1. The JGH Experience Montreal, Quebec culture shift –originally nurse driven, now surgeon driven –belief that SSC saves time rather than takes time –each team member contributes without feeling intimidated –sense of pride in building a safety culture

2. JGH Experience checklist fatigue –One year since implementation Implementation –Medium compliance at first, wasn’t used on off hours Post implementation –Up to 70% compliance –Varying versions performed depending on surgeon or nurse –some rooms ‘drifting’ a little One year later –Reminders and updates given –Compliance stats reported –Over 90% compliance on and off shift

3. JGH Experience patient engagement –Staff initially reluctant to speak in front of patient –Included info in patient education booklet –Focus groups and “mini-med” sessions planned –Patients like safety culture – fear about outcomes – gives a sense of security