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DEEP DIVE: Measurement for Learning

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Presentation on theme: "DEEP DIVE: Measurement for Learning"— Presentation transcript:

1 DEEP DIVE: Measurement for Learning
June 15th, 2010 Checklist Planning Group & Guests 12-May-18

2 Checklist Action Series Hosts
Marlies van Dijk, Western Node Leader Safer Healthcare Now! and Moderator for Checklist Action Series DEEP DIVE Leanne Couves, Improvement Associates Ltd. & Quality Moderator for Checklist Action Series DEEP DIVE Chantal Bellerose, Quebec Node SIA Safer Healthcare Now! & French Liaison for Checklist Action Series Tanis Rollefstad, Western Node SIA Safer Healthcare Now! & Technical Host for Checklist Action Series Angela Thiessen, Western Node Administrative & Technical Support for Checklist Action Series 12-May-18

3 Objectives for Today’s Call
Identify your purpose for doing the checklist Choose which measures to start Explore detailed definitions for key measures, including data collection plans Using data for learning

4 Interacting in WebEx Be prepared to use: - Pointer Tool - Raise Hand
12-May-18 Interacting in WebEx Be prepared to use: - Pointer Tool - Raise Hand - Chat “to all participants” Mention: how to raise hand for question Annotation Arrow Emoticons English use Chat French use Q&A Prompt Chantal to explain Q&A 12-May-18 12-May-18 4

5 What ideas have you tried?
12-May-18 What ideas have you tried? Use the pointer Measuring compliance with Y/N? Measured more than compliance? Measuring OR culture? Started measuring other items? Haven’t started measuring.

6 More on What Can Be Measured
12-May-18 More on What Can Be Measured Leanne Couves Improvement Associates Marlies vanDijk Western Node Leader, SHN! 12-May-18

7 Examples of Purpose Statements
12-May-18 Examples of Purpose Statements Anticipate problems Prevent adverse events and/or outcomes Prevent harm to patients Improve culture, teamwork and communication Measurement driven by aim what do you want to accomplish by implementing the checklist? What is your goal? What will the checklist allow for? What problems are you trying to prevent when instituting the checklist? These can be difficult questions to answer. Here are some examples of aim statements you could adopt in your OR. Or you can adapt to make them more applicable and specific. Once your aims are determined, it can be much easier to decide what to measure and what data to collect Use Pointer to indicate which resonate with your organization

8 Marlies van Dijk Potential Measures

9

10

11 Extended length of anesthesia due to delays

12 12-May-18 An example of run charts.

13 Measures using Small Multiples: Overall System and 4 sites
Overall Outcome Measure

14 Meaningful Measures followed by a Quebec Hospital
Chantal Bellerose SIA Quebec Node

15 More on HOW to Measure Small Group Discussions
Breakout Rooms Led by Facilitators

16 Breakout Exercise Talk Through Measurement Plan
12-May-18 Breakout Exercise Talk Through Measurement Plan What is your purpose ? What’s your measure? How would you define the measure? How would you collect the data? What will you do with the data?

17 Sample Measurement Sheet*

18

19 Breakout Session Summary & Debrief
12-May-18 Use text tool on next slide to record one idea from breakouts Breakout Session Summary & Debrief

20

21 Marlies van Dijk Western Node Leader, SHN!
12-May-18 How Much Data is Enough? Marlies van Dijk Western Node Leader, SHN!

22 Data Collection Methods
Observation (direct or indirect) Informal conversations Surveys and questionnaires (written, phone, one-on-one interviews) Focus groups / group interviews Direct experience “trading places” Quantitative measurements (manual or electronic)

23 Sampling Random (from random number generator) Systematic random
e.g. every X (random number from generator) of Y Judgment (requires process knowledge) By time of day By location By patient population e.g. first 5 cases of the day, Mondays and Thursday’s Based on “The Data Guide” by Sandra Murray and Lloyd Provost

24 to the OR teams and other # 1 Goal for implementing
# 3 Present to the OR teams and other stakeholders # 1 Goal for implementing the Checklist #2 Measures to support your goal

25 Checklist Sampling Ideas
Adverse Events Prevented Length of anesthesia reduced with Checklist Hips and Knee procedures only Assign observational data collection Every Thursday when Dr. X is doing Hips Circulating Nurse will notate no. of minutes delayed on white board as they arise Assign responsibility for someone to capture data after each case Review monthly Review incidents in the Glitch book weekly and categorize them Communication Equipment Medications/Blood Wrong site Lab work/chart issues Staff Room Display

26 Checklist Sampling Ideas
Team work and communication Compliance with Checklist Choose method (observational or audit form) Audit: Yes/No tool to each of the 3 stages of the checklist Choose surgical procedure (s) where checklist is being used Sample 2 charts a day (random or specific procedures) Sample 5 first charts once a week before they go down to health records Collate and feedback to staff Ask 5 questions on team work and communication (5 min to fill out) Capture discipline (nursing, surgery, anesthesia) Capture them during breaks and lunch Aim to get 10 people per discipline 10 nurses, 10 surgeons and 10 anesthesiologist, 10 others (RT) Collate and feedback to staff

27 Open Mike on Measurement
12-May-18 Open Mike on Measurement

28 12-May-18 Poll Questions Relevance Check

29 Next Steps

30 ACTION Items Between now and June 23rd
12-May-18 ACTION Items Between now and June 23rd Apply what you’ve learned today – start your data collection plan Download session materials and see examples of data collection tools – Sign up on the SSSL Community of Practice

31 It’s not as simple as it looks!
Advice to a “Newbie” It’s not as simple as it looks! Retrieved from:

32 Thank You You Guest speakers Faculty Facilitators Message from Chantal

33 Questions? Tanis Rollefstad, Safety & Improvement Advisor
Phone: Leanne Couves, Improvement Associates Ltd. Phone: cell 12-May-18

34 French Speaking Teams Chantal Bellerose Dt.P.,M.Sc (cand).
Conseillère en matière de sécurité et d'amélioration | Safety and Improvement Advisor SHN Campagne québécoise: Ensemble, améliorons la prestation sécuritaire des soins de santé! | Phone: 514‐340‐8222 #6705 et #4901 12-May-18

35 Key Things to Consider when Implementing the Checklist: Highlights
12-May-18 “See you” on June 23rd PDT; MDT; CDT;   EDT; ADT;   NDT Key Things to Consider when Implementing the Checklist: Highlights 12-May-18 12-May-18 35

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