussed hospital visits by the South Carolina Hospital
Association.
• Briefly discussed teaching teams to use the checklist
with demonstration video from your hospital.
How Did the Homework Go?
Homework to Date
Slide 1 of 2
• 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 2
• 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]
What To Focus Your Efforts
On Over the Next Couple of
Weeks
• Continue to test the checklist at your hospital. On the last webinar we
asked for you to test it for an entire day with one OR Team.
• This webinar and the next one are extremely important.
• We are not going to ask you to do a lot of homework over the next twoweeks.
• We would like to get all of the culture surveys back from you before
mid February so we can provide you with the results at a time that
helps you with the checklist implementation.
• In order to do this we need all of your information from you. Jim will
call you or send you an email with the information that we need to
move forward with the surveys.
Poll 1: If We Were to Put the
Webinar for Next Thursday
Back on the Schedule, Could
you attend?
• Yes
• No
• Maybe
Today’s Topics
• Methods of engaging your colleagues.
• The importance of one-on-one
conversations.
• Live demonstrations of what this
conversation might sound like.
• More details on the South Carolina Video
Competition.
• April Patient Safety Symposium
Poll 2: In Previous QI Projects
in the OR, How Have You
Engaged Physicians?
Please Check All That Apply:
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Created Posters
Put Information on Bulletin Boards
Announced it at a Large Meeting
Held Departmental Meetings
Sent Emails
Talked to Physicians one-on-one
We have never done a QI project that directly
involved physicians
The Next Step In Our
Journey:
Engaging Your Colleagues With a
One-on-One Conversation
Methods of Engagement
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Posters
Bulletin Boards
Large Meetings
Departmental Meetings
Emails
Hospital Newsletters
One-on-One Conversations
Surgical Team Engagement
• Everyone who will be touched by the
project should be engaged with at least 1
one-on-one conversation as we move
beyond small-scale testing.
• This includes: anesthesiologists, CRNAs,
nurses, surgeons, techs, perfusionists,
anybody else that works in the OR.
Nothing Replaces this
Conversation
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Staff meetings don’t count.
Emails don’t count.
Posters don’t count.
Bulletin boards don’t count.
Rules to Guide Us
• Teach them
• Show them
• Have them do it
Points to Discuss when
Engaging Physicians (Part 1)
• Introduce the checklist and emphasize
teamwork and communication.
• 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.
Points to Discuss when
Engaging Physicians (Part 2)
• 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
What does this
conversation sound like
with a surgeon?
Points to Discuss when
Engaging Physicians (Part 1)
• Introduce the checklist and emphasize
teamwork and communication.
• 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.
Points to Discuss when
Engaging Physicians (Part 2)
• 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
What You Might Hear From
a Physician . . .
“I am already safe, I don’t
need this”
“It takes too long”
“We Already Do This”
“My Team knows what I
want without me asking.”
Something to Consider:
Make a Checklist
Demonstration Video
Why Make a Video?
• Having a video from your hospital, with
your colleagues, using your checklist is
worth a thousand words.
• Train surgical teams on how to use the
checklist with the video.
• Use it to build momentum for the larger
roll-out. Show your video in meetings.
Safe Surgery 2015: South
Carolina Video Competition
• We will release the guidelines at a later
date.
• The winner will be announced at the 2012
Patient Safety Symposium on April 25th.
April Patient Safety Symposium:
OR Team Training
• On Tuesday, April 24th we will be holding an OR
Team Training Session.
• The goal of this session is to train checklist
implementation teams the curriculum so they can
return to their facilities and teach it.
• Consider sending members of your checklist
implementation team to this training.
• If you can, bring your physician champions.
• Contact Mary Stargel for more information:
Email - [email protected].
April Patient Safety Symposium:
Keynote & Breakout Sessions
• Atul Gawande will be a keynote speaker.
• Our team will be holding a breakout
session, the afternoon of the 25th.
• If possible, we want you and your
implementation teams to attend.
• This will be an interactive learning session
where we will talk about lessons learned.
This Week’s Homework
• If you haven’t already done so, send us an email letting
us know if you will be administering the culture survey.
• If you have started to administer the culture survey,
please continue to do so.
• Identify people that you think will be skeptical of using
the checklist. We will discuss strategies to use when you
talk to them on the next webinar.
• If possible we would like for you to organize yourselves
for the one-on-one conversations, but not to start holding
them until after our next webinar.
Questions
Ask Us a Question By Using the
Raise Hand Button
Office Hours:
Tuesday from 2:00-3:00
Next Call:
Maybe Next Thursday the
th
th
26 or February 9 , 2012
Engaging Your
Colleagues Continued
Resources
Website:
www.safesurgery2015.org
Email: [email protected]