building a culture of respect and safety: how can you make a difference in your workplace?...

Building a Culture of Respect and Safety:How can you make a difference in your

workplace?

PeriAnesthesia Nurses Association of British ColumbiaOctober 26, 2013

Rebecca Brooke & Marlene Weeks

What is culture?

Why does it matter?

• [data showing effects of culture on clinical outcomes] From Pascal metrics

If we had a mirror…

How do we change culture?

Individuals can…Be Situational Leaders

Individuals can…Be Situational Leaders

Briefing:Who is on the team?Goals? Roles and Responsibilities?Plan of care? Staff? Resources?

Debriefing: Process Improvement; Informal after event;Improve teamwork, improve outcomes“What should we do differently next time?”

Individuals can…Be Situational Leaders

Huddle:“touch-base”; Emerging events. Concerns!Outcomes/Contingencies? Resources?

Groups can…

The Victoria General Journey• March 2010 – New Manager• Fall 2010 - Rotations• December 2010 – New Manager Ready to Quit• January 2011 – Stop the Bus• March 2011 – 5 Dysfunctions • May 2011 – MBTI Formal and Informal Leaders• June 2011 – Vision, Mission, and Values – Start• July 2011 – Motivation Survey - RN• September 2011 – Motivation & Efficiency Survey – All Disciplines• October 2011 – Gallup• November 2011 – SQAN/Morale• Fall 2011 – DOBA Issues

The Victoria General Journey

• Jan-May 2012 DOBA and New Rotations• March to June 2012 – Teamwork and Culture Survey• October 2012 – Halloween Vision and Values Work• November 2012 – Communication and Efficiency

Survey• November 2012 – TLC Board• November 2012 to September 2013 Short Staffed• February to May 2013 Values Exercises• June 2013 - Gallup

J & CDear Marlene,

I was involved in an incident with a co-worker Friday afternoon. It was personal in nature and did not involve a patient but it is a serious matter and I felt I should bring it to your attention. The co-worker involved is C and the fault in this incident lies completely with me. C and I spoke at length on Saturday about what transpired and I think we have come to an understanding but I am heartbroken about what I have done and would really appreciate a meeting with you and hopefully L to discuss the matter. I start work at 14:45 Monday but can come in at any time during the day to meet with you. I look forward to hearing back from you.

J

Your turn

• How can we connect with our shared values?• How can you create a ripple effect in your

organization?

Contact usRebecca BrookeQuality Improvement Coordinator, The Ottawa HospitalPreviously Quality Leader, BC Patient Safety and Quality Council

RBrooke@toh.on.ca

Marlene WeeksOR Manager, Victoria General Hospital

Marlene.Weeks@viha.ca

ResourcesGeoff Schierbeck, Quality Leader at BCPSQC

Gschierbeck@bcpsqc.cahttp://bcpsqc.ca/clinical-improvement/teamwork/resources/