1. The 4 th Quarter Report Bill Berry, MD, MPH Chris Wright, MD

3. Our Goal Have a customized version of the WHO Surgical Safety Checklist used in a meaningful way to improve teamwork and communication in the operating room for every patient undergoing surgery in South Carolina by the end of 2013

4. The Joint Commission Time Out Is A Gift

6. Blood, Sweat, and Tears Over 2,000 hours total learning about checklist implementation on webinars and office hoursOver 2,000 hours total learning about checklist implementation on webinars and office hours 315 Hours Visiting Hospitals315 Hours Visiting Hospitals 40 hours providing OR Team Training40 hours providing OR Team Training 540 hours creating materials for hospitals to use to put the checklist into place540 hours creating materials for hospitals to use to put the checklist into place Over 150,000 total hours spent across the state putting the checklist into placeOver 150,000 total hours spent across the state putting the checklist into place Over 26,000 miles traveledOver 26,000 miles traveled More than 1,300 people working on this projectMore than 1,300 people working on this project

7. Current Hospital Participation 66 Hospitals Perform Surgery South Carolina 61 SC Hospitals Have Participated in This Project At Some Level

8. What is the Score in South Carolina?

9. The Surgical Checklist From A Surgeon’s Perspective Chris Wright, MD

10. Why is Change So Hard?

11. 8/1/2010 – 3/15/2011 Planning & Relationship Building 4/1/2011 – 8/30/2011 Checklist Implementation Early Adopters - Wave 1 - 11/3/2011 – 4/26/2012 Checklist Implementation Continued - Wave 2 - 5/1/2012 – 9/15/2012 Material Revisions & Safe Surgery 2015 Expansion Planning 10/17/2012 – 6/20/2013 Surgical Teamwork Collaborative Every hospital should participate 7/1/2013 – 12/31/2013 Clean up & Final Analysis The Timeline

12. Surgical Teamwork Collaborative – Wave 3 - Starts October 17 th, 2012Starts October 17 th, 2012 Every should participateEvery should participate Three in-person meetings, webinars, and OR Team TrainingThree in-person meetings, webinars, and OR Team Training

13. The Challenge of Involving Patients In Safe Surgery 2015: South Carolina

14. This is a quality improvement project that can’t be done by the nurses alone. Everyone is in the room for the patient and we all need each other’s support and encouragement. Surgery is a team effort and the most effective and safe teams recognize that.

15. In Medicine - Competence Is Often Measured By The Ability to Remember

16. Physician Acceptance is the Critical Factor in Successful and Meaningful Use of the Checklist

17. Law vs. Heart

18. Believing Evidence Based Medicine

19. I Need Your Help

20. What Can You Do If You Are A... TrusteeTrustee Hospital ExecutiveHospital Executive ClinicianClinician PatientPatient

21. “These experiences but emphasize the importance of an efficient routine... in every operating room. Even if your... methods are so perfected that only one death occurs in sixteen thousand... that one life is well worthy of watchfulness and care and preparation with every patient of the series. It is with sad memories of lives lost because I was not prepared or efficient that I would speak to you with impressive earnestness.” - W. Wayne Babcock, M.D 1924