1. 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

2. Needs Analysis

4. South CarolinaSt. FrancisTeam STEPPSKaiser University of Aberdeen Needs Analysis Program content tailored to Checklist, sites may do additional needs analysis Safety Attitudes Questionnaire, Observations Readiness survey Case studies drawn from incident reports Analysis of accidents involving non- technical skill failure in multiple industries AudienceMultidisciplinary 1) Multidisciplinary frontline 2)Leadership Multidisciplinary Who delivers? Site-dependent, regional workshops run by champions Clinicians supported by consulting psychologist “Master trainer” (QI/safety specialists) Human factors expert and clinical expertise Education Method Classroom + exercise + videos Classroom + roleplay + simulation in OR Classroom + exercise Also: demonstration, case study, simulation, videos Classroom + experiential learning or Online modules Site-dependent, usually observation followed by debriefing, simulation

5. South CarolinaSt. FrancisTeam STEPPSKaiser University of Aberdeen Length 6 hours trainer workshop 1-hour modules Three 1-hour modules Trainer: 2.5 days Frontline: 4-6 hours Frontline 2-4 hours Leadership 2 days or 2-3 hour modules Flexible, Site- dependent, ranges from watching one case to very intensive (80+ cases) Implementation Train the trainer Self-developed at one hospital Train the trainer Internal Kaiser staff Train the trainer OR expert goes to site Sustainability or Repetition Coaching Repeat every 3 months Exercises and tools for post- training Ongoing Flexible, Site- dependent Measure of impactQualitative feedback from participants Safety Attitudes Questionnaire, feedback from participants Academic studies, varies Attempting various methods “a challenge to measure!” Investigating evaluation methods, qualitative feedback for and from participants

6. Take-aways Needs analysis matters Multidisciplinary audience Hands-on Content matches the person delivering it Short sessions Not just training, make it a reality through coaching, role-modeling and repetition Evaluate program and adapt

8. South CarolinaSt. FrancisTeam STEPPSKaiser University of Aberdeen Situation Awareness Human Factors Systems Reliability Communication Teamwork Problem-solving and Decision- making Leadership Conflict & Respectful Behaviour Just Culture Incident analysis/learning Surgical Safety Checklist (other checklists) Coaching

9. 1.Easy to execute at site level. Content doesn’t have to be perfect 2.Role plays and simulations 3.Mindset shift – different way of working vs. another project to implement 4.Respectful behaviour is a foundation 5.Leadership will walk the walk: Model desired behaviours and hold people accountable Recipe for Success