1. Webinar 7: Testing on a Small Scale Using “Table- top” Simulation

2. Summary of Last Week’s Call Expanding the checklist to another surgical team. Choosing the right surgical team to test the checklist. Looking towards rolling out the checklist: –Advertising the checklist –Identifying departmental meetings to raise awareness about the checklist –Having one-on-one conversations with OR Staff and physicians Hospitals shared their experiences on the call. The importance of coaching each other through this process. Starting to use the measurement tools.

4. Why the Change in the Agenda Continued to analyze the surveys that we received from hospitals in South Carolina. Everybody is at a different level – we don’t want to lose anybody. We have asked a lot of you and have given a lot of homework.

5. How Did the Homework Go?

6. Homework to Date – Slide 1 of 3 Gather an implementation team consisting of at least one administrator, anesthesia provider, nurse, and surgeon. Schedule a time and venue for a meeting to take place in 8-10 weeks. Read background materials on the checklist and look at safesurgery2015.org website. Create a list using the excel template provided to you of all of the OR staff, physicians, and techs. This template asks for names, titles, and email addresses. If you are part of the research, please send us this spreadsheet. Send us a picture of your checklist implementation team. Designate if your hospital will be participating in the research portion of this project.

7. Homework to Date – Slide 2 of 3 Send us your completed OR Personnel spreadsheet with or without email addresses. Start/Continue to administer the culture survey. Modify the checklist for your hospital and test it using “table top simulation” and with your checklist implementation team in 1 case for 1 day. Have the same team use the checklist in every case for one day. Modify as necessary and send us your checklist. 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.

8. Homework to Date – Slide 3 of 3 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 28th.

9. Why are we doing this? Improve patient care Provide you with the tools to make the checklist more than a “piece of paper” Engage staff and physicians

10. “Table-Top” Simulation

11. Our Patient Age - 68 yr old male Condition - Severe Peripheral Vascular Disease Procedure - Aorto bi-femoral bypass

13. Poll 1: 1.Did you hear the surgeon discuss the expected blood loss? 2.Did you hear the anesthesiologist discuss information regarding the patient’s airway? 3.Did you hear the nurse share critical information about the patient’s family? 4.Did you hear the surgical team discuss problems with the equipment?

15. Poll 2 1.Did you hear the surgeon discuss the expected blood loss? 2.Did you hear the anesthesiologist discuss information regarding the patient’s airway? 3.Did you hear the nurse share critical information about the patient’s family? 4.Did you hear the surgical team discuss problems with the equipment?

16. Why did we run through this exercise?

17. Communication Counts The easy way out with the checklist is to remove the communication items. The communication items make the difference in American hospitals. You will know if you have your checklist right, when you hear everyone’s voice.

18. We will never know which patient the checklist helps because of information that was shared and problems that were prevented.

19. Table-Top Simulation It is easy to test the checklist outside of the OR. It doesn’t take a lot of time. You can learn a ton. Testing the checklist on a small scale can prevent you from making BIG mistakes.

20. This Weeks Take Homes Small scale testing is important. This is even more than just about the checklist.

21. This Week’s Homework Complete all of the homework assignments that you haven’t already completed. Let us know if you have questions or concerns.

22. OR TeamSTEPPS/Coaching We are working on a modified curriculum to train surgical teams about key communication components and team training. This will be a 6 hour (one-day) workshop designed for surgical teams. This is not just for the Nurses. We would like to start holding these trainings in August. If your hospital would be willing to host a training or would like more information, please contact Lorri Gibbons: LGibbons@scha.org

23. ? ? Questions

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

25. Office Hours: Friday 12:00-1:00

26. Next Week’s Call: Engaging Your Colleagues

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