1. Webinar 13: Implementing the Checklist Continued: Improving the use of the Checklist Through Coaching

2. Topics of Last Week’s Call A case study. Participants shared their experiences using the checklist and talk about where they are in terms of implementing the checklist. SCHA Hospital Site Visits. Common issues/barriers seen in South Carolina ORs.

3. How Did the Homework Go?

4. Last Weeks Homework Continue/Start to administer the culture survey. Continue to talk with your colleagues one-on-one. If you haven’t already, hold the meeting that you scheduled at the beginning of the call-series with as many surgical personnel that can attend. This can be a large inter-disciplinary meeting or departmental meetings. Start your checklist advertising campaign. Prioritize surgical specialties for the roll-out using your knowledge of which surgeons will be most receptive to the checklist. Create a timeline for your hospital’s expansion and send it to the Safe Surgery 2015 team at safesurgery2015@hsph.harvard.edu. Continue implementing the checklist.

5. Today’s Topics Coaching 101 –Purpose of coaching –Choosing the right people to be coaches –Providing feedback to surgical teams Checklist implementation and use best practices. This week’s Poll Using the observation tools in the OR – A few reminders.

6. Coaching Taking the Checklist to the Next Level

7. Listening Asking Questions Trying to improve people’s performance What Coaching Is

8. Telling Criticizing Instructing What Coaching Isn’t

9. Ask Questions “I noticed that... can you help me understand?” “I saw that you..... can you explain?” “I observed that you.... What could you have done differently?”

10. Who Makes a Good Coach? The best coaches are: –coachable –respected by their peers –Understand how to give feedback

11. Checklist Implementation and Use Best Practices

12. The Team Kimberly Hubbard, MHA Project Coordinator SCHA Ashley Kay Childers, PhD Systems Engineer SCHA Clemson University

13. Education, Development, and Publicity Newsletters, posters, flyers Saves/good catches Debriefing output can be used for QI Grassroots education –Peer to peer communication –Make it personal –Understanding of checklist components Board members, administration observations

14. Checklist Execution Hard stops, huddle around the patient Wait until everyone in the room is ready Review checks from a hard copy –Do not rely on your memory! –Paper copy, poster on wall, card –Review checks in order; do not omit –Conversational flow Everyone should participate –Introductions are important –Designate talking points

15. Contact Us with Questions, Concerns, or If You Would Like us to Visit Your Hospital Ashley Kay Childers: childer@clemson.edu Kimberly Hubbard: KHubbard@scha.org

16. This Week’s Poll 1.Have you or your colleagues completed the online training for the observation tool? 2.Have you or one of your colleagues used the teamwork observation tool in at least one case? 3.Have you or one of your colleagues used the checklist implementation observation tool in at least one case? 4.Have you used the observation tools together in one case?

17. Observation Tools We have made some minor modifications to the tools and the online training. Both observation tools should be used together in a given case.

18. Announcements We will send out the updated call series agenda through the end of August following today’s call. The webinar on Tuesday, August 9 th will be cancelled. Office hours on Friday, August 12 th will be cancelled.

19. This Week’s Homework Continue to implement the checklist. Use the Surgical Safety Checklist and Teamwork Observation tool in at least one case.

20. ? ? Questions

21. Ask Us a Question By Using the Raise Hand Button

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

23. Next Week’s Call: Coaching Continued, Speaking to Your Nursing and Surgical Tech Colleagues, and Hospital’s Will Share Their Experiences

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