How do you know you have a strong team in your

operating room?

Signs and Symptoms

Teams that perform well ….

• Hold shared mental models• Have clear, valued, and shared vision• Engage in a regular discipline of feedback• Develop a strong sense of collective trust and

confidence • Cooperate and coordinate

Examples of teamwork actions

Verbally acknowledge requests from other team members

“Could you please get a 25 mm EEA stapler with 4.8 mm staples?”

“Yes, I’ll be right back with a 25 mm EEA stapler with 4.8 mm staples.”

Examples of teamwork actions

Seeking clarification

“Dr. Lee, do you want 40mg or 90mg of Gentamicin in the 50cc bag you ordered? I cannot tell if you have written a 4 or a 9 on this order.”

“We need 90mg of Gentamicin. Thank you for asking.”

Why a Checklist?

This Checklist Is This Checklist Is Not . . .Not . . .

• An algorithm.An algorithm.

• A tool to train people how to do A tool to train people how to do their jobs.their jobs.

• A “tick boxing” exercise.A “tick boxing” exercise.

This Checklist This Checklist is . . .is . . .

• A reminder for the surgical team to perform/discuss critical safety steps for every patient every time.

• Performed as a team and read aloud.

Teamwork is Hiding in the Checklist

ProcessTeamwork

ProcessTeamwork

ProcessTeamwork

How to do it!

http://www.safesurgery2015.org/videos.html

http://www.youtube.com/watch?feature=player_embedded&v=d6U5pQu6b_c

What questions in your Checklist lead to teamwork dialogue?

How could you use the Checklist to facilitate teamwork at your site?