Webinar 8: Engaging Your Colleagues

1. Webinar 8:Engaging Your Colleagues

2. Summary of Last Week’s Call • Updated you on the webinar specifically for surgeons. • Checked in with participants. • Reviewed the testing of the checklist and where we are going over the next couple of weeks. • Discussed expanding the checklist from one team using it in one case to testing the checklist for an entire day with one team. • Discussed hospital visits by the South Carolina Hospital Association. • Briefly discussed teaching teams to use the checklist with demonstration video from your hospital.

3. How Did the Homework Go?

4. Homework to Date Slide 1 of 2 • Build an implementation team. • Schedule a time and venue for a meeting to take place after January. • Download the OR Personnel Spreadsheet from our website and begin completing the information with the names, roles, and email addresses if relevant. • Review the checklist modification guide and South Carolina Checklist Template. • Modify the checklist with your implementation team and use it in a “table-top simulation”. • Test the checklist with one team and modify if necessary.

5. Homework to DateSlide 2 of 2 • Email us a picture of your checklist implementation team. • Identify departmental meetings to have the implementation team speak after call 10. • Expand the testing of the checklist to one team using the checklist for every case for one day. Modify the checklist as necessary. • Email us your hospital’s checklist. • If you haven’t already done so, please call or email our team about whether you would like to administer the culture survey. • Email everything to safesurgery2015@hsph.harvard.edu

6. What To Focus Your Efforts On Over the Next Couple of Weeks • Continue to test the checklist at your hospital. On the last webinar we asked for you to test it for an entire day with one OR Team. • This webinar and the next one are extremely important. • We are not going to ask you to do a lot of homework over the next two-weeks. • We would like to get all of the culture surveys back from you before mid February so we can provide you with the results at a time that helps you with the checklist implementation. • In order to do this we need all of your information from you. Jim will call you or send you an email with the information that we need to move forward with the surveys.

7. Poll 1: If We Were to Put the Webinar for Next Thursday Back on the Schedule, Could you attend? • Yes • No • Maybe

8. Today’s Topics • Methods of engaging your colleagues. • The importance of one-on-one conversations. • Live demonstrations of what this conversation might sound like. • More details on the South Carolina Video Competition. • April Patient Safety Symposium

9. Poll 2: In Previous QI Projects in the OR, How Have You Engaged Physicians?Please Check All That Apply: • Created Posters • Put Information on Bulletin Boards • Announced it at a Large Meeting • Held Departmental Meetings • Sent Emails • Talked to Physicians one-on-one • We have never done a QI project that directly involved physicians

10. The Next Step In Our Journey: Engaging Your Colleagues With a One-on-One Conversation

11. Methods of Engagement • Posters • Bulletin Boards • Large Meetings • Departmental Meetings • Emails • Hospital Newsletters • One-on-One Conversations

12. Surgical Team Engagement • Everyone who will be touched by the project should be engaged with at least 1 one-on-one conversation as we move beyond small-scale testing. • This includes: anesthesiologists, CRNAs, nurses, surgeons, techs, perfusionists, anybody else that works in the OR.

13. Nothing Replaces this Conversation • Staff meetings don’t count. • Emails don’t count. • Posters don’t count. • Bulletin boards don’t count.

14. Rules to Guide Us • Teach them • Show them • Have them do it

15. Points to Discuss when Engaging Physicians (Part 1) • Introduce the checklist and emphasize teamwork and communication. • Everyone in our hospital tries to be safe. • We are looking to you for leadership. • You can set the tone for the entire operation. • Other members of the surgical team will follow your patterns of communication.

16. Points to Discuss when Engaging Physicians (Part 2) • This is an opportunity to make your plan clear, answer questions, demonstrate openness, and professionalism. • Do you think that this will help anybody else here? • Will you help us with this work? • Thank you

17. What does this conversation sound like with a surgeon?

18. Points to Discuss when Engaging Physicians (Part 1) • Introduce the checklist and emphasize teamwork and communication. • Everyone in our hospital tries to be safe. • We are looking to you for leadership. • You can set the tone for the entire operation. • Other members of the surgical team will follow your patterns of communication.

19. Points to Discuss when Engaging Physicians (Part 2) • This is an opportunity to make your plan clear, answer questions, demonstrate openness, and professionalism. • Do you think that this will help anybody else here? • Will you help us with this work? • Thank you

20. What You Might Hear From a Physician . . .

21. “I am already safe, I don’t need this”

22. “It takes too long”

23. “We Already Do This”

24. “My Team knows what I want without me asking.”

25. Something to Consider: Make a Checklist Demonstration Video

26. Why Make a Video? • Having a video from your hospital, with your colleagues, using your checklist is worth a thousand words. • Train surgical teams on how to use the checklist with the video. • Use it to build momentum for the larger roll-out. Show your video in meetings.

27. Safe Surgery 2015: South Carolina Video Competition • We will release the guidelines at a later date. • The winner will be announced at the 2012 Patient Safety Symposium on April 25th.

28. April Patient Safety Symposium:OR Team Training • On Tuesday, April 24th we will be holding an OR Team Training Session. • The goal of this session is to train checklist implementation teams the curriculum so they can return to their facilities and teach it. • Consider sending members of your checklist implementation team to this training. • If you can, bring your physician champions. • Contact Mary Stargel for more information: Email - mstargel@scha.org.

29. April Patient Safety Symposium: Keynote & Breakout Sessions • Atul Gawande will be a keynote speaker. • Our team will be holding a breakout session, the afternoon of the 25th. • If possible, we want you and your implementation teams to attend. • This will be an interactive learning session where we will talk about lessons learned.

30. This Week’s Homework • If you haven’t already done so, send us an email letting us know if you will be administering the culture survey. • If you have started to administer the culture survey, please continue to do so. • Identify people that you think will be skeptical of using the checklist. We will discuss strategies to use when you talk to them on the next webinar. • If possible we would like for you to organize yourselves for the one-on-one conversations, but not to start holding them until after our next webinar.

31. ? Questions

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

33. Office Hours:Tuesday from 2:00-3:00

34. Next Call:Maybe Next Thursday the 26th or February 9th, 2012Engaging Your Colleagues Continued

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