Refuse to Settle: The Journey From Ordinary to Extraordinary - PowerPoint PPT Presentation

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Refuse to Settle: The Journey From Ordinary to Extraordinary

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  1. Refuse to Settle: The Journey From Ordinary to Extraordinary Bruce Spurlock, M.D. Cynosure Health

  2. It is natural to settle for less than the best – why? • What happens if we refuse to settle? • How do we move from ordinary to extraordinary?

  3. Stage 1 - Becoming aware that you are settling

  4. Normalization of Deviance

  5. violations migration normalization of deviance acceptable risk intentional non-compliance

  6. I can handle it. I can get away with it. I can’t help it. Everyone does it. Its what they really want. They’ll turn a blind eye.

  7. Delay in feedback

  8. Examples • Hand Hygiene • Readmissions • VTE prophylaxis • Poor surveillance • Inadequate or no data collection • Overlooking the hard stop

  9. Misinterpretation of results

  10. Examples • “I never have these types of complications” • “The data are wrong” • “The problem is with X department” • Good catch – we don’t need to worry about it

  11. Stage 2 – Seeing what is possible

  12. Shock Alert Outcomes From Sebat, et al. Chest 2005

  13. This is excellence! Already Low Rates Mercy Hospital, Oklahoma City

  14. Northern New England Cardiovascular Group

  15. Benewah Community Hospital

  16. Stage 3 – Launching an Effective Action Plan

  17. Have you ever performed an RCA which resulted in the following conclusion: 1. Policy is correct.2. Policy not followed.

  18. Step 1 - Find one patient story a month

  19. Step 2 – Get great ideas from each other www.hret-hen.org

  20. Step 3 – Use a system for improvement

  21. Direct the Rider Motivate the Elephant Shape the Path

  22. It is natural to settle for less than the best – why? • What happens if we refuse to settle? • How do we move from ordinary to extraordinary?