1. Call 1: Call Series Introduction

2. Welcome Mike Rose, MD Chairman Leadership Team

3. Safe Surgery 2015: South Carolina Team Bill Berry, MD, MPH Program Director Lizzie Edmondson Project Manager Rick Foster, MD SVP, Quality & Patient Safety SCHA Lorri Gibbons, RN, BSN, CPHQ VP, Quality & Patient Safety SCHA Sara Singer, PhD, MBA Implementation Research Director Jim Sachetta Staff Assistant Mike Rose, MD Chairman Leadership Team Ashley Kay Childers, PhD Systems Engineer SCHA Clemson University Kimberly Hubbard, MHA Project Coordinator SCHA

4. The Goal: Have a modified version of the South Carolina Surgical Safety Checklist Template used for every patient undergoing a surgical procedure in the state by the end of 2013.

5. Logistics

6. Raise your hand function Chatting to the host or other participants Using the arrow function

7. Raise Your Hand Button Click this button and the host will be able to see that you need assistance or the host can unmute your line to ask your questions out loud

8. Chat Function Use the dropdown menu to select who you would like to chat with.

9. Name Arrow Click this button. You will now be able to post your name on the presenters slide.

11. Safe Surgery 2015: South Carolina Call Series

12. Bringing the checklist into your operating room is journey towards changing the culture in surgery. Step by step instruction on checklist implementation every Thursday from 2:00-3:00. Following each call we will ask you to complete homework. The homework is designed to move you towards an effective checklist implementation. Every Friday starting on November 4th we will hold “Office Hours”. –You will receive a call-in number and our team will be available to answer any questions that you might have and to work through barriers in a smaller group.

13. Topics We Will Cover During the Call Series Measuring the spread and impact of the checklist. Measuring the culture in your ORs. Modifying and testing the checklist for your hospital. Engaging physicians and staff in this work. Strategies for working with difficult physicians and staff. Effectively spreading the checklist in your ORs

14. Poll 1 What football team are you rooting for this fall? –USC Gamecocks –Clemson Tigers –Citadel Bulldogs

15. Poll 2 Are you listening to the call as a group or an individual? –Group –Individual

16. Who From Your Hospital Should Be on the Webinars? We encourage at least one person that is directly involved in this project to be on as many webinars as possible. That person can pass on the information to the rest of their team. Other hospitals have the entire team or part of the team listen to the webinars together.

17. Poll 3 Is the Joint Commission Timeout performed in a way that you feel is most beneficial for the patient for every case in your hospital? –Yes –No How well or not do you think that the Joint Commission Timeout is performed at your hospital? –Extremely Well (All activity and conversation stops in the OR and every team member actively participates in the “Timeout” and reviews safety checks together. –Neither Good nor Bad (Team members generally stopped other activities or conversation and participated, but did not appear interested, while the “Timeout” is performed). – Poor (team members continue other activities or conversation and exhibited poor buy-in while the “Timeout” was performed (e.g., by not participating, speed-reading, or rolling eyes).).

18. Poll 4 Are you using a surgical checklist that requires the surgical team to stop and discuss critical items at three points of time (Before Induction of Anesthesia, Before Skin Incision, and Before the Patient Leaves the Room)? –Yes –No If you answered yes, what percentage of surgical cases are using this type of checklist routinely? –<50% –>50% –It is used for every patient undergoing surgery

20. A Journey of One Hospital Medical University of South Carolina (MUSC)

21. Homework No Homework Today

22. Next Week’s Topic History of the WHO Surgical Safety Checklist

23. ? ? Questions

24. Office Hours: Friday 12:00-1:00

25. Resources Website: www.safesurgery2015.org Email: safesurgery2015@hsph.harvard.edu