Webinar 16: Are You Where You Want to Be?

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Webinar 16: Are You Where You Want to Be?. Topics of Last Weeks Call. OR Team Training Update Hospitals will share their experiences with implementing the checklist at their hospitals. Molly McBrayer, Bon Secours St. Francis Hospital, Charleston April Howell, McLeod Regional Medical Center - PowerPoint PPT Presentation


<ul><li><p>Webinar 16:Are You Where You Want to Be?</p></li><li><p>Topics of Last Weeks CallOR Team Training UpdateHospitals will share their experiences with implementing the checklist at their hospitals.Molly McBrayer, Bon Secours St. Francis Hospital, CharlestonApril Howell, McLeod Regional Medical CenterAnnouncements</p></li><li><p>How Did the Homework Go?</p></li><li><p>Last Weeks HomeworkContinue/Start to administer the culture survey. Continue to talk with your colleagues one-on-one. If you havent already, hold the meeting that you scheduled at the beginning of the call-series with as many surgical personnel that can attend. This can be a large inter-disciplinary meeting or departmental meetings.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 hospitals expansion and send it to the Safe Surgery 2015 team at safesurgery2015@hsph.harvard.edu. Continue implementing the checklist.Use the Surgical Safety Checklist and Teamwork Observation Tools together in five cases. If you are part of the research please send us the completed observations.</p></li><li><p>Todays TopicsTips on:Preventing problemsFixing problemsWhat you can do now to enhance checklist useLooking into the future - What will it be like in three months?Assessing where your hospital is in terms of checklist implementation - Are you where you want to be?</p></li><li><p>Preventing Problems One-on-One conversations</p></li><li><p>Fixing ProblemsCoach surgical teams and individuals in the OR.If you identify a team or team member that is not using the checklist have an individual or a team conversation. </p></li><li><p>What Could This Conversation Look Like?Chief of Surgery learns that one of the surgeons refuses to use the checklist.He sends the surgeon that refuses to use the checklist an email asking him to come to his office.I heard that you dont want to use the checklist. Help me understand why?</p></li><li><p>What Are Some Things You Can Do Now?Use the observation tools to see how teams are using the checklist and coach them.Collect and post instances of when the checklist catches something. Consider having individual conversations with some front-line staff, including physicians and ask them how they think it is going. </p></li><li><p>A Look Into Three Months in the Future</p></li><li><p>A Hospitals Story When they put the checklist into place they did a fantastic job:Modified the checklist for their hospitalThey spread it slowlyMeasured the cultureOne-on-One conversations took placeThey performed observations in their ORs to see how people were using the checklist</p></li><li><p>A Hospitals Story: 3 Months Post Roll-Out They stopped monitoring the checklist once they thought everybody was using it well.Front line staff reported that half of the time the teams do not read off of the checklist, instead they rely on memory.Trying to decide how to embed the checklist into their EMR.Re-giving the culture survey, six months after beginning the work.</p></li><li><p>What Do You Do When Things Arent Where You Want Them To BeMonitor how teams use the checklist with the observation tools.Coach surgical teams and individuals on how to improve their checklist performance. Consider re-giving the culture survey.</p></li><li><p>IF YOU ARE GOING TO USE THE EMR TO DOCUMENT THE CHECKLIST GUARD CAREFULLY AGAINST TURNING THE CHECKLIST INTO A TICK THE BOX EXERCISE</p></li><li><p>Are You Where You Want To Be?</p></li><li><p>Your Hospitals Implementation TeamDo you have an implementation team that meets regularly? (This team should consist of at least one Anesthesiologist/CRNA, Administrator, Nurse, Scrub Tech, and Surgeon) YesNoWe have an implementation team, but we do not meet regularly.We do not have an implementation team yet.</p></li><li><p>Checklist ModificationDid you modify the checklist for your hospital?YesNoWe are still in the process of modifying the checklist</p></li><li><p>Checklist UseHas at least one surgical team tried using your customized version of the checklist?YesNoDoes at least one surgical team routinely use your customized version of the checklist?YesNoIf you answered yes to question 2, what is the percentage of surgical teams that are routinely using your customized checklist?&lt; 50%&gt; 50%Every team is using the checklist</p></li><li><p>One-on-One ConversationsWhat percentage of your surgical staff have you or your colleagues had one-on-one conversations with?0%, We have not had these conversations.&lt; 50%&gt; 50 %We have had these conversations with all of our physicians.</p></li><li><p>Observing Teams Using the ChecklistHave you observed surgical teams in your hospital using the observation tools?YesNo</p></li><li><p>This Weeks HomeworkContinue to:Implement the checklistAdminister the culture surveyHave one-on-one conversations with surgical team members</p></li><li><p>AnnouncementsWe want to highlight all of the teams that have done work to put the checklist into place in their hospitals at the TAP Conference in September. If you havent already done so, please send us a picture of your checklist implementation team. If you have strong champions that you would like to highlight, please send us their headshots.Email all of your pictures to: safesurgery2015@hsph.harvard.edu</p></li><li><p>?Questions</p></li><li><p>Ask Us a Question By Using the Raise Hand Button</p></li><li><p>Office Hours:</p><p>Cancelled This Friday</p></li><li><p>Next Weeks Call: Atul Gawande Will Be Joining Us and We Will Talk About Keeping the Checklist Going and Next Steps in This Project</p></li><li><p>ResourcesWebsite:www.safesurgery2015.org</p><p>Email: safesurgery2015@hsph.harvard.edu</p><p>*</p></li></ul>