Webinar 8: Engaging Your Colleagues

Summary of Last Week’s Call Updated you on the webinar specifically for surgeons. Checked in with participants. Reviewed the testing of the checklist and where we are going over the next couple of weeks. Discussed expanding the checklist from one team using it in one case to testing the checklist for an entire day with one team. Discussed hospital visits by the South Carolina Hospital Association. Briefly discussed teaching teams to use the checklist with demonstration video from your hospital.

How Did the Homework Go?

Homework to Date Slide 1 of 2 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 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 2 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. us your hospital’s checklist. If you haven’t already done so, please call or our team about whether you would like to administer the culture survey. everything to

What To Focus Your Efforts On Over the Next Couple of Weeks Continue to test the checklist at your hospital. On the last webinar we asked for you to test it for an entire day with one OR Team. This webinar and the next one are extremely important. We are not going to ask you to do a lot of homework over the next two- weeks. We would like to get all of the culture surveys back from you before mid February so we can provide you with the results at a time that helps you with the checklist implementation. In order to do this we need all of your information from you. Jim will call you or send you an with the information that we need to move forward with the surveys.

Poll 1: If We Were to Put the Webinar for Next Thursday Back on the Schedule, Could you attend? Yes No Maybe

Today’s Topics Methods of engaging your colleagues. The importance of one-on-one conversations. Live demonstrations of what this conversation might sound like. More details on the South Carolina Video Competition. April Patient Safety Symposium

Poll 2: In Previous QI Projects in the OR, How Have You Engaged Physicians? Please Check All That Apply: Created Posters Put Information on Bulletin Boards Announced it at a Large Meeting Held Departmental Meetings Sent s Talked to Physicians one-on-one We have never done a QI project that directly involved physicians

The Next Step In Our Journey: Engaging Your Colleagues With a One-on-One Conversation

Methods of Engagement Posters Bulletin Boards Large Meetings Departmental Meetings s Hospital Newsletters One-on-One Conversations

Surgical Team Engagement Everyone who will be touched by the project should be engaged with at least 1 one-on-one conversation as we move beyond small-scale testing. This includes: anesthesiologists, CRNAs, nurses, surgeons, techs, perfusionists, anybody else that works in the OR.

Nothing Replaces this Conversation Staff meetings don’t count. s don’t count. Posters don’t count. Bulletin boards don’t count.

Rules to Guide Us Teach them Show them Have them do it

Points to Discuss when Engaging Physicians (Part 1) Introduce the checklist and emphasize teamwork and communication. Everyone in our hospital tries to be safe. We are looking to you for leadership. You can set the tone for the entire operation. Other members of the surgical team will follow your patterns of communication.

Points to Discuss when Engaging Physicians (Part 2) This is an opportunity to make your plan clear, answer questions, demonstrate openness, and professionalism. Do you think that this will help anybody else here? Will you help us with this work? Thank you

What does this conversation sound like with a surgeon?

Points to Discuss when Engaging Physicians (Part 1) Introduce the checklist and emphasize teamwork and communication. Everyone in our hospital tries to be safe. We are looking to you for leadership. You can set the tone for the entire operation. Other members of the surgical team will follow your patterns of communication.

Points to Discuss when Engaging Physicians (Part 2) This is an opportunity to make your plan clear, answer questions, demonstrate openness, and professionalism. Do you think that this will help anybody else here? Will you help us with this work? Thank you

What You Might Hear From a Physician...

“I am already safe, I don’t need this”

“It takes too long”

“We Already Do This”

“My Team knows what I want without me asking.”

Something to Consider: Make a Checklist Demonstration Video

Why Make a Video? Having a video from your hospital, with your colleagues, using your checklist is worth a thousand words. Train surgical teams on how to use the checklist with the video. Use it to build momentum for the larger roll-out. Show your video in meetings.

Safe Surgery 2015: South Carolina Video Competition We will release the guidelines at a later date. The winner will be announced at the 2012 Patient Safety Symposium on April 25 th.

April Patient Safety Symposium: OR Team Training On Tuesday, April 24 th we will be holding an OR Team Training Session. The goal of this session is to train checklist implementation teams the curriculum so they can return to their facilities and teach it. Consider sending members of your checklist implementation team to this training. If you can, bring your physician champions. Contact Mary Stargel for more information: -

April Patient Safety Symposium: Keynote & Breakout Sessions Atul Gawande will be a keynote speaker. Our team will be holding a breakout session, the afternoon of the 25 th. If possible, we want you and your implementation teams to attend. This will be an interactive learning session where we will talk about lessons learned.

This Week’s Homework If you haven’t already done so, send us an letting us know if you will be administering the culture survey. If you have started to administer the culture survey, please continue to do so. Identify people that you think will be skeptical of using the checklist. We will discuss strategies to use when you talk to them on the next webinar. If possible we would like for you to organize yourselves for the one-on-one conversations, but not to start holding them until after our next webinar.

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Office Hours: Tuesday from 2:00-3:00

Next Call: Maybe Next Thursday the 26 th or February 9 th, 2012 Engaging Your Colleagues Continued

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