call 4: checklist modification/customization

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Call 4: Checklist Modification/Customization

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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 . - PowerPoint PPT Presentation

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Page 1: Call 4:  Checklist Modification/Customization

Call 4: Checklist Modification/Customization

Page 2: 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.

• 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.

Page 3: Call 4:  Checklist Modification/Customization

How Did the Homework Go?

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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: [email protected] 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.

Page 5: Call 4:  Checklist Modification/Customization

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.

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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

Page 7: Call 4:  Checklist Modification/Customization

Poll 3: Are you planning on being on next week’s

webinar?• Yes• No• Not sure yet

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Meeting the Team

Rick Foster, MDSVP, Quality & Patient Safety

SCHA

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Today’s Topics• The importance of modifying the checklist

for your hospital.

• Modification 101.

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

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Checklist Modification 101

The Next Step in Your Journey:Make Me Your Own

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This Checklist Is Not . . .• An algorithm.

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

• A “tick boxing” exercise.

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This Checklist is . . .

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

• Performed as a team and read aloud.

Teamwork is Hiding

in the Checklist

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Origin of Checklist Items

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Universal Protocol/Sta

ndard of Practice

SCIP

WHO/SC Checklist

Page 15: Call 4:  Checklist Modification/Customization

Universal Protocol/Sta

ndard of Practice

SCIP

WHO/SC Checklist

Page 16: Call 4:  Checklist Modification/Customization

Universal Protocol/Sta

ndard of Practice

SCIP

WHO/SC Checklist

Page 17: Call 4:  Checklist Modification/Customization

Universal Protocol/Sta

ndard of Practice

SCIP

WHO/SC Checklist

Page 18: Call 4:  Checklist Modification/Customization

Checklist Modification Basics

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The Basics

• 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.

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Things to Keep In Mind When Modifying the

Checklist

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Brief• 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.

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When Adding and/or Removing Items Ask Yourself . . . .

Is this a critical safety step at risk for being

missed?

Is this adequately checked by

other mechanisms?

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

present?

Can something be done about

it?

Is this a safety step that you

might not notice if it is not done?

Page 24: Call 4:  Checklist Modification/Customization

Is the Checklist the Best Way to Take Care of This?

• Glycemic Control• Fire Risk Assessment• Hair Removal • Checking Pressure Points

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“If the item will not help you, will this item help

anybody here?”

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Lynn WythePalmetto Health Baptist

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This Week’s Homework• 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: [email protected].

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

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??Questions

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Ask Us a Question By Using the Raise Hand Button

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Next Call:

Small Scale Testing, Table Top Simulation, and the

Checklist as a Documentation Tool

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Resources

Website:www.safesurgery2015.org

Email: [email protected]