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SUSP Sustainability Pre-Mortem

Armstrong Institute for Patient Safety and QualityKristina Weeks, MHS, DrPh(c)

Adapted from: Gary Klein

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Polling Summary from January Content Call

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SUSP PreMortem Tool

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Preparing to Lead

“In a postmortem, an autopsy is performed on a patient to try to learn why the patient died. But while it may be helpful to those who perform it and hear about the results, it does not help the central figure in the medical drama—the patient.★” The PreMortem Exercise may be used to identify potential barriers and vulnerabilities to project success before they occur. The PreMortem helps to build intuition and sensitivity to where future problems might be. ★Gary Klein

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Step 2Generate the reasons for failure. Spend the next 2 minutes writing down all the reasons you believe this failure occurred.

Step 3Address the 2 or 3 items from your list that are of greatest concern and list what you specifically will do differently now that you have considered them.

Step 1Imagine that we are 2 years into the future and, despite all of the team’s efforts, the project has failed. Things have gone completely wrong on a number of fronts. Now, ask “What could have caused this?”

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Polling QuestionIn your pre-mortem worksheet, what type of barrier was more common for you?

-Adaptive (e.g.-Hand off communication; debriefing) OR-Technical (e.g.-antibiotic timing; glucose monitoring, etc)

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Step 4Periodically review the potential problem list to re-sensitize yourself and the other members of the team to problems that may be emerging.

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SUSP PreMortem Tool

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Discussion

Define your team’s idea of sustainability of the SUSP project.

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Discussion

What aspects of the project are you planning on sustaining and how?

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Discussion

What challenges do you predict in sustainability?How will you address these challenges?

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Next StepsMarch call proposal-team report out on sustainability progressApril call proposal- (Tentative) Review the use of a scorecard as part of your sustainability effortsMay-(TBD)June call proposal-team report out on sustainability progressJuly-HSOPS re-administration process.

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Content Call Evaluation

We want to ensure that the content calls provide useful and pertinent information for the SUSP teams. For this reason we request that you

complete a brief evaluation following each call. The evaluation may be found at the following link:

https://www.research.net/s/SUSP_C1_2_Content_Eval

If you are not able to reach the link from the slide, please cut & paste the URL into your browser.