PSF Collaborative Surgical Safety

WEBINAR SERIES

April 21, 2015

Welcome!

Julia Slininger

Vice President, Quality &

Patient Safety

Hospital Association of So. CA 515 South Figueroa Street

Suite 1300

Los Angeles, CA 90071

TEL: (213) 538-0766

jslininger@hasc.org

How to Participate in Today’s

Web Seminar

How to participate in today’s

Webinar presentation

• At the telephone prompt, please be sure to enter your unique audio pin located in your Webinar audio pane.

• We will be doing some polling so you will want to click the raise hand and in some cases make a selection on the screen.

• We will also have time for Q&A at the end of the presentation, or you can submit your text question using the Questions pane.

Today’s Opportunity

There is no one “best practice” for surgical sponge management so hospitals must determine what will work the best for them. This webinar will review the options and learn about what our PSF hospital teams have tried, what is working, and where we are still encountering “near misses”.

Learning Objectives:

• Outline the three main options for surgical soft goods management

• Discuss the “process measure” data from our PSF hospitals, in the aggregate

• Design next steps to make sure your surgical/procedural areas have adequate safeguards against retained surgical soft goods.

Three Main Approaches to Preventing RSI

Sponge Accounting System Radio Frequency Detection (Wanding) Bar Coding device

Polling Question #1 The System we use mostly is A) Old Fashioned regular “count” B) Sponge Accounting System C) Wanding D) Bar Coding

Discussion Questions:

How did you accomplish : “ SAS Fully Implemented” ?

Where Moderate or Partial, how is that working?

Where multiple prevention strategies are used, what is

used where?

What barriers are you still encountering?

Polling Question #2

The degree to which I have an Active MD Champion in the OR who helps with RSI prevention protocol A) Nil B) Minimal C) Moderate

D) Significant

Polling Question #3

Our MD champion is a (an) A) Anesthesiologist B) Surgeon

C) We have both Surgeon and Anesthesiology Champions

D) Neither- Champion is not “in” the OR

Next Steps to making your OR an HRO (it’s about “reliability” !)

Assess practices in all areas Engage MD Champions Appoint an internal staff champion Map out a plan- using STOC AND…

May 14-15 Statewide Conference:

Eliminating Serious Patient Safety Events in Surgical and

Procedural Areas: A Call to Action for California Hospitals

Featuring:

• The Institute for Population Health Improvement (IPHI)

• Drs. Kenneth Kaiser and Helen Wu from UC Davis

• CDPH

• Jean Iacino, Deputy Director, CHCQ

• Drs. Ko, Comunale, Morton, Wachtel, Jaffe, Gibbs

And more! Here’s the registration link. It’s FREE

• www.ucdmc.ucdavis.edu/iphi/events/index.html

Attend

PRESENTER

Verna C. Gibbs M.D.

Director, NoThing Left Behind®

Professor of Surgery UCSF

Staff Surgeon, SFVAMC

www.nothingleftbehind.org

Polling Question #4

Another patient safety concern we have recently addressed is

A) Instrument Count procedure/protocol B) One or more of the Core Measures

C) Patient Safety Culture/Communication

D) All of the Above

Endoscope Management Discussion- FDA Alert

http://www.modernhealthcare.com/article

/20150219/NEWS/302189979?utm_source=

modernhealthcare&utm_medium=email&ut

m_content=20150219-NEWS-

302189979&utm_campaign=mh-alert

Discussion: Potential Surgical Safety targets for 2016

(PSF Phase 3?)

Thank You!