2. How do you know you have a strong team in your operating room? Signs and Symptoms

3. Teams that perform well …. Hold shared mental models Have clear, valued, and shared vision Engage in a regular discipline of feedback Develop a strong sense of collective trust and confidence Cooperate and coordinate

4. Examples of teamwork actions Verbally acknowledge requests from other team members “Could you please get a 25 mm EEA stapler with 4.8 mm staples?” “Yes, I’ll be right back with a 25 mm EEA stapler with 4.8 mm staples.”

5. Examples of teamwork actions Seeking clarification “Dr. Lee, do you want 40mg or 90mg of Gentamicin in the 50cc bag you ordered? I cannot tell if you have written a 4 or a 9 on this order.” “We need 90mg of Gentamicin. Thank you for asking.”

6. Why a Checklist?

7. This Checklist Is Not... An algorithm.An algorithm. A tool to train people how to do their jobs.A tool to train people how to do their jobs. A “tick boxing” exercise.A “tick boxing” exercise.

8. This Checklist is... A reminder for the surgical team to perform/discuss critical safety steps for every patient every time. Performed as a team and read aloud. Teamwork is Hiding in the Checklist

9. Process Teamwork

10. Process Teamwork

11. Process Teamwork

12. How to do it! http://www.safesurgery2015.org/videos.html http://www.youtube.com/watch?feature=player_emb edded&v=d6U5pQu6b_c

13. What questions in your Checklist lead to teamwork dialogue? How could you use the Checklist to facilitate teamwork at your site?