1 / 17

Growing A Culture of Safety

Growing A Culture of Safety. The Beginning Landscape. County-Run Level I Trauma Center, Lion’s Burn Center, Transplant Center, and Teaching Hospital with the largest free-standing trauma center west of the Mississippi 26 Operating Suites and Procedure Rooms 1500+ cases per month (24/7, 365)

vidor
Download Presentation

Growing A Culture of Safety

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Growing A Culture of Safety

  2. The Beginning Landscape • County-Run Level I Trauma Center, Lion’s Burn Center, Transplant Center, and Teaching Hospital with the largest free-standing trauma center west of the Mississippi • 26 Operating Suites and Procedure Rooms • 1500+ cases per month (24/7, 365) • Approximately 210 full-time employees • Affiliation with Univ. School of Med. So. NV • Four-state catchment, includes: SW Utah; NW Arizona; parts of Southern California; and Nevada • Las Vegas: Major transient and tourist population • Recent EHR implementation

  3. Presentation Objectives • Structural Support • Team selection • Leadership Support • Expert Champions • Developing and growing SUSP concepts • Staff engagement • Enacting change • Lessons Learned

  4. Structural SupportTeam Selection • Identify Team Requirements • Members: • Strengths • Technical Knowledge • Personality Characteristics • Member Availability: • Heavy OR days / times • Leadership • Foster support at all levels of leadership • Procure Expert Champions • Physicians, ancillary department heads, etc.

  5. Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN! • Develop educational opportunities relevant to employee population • Education Day(s) • Identify windows of opportunity • Weekend In-Services • Contest(s) with incentive(s) • Partner with professional organization(s) • Offer CEU’s

  6. Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN! • Staff Education Day • 12 Education stations • Science of Safety Video • Staff Safety Assessment Survey • Numerous other educational opportunities • Staff volunteered for presentations at stations • Employee-driven subject matter • Certificates of Appreciation awarded

  7. Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN! • Tidbit Trivia Contest • Tidbits of SUSP information emailed weekly • Monthly “Trivia Contest” about emailed tidbits • Score 100% to be entered in drawing • Entrant name placed in drawing for $25 gift card • Winners drawn at monthly staff meeting • Handouts with trivia questions and answers available at staff meeting

  8. Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN! • Partnered with local AORN Chapter • Encouraged educational awareness • Offered free CEUs • Patient Positioning Safety • Normothermia • Sterile Technique

  9. Staff Engagement OutcomesLearning Can Be FUN! • Education Day • Reinforced team concepts and boosted morale • Employee enthusiasm and participation • Tidbit Trivia • Apathetic response • Decreased quantity of trivia and question complexity • Posted hard copies of trivia and questions • Cancelled due to lack of participation • Workstation access? • AORN Partnership / Educational Seminar • Employee enthusiasm and participation • Weekend In-Services • Employee enthusiasm and participation

  10. Nurturing New GrowthAdding Nutrients • Utilize Staff Safety Assessment Survey Results • Act on issues identified by staff • Share evidence-based SUSP information • Knowledge improves acceptance • Develop Cheerleaders! • Garner employee support to promote SUSP concepts

  11. Watching It Grow! • Added physician champions • Incorporated new WHO timeout guidelines • Incorporated Central Line Bundles in OR • Improved Hand-off Communication • Beta Blocker • Isolation • Moved clipping from OR to Pre-Op • Improved patient education • Easier access to hand sanitizers • Integrated charge RN meetings • Implemented PUP in pre-op holding

  12. Watching It Grow! • Senior leadership empowers RN’s as patient advocate • Distribution of SUSP Concepts • Surgery Residents • Monthly Meetings • Surgery Committee Meeting • CAUTI Meetings

  13. Weeding Out The Unwanted • Hasty departures from pre-op holding • Poor communication habits • PPE excursions outside the OR • Poor hand hygiene • Knowledge deficits • “Silo” mentality • Operative positioning tissue injuries

  14. What Have We Learned? • SUSP Project • Success = Dedication! • Initial enthusiasm begins to wane in 2nd year • Need revitalizing booster shot • Not everything works as planned • i.e. Tidbit Trivia • Surgical Site Infections (SSIs) • ↑ Rate of CABG SSIs after EHR implementation • Suspect: WOW usage / Inadequate hygiene • Improved knowledge [may not]translate to practice (SSI’s can ↑) Expect Resistance - Old habits die hard !

  15. UMC’s Future Landscape • Sprouted new initiatives! • SUSP “Tidbits” Repurposed • Infection Control Committee Meetings • Skin Council Meeting • Articles in • WOW pop-up hygiene reminders

  16. More To Come…. • Posters promoting xxxdays without an SSI • Posters promoting xxxprocedures without an SSI • Service Line Incentive Competition

  17. Thanks for joining us! Questions?

More Related