Webinar 18: Keeping the Checklist Going
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Transcript of 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
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 [email protected].
• 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
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.
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
Checklist Modification 101 Continued, Small Scale Testing, and the Checklist
as a Documentation Tool
Keep In Touch With Us• Come to the Patient Safety Symposium• Call into Office Hours• Email Us• Call Us