Qmentum ROPs: Tips and Tools for Implementation in Your Organization

1. Qmentum ROPs: Tips and Tools for Implementation in Your Organization Teague Lamarche & Greg Kennedy Canadian Patient Safety Officer Course Ottawa, Ontario April 14, 2011

2. Overview • 1) VTE prophylaxis • 2) Safe surgery checklist • 3) Falls prevention strategy • Rationale • Clarification on expectations • Examples from the field • Exercise: Challenges & Solutions

4. The ROP Handbook • New version released February 2011: www.accreditation.ca • Provides full listing of ROPs, including reference sections

5. VTE Prophylaxis • ROP: The team identifies medical and surgical clients at risk of VTE (DVT and PE) and provides appropriate thromboprophylaxis.

6. Tests for Compliance • The organization has an organization-wide, written thromboprophylaxis policy or guideline. • The team identifies clients at risk for VTE (DVT and PE) and provides appropriate evidence-based, VTE prophylaxis.

7. Tests for Compliance cont. • The team establishes measures for appropriate thromboprophylaxis use, audits the implementation of appropriate thromboprophylaxis, and uses this information to make improvements to their services.

8. Tests for Compliance cont. • The team identifies major orthopedic surgery clients (hip and knee replacements, hip fracture surgery) who require post-discharge prophylaxis and has a mechanism in place to provide appropriate post-discharge prophylaxis to such clients. • The team provides information to health professionals and clients about the risks of VTE and its prevention.

9. Paediatric Exemption • Applies to patients ≥ 18 years of age • Paediatrics hospitals will not be expected to implement this ROP

10. SHN! Getting Started Kit • Lead by the team at Sunnybrook Health Sciences Centre, in collaboration with SHN! and ISMP-Canada

11. Safe Surgery Checklist The View From Aviation: “One wonders whether such checklists would have been introduced much earlier in medicine if surgeons shared the fate of their patients, as pilots share that of their passengers” Adrian Boelen, Retired Pilot Dorval, Quebec

12. Safe Surgery Checklist • ROP: The team uses a safe surgery checklist to confirm safety steps are completed before beginning a surgical procedure.

13. Two-fold Purpose of Checklist • Communication tool • Patient safety tool

14. Tests for Compliance • The team has agreed on a standard checklist to be used in the operating room.

15. Tests for Compliance cont. • The team uses the checklist ‘before’ every surgical procedure. • Content references the 3-stage checklist: • Briefing • Time out • Debriefing

16. Tests for Compliance cont. • The team has an ongoing process of monitoring compliance with the checklist.

17. Tests for Compliance cont. • The team evaluates the use of the checklist and shares results with staff and service providers. • The team uses results of the evaluation to make improvements to implementing and expanding the use of the surgical checklist.

18. Falls Prevention Strategy - Compliance

19. Falls Prevention Strategy • ROP: The team implements and evaluates a fall prevention strategy to minimize the impact of client falls.

20. Tests for Compliance • The team has implemented a falls prevention strategy. • The strategy identifies the populations at risk for falls.

21. Tests for Compliance cont. • The strategy addresses the specific needs of the populations at risk for falls.

22. Tests for Compliance cont. • The team evaluates the falls prevention strategy on an ongoing basis to identify trends, causes, and degree of injury. • The team uses the evaluation information to make improvements to its falls prevention strategy.

23. Exercise ROPs: Challenges & Solutions 23

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