1. Webinar 6: Checklist Modification, Small Scale Testing, and Coaching Call

2. Summary of Last Week’s Call Check-in with SC hospitals to see if you are with us. Doing the homework assignments is important to your implementation. Different ways to take the checklist into your OR for testing and in the future. Let us know if you have encountered barriers or if we can clarify anything related to this project.

3. How Did the Homework Go?

4. Last Week’s Homework Designate if you are going to participate in the research portion of this work. Compile and send us a spreadsheet of your OR Personnel. Start/continue to administer the culture survey. Have the same team use the checklist in every case for one day. Modify as necessary and send us your checklist.

5. Feedback From Our Trip to SC Only one-member of the implementation team needs to participate on the webinars. The webinars are recorded and can be viewed at anytime if you or your colleagues are unable to make the webinars. This project is about improving patient safety and care.

6. Announcements Updated Call Series Agenda Webinar Survey –Last week we spent time making sure that everybody on the call series is with us. –We surveyed participants on the call and sent a follow-up survey to everybody. –If you were not on last weeks call and haven’t already done so, please complete the survey. –We will send a reminder email to everybody again

7. This Week’s Poll 1.Have you used your checklist using a “table-top simulation”? 2.Have you tested the checklist with one team in one case in the OR?

8. Topics Covered on Today’s Call Expanding the checklist testing to an additional team. –Selecting the right people to test the checklist with and how to prep teams for using the checklist for the first time. Advertising the checklist in preparation for the expansion. Coaching each other- Share your experiences thus far with other participants. Starting to use the measurement tools.

9. Using the Checklist with an Additional Team Think about the next team that you are going to test the checklist with. Test with a team that has an enthusiastic anesthesia provider, nurse, surgeon, and tech.

10. Finding an Enthusiastic Surgeon Find an “informal leader”. The person that people look up to. Ask the nurses, if you don’t know. Ask the surgeon on your implementation team to ask them to test the checklist.

11. Prior to Testing Talk to Everybody on the Surgical Team “We are bringing a checklist into our ORs.” “The checklist builds on what we already do.” Show him/her your hospital’s checklist with their parts highlighted If you have time run through the checklist with everybody before they bring it into the OR.

12. What Can Happen if you Don’t Talk to Everybody

13. Providence Hospital

14. Share Your Experiences

15. This Weeks Take Homes Picking the right people to test the checklist next is vital to your success. Talking to everybody before they use the checklist is important even while testing. Sharing your experiences with other hospitals on these calls will contribute to everybody’s knowledge.

16. This Week’s Homework Start/Continue to administer the culture survey. –If you would like us to administer the survey for you, we will start the process next Monday. Work with an additional surgical team to test the checklist in as many surgical cases as you can. Modify the checklist as necessary and send us a copy of your checklist. Use the checklist observation tool in the cases that are testing the checklist.

17. Using the Surgical Safety CHECKLIST Observation Tool

18. Learning How to Use the Tool Implementation leaders/people managing the observations should initially use this tool in the OR. This will enable you to train circulating nurses to use this tool effectively.

19. This Week’s Homework Start/Continue to administer the culture survey - If you would like us to administer the survey for you, we will start the process next Monday. Work with an additional surgical team to test the checklist in as many surgical cases as you can. Modify the checklist as necessary and send us a copy of your checklist. Use the checklist observation tool in the cases that are testing the checklist. Members of the implementation team need to complete the web-based training for the teamwork observation tool.

20. Overview of the Surgical TEAMWORK Observation Tool & Accompanying Training

21. Training for Using the TEAMWORK Tool http://safesurgery.teamtraining.sgizmo.com/s3

22. This Week’s Homework Start/Continue to administer the culture survey - If you would like us to administer the survey for you, we will start the process next Monday. Work with an additional surgical team to test the checklist in as many surgical cases as you can. Modify the checklist as necessary and send us a copy of your checklist. Use the checklist observation tool in the cases that are testing the checklist. Members of the implementation team need to complete the web-based training for the teamwork observation tool. Identify departmental meetings to have the implementation team speak at following June 28 th.

23. ? ? Questions

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

25. Next Week’s Call: Effectively Using the Observation Tools and Other Aspects of the Monitoring Program

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