Call 1: Call Series Introduction

Welcome

Mike Rose, MDChairman

Leadership Team

Safe Surgery 2015: South Carolina Team

Bill Berry, MD, MPHProgram Director

Lizzie EdmondsonProject Manager

Rick Foster, MDSVP, Quality & Patient Safety

SCHA

Lorri Gibbons, RN, BSN, CPHQVP, Quality & Patient Safety

SCHA

Sara Singer, PhD, MBAImplementation Research Director

Jim SachettaStaff Assistant

Mike Rose, MDChairman

Leadership Team

Ashley Kay Childers, PhDSystems Engineer

SCHAClemson University

Kimberly Hubbard, MHAProject Coordinator

SCHA

The Goal:Have a modified version of the South

Carolina Surgical Safety Checklist Template used for every patient

undergoing a surgical procedure in the state by the end of 2013.

Logistics

Logistics

• Raise your hand function

• Chatting to the host or other participants

• Using the arrow function

Raise Your Hand ButtonClick this button and the host will be able to see that you need assistance or

the host can unmute your line to ask your questions out loud

Chat FunctionUse the dropdown menu to select who you would like to chat with.

Name ArrowClick this button. You will now be able to post your

name on the presenters slide.

Safe Surgery 2015: South CarolinaCall Series

Safe Surgery 2015: South Carolina Call Series

• Bringing the checklist into your operating room is journey towards changing the culture in surgery.

• Step by step instruction on checklist implementation every Thursday from 2:00-3:00.

• Following each call we will ask you to complete homework. The homework is designed to move you towards an effective checklist implementation.

• Every Friday starting on November 4th we will hold “Office Hours”. – You will receive a call-in number and our team will be available to

answer any questions that you might have and to work through barriers in a smaller group.

Topics We Will Cover During the Call Series

• Measuring the spread and impact of the checklist.

• Measuring the culture in your ORs.

• Modifying and testing the checklist for your hospital.

• Engaging physicians and staff in this work.

• Strategies for working with difficult physicians and staff.

• Effectively spreading the checklist in your ORs

Poll 1

• What football team are you rooting for this fall?– USC Gamecocks– Clemson Tigers– Citadel Bulldogs

Poll 2

• Are you listening to the call as a group or an individual?– Group– Individual

Who From Your Hospital Should Be on the Webinars?

• We encourage at least one person that is directly involved in this project to be on as many webinars as possible.

• That person can pass on the information to the rest of their team.

• Other hospitals have the entire team or part of the team listen to the webinars together.

Poll 3• Is the Joint Commission Timeout performed in a way that you feel

is most beneficial for the patient for every case in your hospital? – Yes

– No

• How well or not do you think that the Joint Commission Timeout is performed at your hospital?– Extremely Well (All activity and conversation stops in the OR and every team

member actively participates in the “Timeout” and reviews safety checks together.

– Neither Good nor Bad (Team members generally stopped other activities or conversation and participated, but did not appear interested, while the “Timeout” is performed).

– Poor (team members continue other activities or conversation and exhibited poor buy-in while the “Timeout” was performed (e.g., by not participating, speed-reading, or rolling eyes).).

Poll 4

• Are you using a surgical checklist that requires the surgical team to stop and discuss critical items at three points of time (Before Induction of Anesthesia, Before Skin Incision, and Before the Patient Leaves the Room)?– Yes– No

• If you answered yes, what percentage of surgical cases are using this type of checklist routinely?– <50%– >50%– It is used for every patient undergoing surgery

A Journey of One Hospital

Medical University of South Carolina (MUSC)

Homework

No Homework Today

Next Week’s Topic

History of the WHO Surgical Safety Checklist

??Questions

Office Hours:

Friday 12:00-1:00

Resources

Website:www.safesurgery2015.org

Email: safesurgery2015@hsph.harvard.e

du