Refuse to Settle: The Journey From Ordinary to Extraordinary Bruce Spurlock, M.D. Cynosure Health.
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Transcript of Refuse to Settle: The Journey From Ordinary to Extraordinary Bruce Spurlock, M.D. Cynosure Health.
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Refuse to Settle: The Journey From
Ordinary to ExtraordinaryBruce Spurlock, M.D.
Cynosure Health
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1.It is natural to settle for less than the best – why?
1.What happens if we refuse to settle?
1.How do we move from ordinary to extraordinary?
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Stage 1 - Becoming aware that
you are settling
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Normalization of Deviance
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violations
acceptable risk
migration
normalization of deviance
intentional non-compliance
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I can handle it.
I can get away with it.
I can’t help it.
Everyone does it.
Its what they really want.
They’ll turn a blind eye.
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Delay in feedback
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Examples• Hand Hygiene• Readmissions• VTE prophylaxis
• Poor surveillance• Inadequate or no data collection• Overlooking the hard stop
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Misinterpretation of results
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Examples
• “I never have these types of complications”
• “The data are wrong”• “The problem is with X department”• Good catch – we don’t need to worry
about it
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Stage 2 – Seeing what is possible
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Shock Alert Outcomes
From Sebat, et al. Chest 2005
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Mercy Hospital, Oklahoma City
Already Low Rates
This is excellence!
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Northern New England Cardiovascular Group
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Benewah Community Hospital
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Stage 3 – Launching an Effective
Action Plan
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Have you ever performed an RCA which resulted in the following
conclusion:
1. Policy is correct.2. Policy not followed.
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Step 1 - Find one patient story a month
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Step 2 – Get great ideas from each other
www.hret-hen.org
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Step 3 – Use a system for improvement
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Direct the Rider
Motivate the Elephant
Shape the Path
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1.It is natural to settle for less than the best – why?
1.What happens if we refuse to settle?
1.How do we move from ordinary to extraordinary?
![Page 40: Refuse to Settle: The Journey From Ordinary to Extraordinary Bruce Spurlock, M.D. Cynosure Health.](https://reader035.fdocuments.us/reader035/viewer/2022062422/56649eaa5503460f94baee7e/html5/thumbnails/40.jpg)
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