1. Webinar 18: Keeping the Checklist Going

2. Summary of Last Week’s Call Teamwork in the Operating Room –Overview –The Checklist as a Teamwork Tool –Closed Loop Communication –Speaking Up –Measuring Teamwork in Your Operating Rooms

3. How Did the Homework Go?

4. Homework to Date Slide 1 of 4 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 Date Slide 2 of 4 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. Identify people that you think will be skeptical of using the checklist and try to talk to them before you hold a large meeting.

6. Homework to Date Slide 3 of 4 Organize and conduct one-on-one conversations. Create a checklist demonstration video for your hospital. Decide if the checklist will be used in paper or poster form. Finalize your hospital’s checklist, please send it to us so we can see how you made the checklist work for you. Start your checklist advertizing campaign. Prioritize surgical specialties for the roll-out using your knowledge of which surgeons will be most receptive to the checklist. Create a timeline for your hospital’s expansion and send it to the Safe Surgery 2015 team.

7. Homework to Date Slide 4 of 4 Continue to: –Administer the culture survey –Have one-on-one conversations with as many people as you can –Hold departmental meetings –Implement the checklist Create a checklist demonstration video and consider submitting it to the video competition. Mark your calendars and register to attend the 2012 April Patient Safety Symposium. If you have not already done so, hold the large inter- disciplinary meeting that you scheduled at the beginning of the call series.

8. Today’s Topics Ongoing Support – Keep In Touch With Us One Hospital’s Checklist Journey, Baptist Easley Tips on Sustaining Checklist Use Special Thank You: –South Carolina Hospital Association –Atul Gawande A Recap of Our Journey Together

9. Poll 1: Are You Planning on Using the Checklist Coaching Tool to Measure Checklist Use? Yes No We are still thinking about it

10. Poll 2: Are You Thinking About Using the Teamwork Coaching Tool? Yes No We are still thinking about it

11. Poll 3: Would It Be Possible to Use Both of the Tools Together in a Case? Yes No I am not sure

12. Ongoing Support

13. Check-in Calls & Upcoming Events Please put the following on your calendar: Two-Month Check-in Call Thursday, June 21 st 2:00-3:00 Two-Month Check-in Call Thursday, June 21 st 2:00-3:00 Five Month Check-in Call Thursday, September 27 th 2:00-3:00 Five Month Check-in Call Thursday, September 27 th 2:00-3:00 Patient Safety Symposium April 24th-26th Patient Safety Symposium April 24th-26th

14. What Happens If You Aren’t Done Every hospital is at a different stage in implementation. Just because the call series ends doesn’t mean the work ends. Everybody should continue with the implementation and homework assignments. Our team is available to assist in anyway possible.

15. Keep In Touch With Us Check-in Calls Office Hours –Every Tuesday from 2:00-3:00 Ask the SCHA to Visit Your Hospital Email or Call Us

16. Feedback About the Call Series We want to know how the call series went for you. We will contact you over the next month to set-up a time for us to get your feedback. –What could we have done better? –Did the pace of the call series work for you? –Should we spend more/less time on certain subjects. –Should we cover other subjects?

17. Wave 3 The webinar series will be repeated again in the Fall. Wave 3 will run from October 2012 – June 2013. Wave 3 will also include three in-person meetings and will go into more depth about reducing SSI rates and DVT Prophylaxis Prevention. All hospitals, including yours, are welcome to participate. We might ask for your help from time to time on the webinars.

18. Baptist Easley Hospital “Treat Patients Like We Would Want Our Family Members to Be Treated”

20. Sustaining the Use of the Checklist

21. Preventing Problems One-on-One conversations

22. Fixing Problems Coach surgical teams and individuals in the OR. If you identify a team or team member that is not using the checklist have an individual or a team conversation.

23. What Are Some Things You Can Do Now? Use the observation tools to see how team’s are using the checklist and coach them. Then don’t stop using them. Collect and post instances of when the checklist catches something. Consider having individual conversations with some front-line staff, including physicians and ask them how they think it is going. Repeat the culture survey with us in one year.

24. Lorri Gibbons, RN, BSN, CPHQ Vice President Quality & Patient Safety SCHA Thank You Rick Foster, MD SVP, Quality & Patient Safety SCHA

25. Atul Gawande, MD, MPH

26. A Recap of Our Journey Together

27. Call Series Introduction

28. Background of the WHO Surgical Safety Checklist

29. Baseline OR Surgical Safety Culture Survey

30. Checklist Modification & Customization

31. Checklist Modification 101 Continued, Small Scale Testing, and the Checklist as a Documentation Tool

32. Testing the Checklist in the Operating Room

33. Review Call and the Importance of Hospital Visits

34. Engaging Your Colleagues

35. Preparation for Expansion to Full Implementation: Advertizing the Checklist

36. Preparation for Expansion to Full Implementation: Planning

37. Checklist Best Practices

38. Implementation Barriers

39. Improving the Use of the Checklist Through Coaching

40. Measuring Checklist Use and Impact & Your Feedback

41. Teamwork in The Operating Room

43. Keep In Touch With Us Come to the Patient Safety Symposium Call into Office Hours Email Us Call Us

44. Office Hours: Continuing Every Tuesday from 2:00-3:00

45. Resources Website: www.safesurgery2015.org Email: safesurgery2015@hsph.harvard.edu Thank you!