Webinar 18:Keeping the Checklist Going

Summary of Last Week’s Call• Teamwork in the Operating Room

– Overview

– The Checklist as a Teamwork Tool

– Closed Loop Communication

– Speaking Up

– Measuring Teamwork in Your Operating Rooms

How Did the Homework Go?

Homework to Date Slide 1 of 4

• Build an implementation team.

• Schedule a time and venue for a meeting to take place after January.

• Download the OR Personnel Spreadsheet from our website and begin completing the information with the names, roles, and email addresses if relevant.

• Review the checklist modification guide and South Carolina Checklist Template.

• Modify the checklist with your implementation team and use it in a “table-top simulation”.

• Test the checklist with one team and modify if necessary.

Homework to DateSlide 2 of 4

• Email us a picture of your checklist implementation team.

• Identify departmental meetings to have the implementation team speak after call 10.

• Expand the testing of the checklist to one team using the checklist for every case for one day. Modify the checklist as necessary.

• Email us your hospital’s checklist.

• If you haven’t already done so, please call or email our team about whether you would like to administer the culture survey.

• Email everything to safesurgery2015@hsph.harvard.edu.

• Identify people that you think will be skeptical of using the checklist and try to talk to them before you hold a large meeting.

Homework to DateSlide 3 of 4

• Organize and conduct one-on-one conversations.

• Create a checklist demonstration video for your hospital.

• Decide if the checklist will be used in paper or poster form.

• Finalize your hospital’s checklist, please send it to us so we can see how you made the checklist work for you.

• Start your checklist advertizing campaign.

• 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 hospital’s expansion and send it to the Safe Surgery 2015 team.

Homework to DateSlide 4 of 4

• Continue to:

– Administer the culture survey

– Have one-on-one conversations with as many people as you can

– Hold departmental meetings

– Implement the checklist

• Create a checklist demonstration video and consider submitting it to the video competition.

• Mark your calendars and register to attend the 2012 April Patient Safety Symposium.

• If you have not already done so, hold the large inter-disciplinary meeting that you scheduled at the beginning of the call series.

Today’s Topics• Ongoing Support – Keep In Touch With Us

• One Hospital’s Checklist Journey, Baptist Easley

• Tips on Sustaining Checklist Use

• Special Thank You: – South Carolina Hospital Association

– Atul Gawande

• A Recap of Our Journey Together

Poll 1: Are You Planning on Using the Checklist Coaching

Tool to Measure Checklist Use?

• Yes• No• We are still thinking about it

Poll 2: Are You Thinking About Using the Teamwork

Coaching Tool?• Yes• No• We are still thinking about it

Poll 3: Would It Be Possible to Use Both of the Tools Together in a Case?

• Yes• No• I am not sure

Ongoing Support

Check-in Calls & Upcoming Events

Please put the following on your calendar:

Two-Month Check-in Call

Thursday, June 21st 2:00-3:00

Five MonthCheck-in Call

Thursday, September 27th

2:00-3:00

Patient Safety Symposium

April 24th-26th

What Happens If You Aren’t Done

• Every hospital is at a different stage in implementation.

• Just because the call series ends doesn’t mean the work ends.

• Everybody should continue with the implementation and homework assignments.

• Our team is available to assist in anyway possible.

Keep In Touch With Us• Check-in Calls• Office Hours

– Every Tuesday from 2:00-3:00• Ask the SCHA to Visit Your Hospital• Email or Call Us

Feedback About the Call Series

• We want to know how the call series went for you.

• We will contact you over the next month to set-up a time for us to get your feedback.– What could we have done better?– Did the pace of the call series work for you?– Should we spend more/less time on certain

subjects.– Should we cover other subjects?

Wave 3• The webinar series will be repeated again in

the Fall.• Wave 3 will run from October 2012 – June

2013.• Wave 3 will also include three in-person

meetings and will go into more depth about reducing SSI rates and DVT Prophylaxis Prevention.

• All hospitals, including yours, are welcome to participate.

• We might ask for your help from time to time on the webinars.

Baptist Easley Hospital“Treat Patients Like We Would Want Our Family

Members to Be Treated”

Sustaining the Use of the Checklist

Preventing Problems

One-on-One conversations

Fixing Problems• Coach 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.

What Are Some Things You Can Do Now?

• Use the observation tools to see how team’s are using the checklist and coach them. Then don’t stop using 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.

• Repeat the culture survey with us in one year.

Lorri Gibbons, RN, BSN, CPHQVice President

Quality & Patient SafetySCHA

Thank You

Rick Foster, MDSVP, Quality & Patient Safety

SCHA

Atul Gawande, MD, MPH

A Recap of Our Journey Together

Call Series Introduction

Background of the WHO Surgical Safety Checklist

Baseline OR Surgical Safety Culture Survey

Checklist Modification & Customization

Checklist Modification 101 Continued, Small Scale Testing, and the Checklist

as a Documentation Tool

Testing the Checklist in the Operating Room

Review Call and the Importance of Hospital Visits

Engaging Your Colleagues

Preparation for Expansion to Full Implementation:

Advertizing the Checklist

Preparation for Expansion to Full Implementation:

Planning

Checklist Best Practices

Implementation Barriers

Improving the Use of the Checklist Through Coaching

Measuring Checklist Use and Impact & Your Feedback

Teamwork in The Operating Room

Keep In Touch With Us• Come to the Patient Safety Symposium• Call into Office Hours• Email Us• Call Us

Office Hours:

Continuing Every Tuesday from 2:00-3:00

Resources

Website:www.safesurgery2015.org

Email: safesurgery2015@hsph.harvard.edu

Thank you!