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Call 4: Checklist Modification/Customization. Last Week’s Call. Culture survey background and development. The benefits of using the culture survey as a baseline for your hospital. Administering the culture survey in your ORs .

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Call 4 checklist modification customization

Call 4: Checklist Modification/Customization


Last week s call
Last Week’s Call

  • Culture survey background and development.

  • The benefits of using the culture survey as a baseline for your hospital.

  • Administering the culture survey in your ORs.

  • Eric Murdock from Palmetto Richland shared how he administered the culture survey at his hospital.

  • Strategies for getting staff and physicians to complete the survey.



Homework to date
Homework to Date

  • Build an implementation team.

  • Schedule a time and venue for a meeting to take place after January.

  • Send us an email at: safesurgery2015@hsph.harvard.edu letting us know how you would like to administer the survey at your hospital. Please also include your mailing address in this email.

  • Download the OR Personnel Spreadsheet from our website and begin completing the information with the names, roles, and email addresses if relevant.


Poll 1 how will you be administering the culture survey
Poll 1: How Will You Be Administering the Culture Survey?

  • Staff will get the survey via email and physicians will complete it on paper.

  • Everybody will complete the survey on paper.

  • We will not be administering the survey.


Call 4 checklist modification customization

Poll 2: Would Surgeons at Your Hospital Be Interested in Attending a Special Webinar Dedicated to Talking to Surgeons About This Project? This webinar would be held early in the morning or in the evening on January 12th.

  • Yes

  • No


Poll 3 are you planning on being on next week s webinar
Poll 3: Are you planning on being on next week’s webinar? Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • Yes

  • No

  • Not sure yet


Meeting the team
Meeting the Team Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

Rick Foster, MD

SVP, Quality & Patient SafetySCHA


Today s topics
Today’s Topics Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • The importance of modifying the checklist for your hospital.

  • Modification 101.

  • Lynn Wythe from Palmetto Baptist will share her experiences implementing the checklist.


Checklist modification 101
Checklist Modification 101 Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

The Next Step in Your Journey:

Make Me Your Own


This checklist is not
This Checklist Is Not . . . Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • An algorithm.

  • A tool to train people how to do their jobs.

  • A “tick boxing” exercise.


This checklist is
This Checklist is . . . Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • A reminder for the surgical team to perform/discuss critical safety steps for every patient every time.

  • Performed as a team and read aloud.

Teamworkis Hidingin the Checklist


Origin of checklist items

Origin of Checklist Items Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?


Call 4 checklist modification customization

Universal Protocol/Standard of Practice Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

SCIP

WHO/SC Checklist


Call 4 checklist modification customization

Universal Protocol/Standard of Practice Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

SCIP

WHO/SC Checklist


Call 4 checklist modification customization

Universal Protocol/Standard of Practice Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

SCIP

WHO/SC Checklist


Call 4 checklist modification customization

Universal Protocol/Standard of Practice Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

SCIP

WHO/SC Checklist


Checklist modification basics

Checklist Modification Basics Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?


The basics
The Basics Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • One size doesn’t fit all. Every hospital should modify the checklist (more than one checklist might be needed).

  • Checklist modification creates buy-in and ownership.

  • The checklist is designed to promote teamwork and communication . . . don’t remove teamwork/communication items.


Things to keep in mind when modifying the checklist

Things to Keep In Mind When Modifying the Checklist Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?


Brief
Brief Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • Each section (Before Induction of Anesthesia, Before Skin Incision, and Before the Patient Leaves the Room) should take < 1 minute.

  • The checklist should never take longer than the procedure.

  • The checklist should fit on one page.


When adding and or removing items ask yourself
When Adding and/or Removing Items Ask Yourself . . . . Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

Is this a critical safety step at risk for being missed?

Is this a safety step that you might not notice if it is not done?

Is this item discussed at a time when all relevant team members are present?

Is this adequately checked by other mechanisms?

Can something be done about it?


Is the checklist the best way to take care of this
Is the Checklist the Best Way to Take Care of This? Attending a Special Webinar Dedicated to Talking to Surgeons About This Project?

  • Glycemic Control

  • Fire Risk Assessment

  • Hair Removal

  • Checking Pressure Points



Lynn wythe palmetto health baptist
Lynn Wythe anybody here?”Palmetto Health Baptist


This week s homework
This Week’s Homework anybody here?”

  • Review the checklist modification guide and South Carolina Checklist Template.

  • Modify the checklist with your implementation team.

  • Email our team to let us know how you are going to administer the culture survey: safesurgery2015@hsph.harvard.edu.

  • Complete the OR Personnel Spreadsheet with the names and roles of everybody in your OR.


Call 4 checklist modification customization

? anybody here?”

Questions



Next call small scale testing table top simulation and the checklist as a documentation tool

Next Call: anybody here?”Small Scale Testing, Table Top Simulation, and the Checklist as a Documentation Tool


Resources
Resources anybody here?”

Website:

www.safesurgery2015.org

Email: safesurgery2015@hsph.harvard.edu