Health Quality Improvement Using Instructional Communication and Teamwork …
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Transcript of Health Quality Improvement Using Instructional Communication and Teamwork …
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Health Quality Improvement using Instructional Communication and Teamwork Videos: An Outcome Study Neil Cowie
This Session is sponsored by:
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Health Quality Improvement using Instructional Communication and
Teamwork Videos:
An Outcome Study Pilot Neil Cowie Department of Anesthesiology, University of Saskatchewan
April 11, 2013
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Team Members
Angela Bowen, College of Nursing, University of Saskatchewan
Kalyani Premkumar, Department of Community Health and Epidemiology
College of Medicine, University of Saskatchewan
Susan Kuling, Previous Nurse Manager, Labour and Birth Unit, Saskatoon Health Region
Mark Burbridge, Department of Anesthesia, College of Medicine, University of Saskatchewan
Jocelyne Martel, Obstetrican, Saskatoon Health Region
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Problem
• “Near misses” in patient care• Lapses in interprofessional communication
and teamwork• Urgent induction of General Anesthesia for
STAT Cesarean Birth
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Legal SettlementsCerebral palsy lawsuit settles for $3.8 million
Brain damage in newborn settlement is $3.5 million
Birth injuries leave twin with cerebral palsy: $2.8 Million Settlement
$5.65 million settlement for Rhode Island baby's brain damage related to birth trauma
Delay in c-section resulting in brain damage settlement is $3 million
Settlement for newborn's brain damage is $4 million
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• 70% of sentinel events in obstetric practice are attributable to errors in communication and teamwork The Joint Commission
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Medical Simulation
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http://www.medicine.usask.ca/acutecareteamwork/intro/index.php
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Goals of Study• Make a movie of a simulated OB event• Use web-based “Trigger Videos” to teach skills in
communication and teamwork to Obstetrical Nurses
• Measure outcome• Continuing professional development for self-
directed learning on the web
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Study Design
Video ClipsDebriefing
Competencies
Q
Nov, 2010
April, 2011
Feb, 2012
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Competencies
• Situational Awareness• SBARR• Closed Loop Communication• Leadership• Shared Mental Model• Overcoming Hierarchy• Mutual Support• Conflict Resolution• Avoiding Distraction
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Findings
• Improved technical knowledge• More critical of the team (anesthesia) after
the educational intervention• Ten months later, had applied many of the
team competencies into personal practice– Speak up– Assertiveness– Conflict resolution
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Presentations
• Board of RUH Foundation• Simulation in Healthcare• São Paulo• POGO for Nurses• Women's Health, Obstetric, and Neonatal Nurses
Conference• Canadian Anesthetists Society• MedEdPortal• Senior leadership SHR• IHI Summit, Washington DC
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What did we find out?
• Unable to publish study• Unbelievable turnover of nursing staff• Fixed and decreasing numbers of nursing
education days• Self directed training video has not been
offered to nursing staff
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QUALITY IMPROVEMENT
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Project Failure
• Project will fail if dependent on the actions of another team
• Project will fail if multiple groups must change Behavior and culture change is slow
• If management doesn’t support, things will not change
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Future
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Questions
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MoreOB
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QuestionnaireNon-Technical Skills
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Questionnaire: Technical Skills
– Application of monitors– Assistance with securing airway for intubation– How to assist if intubation fails
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CPSI Safety Competencies
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7 Deadly Sins of Quality Improvement
• Narrow focus• Assuming change in behavior of staff• Process decisions made by administrators• Too many active projects at one time• Lack of focus• Decisions made on satisfaction scores rather
than outcomes• Erroneously assume leadership supports
changes
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Items Reflecting Behavior of the Team
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Items Reflecting Behavior of the Team