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 Date
Slide 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 Date
Slide 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 Date
Slide 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 interdisciplinary 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:
Patient Safety
Symposium
Two-Month Check-in
Call
April 24th-26th
Thursday, June 21st
2:00-3:00
Five Month
Check-in Call
Thursday, September
27th
2:00-3:00
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.
Thank You
Rick Foster, MD
SVP, Quality & Patient Safety
SCHA
Lorri Gibbons, RN, BSN, CPHQ
Vice President
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!