Webinar 7:
Testing on a Small Scale Using “Tabletop” Simulation
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.
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.
How Did the Homework Go?
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.
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.
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.
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
“Table-Top” Simulation
Our Patient
• Age - 68 yr old male
• Condition - Severe Peripheral Vascular
Disease
• Procedure - Aorto bi-femoral bypass
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?
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?
Why did we run through this
exercise?
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.
We will never know which
patient the checklist helps
because of information that
was shared and problems that
were prevented.
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.
This Weeks Take Homes
• Small scale testing is important.
• This is even more than just about the
checklist.
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.
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: [email protected]
Questions
Ask Us a Question By Using the
Raise Hand Button
Office Hours:
Friday 12:00-1:00
Next Week’s Call:
Engaging Your
Colleagues
Resources
Website:
www.safesurgery2015.org
Email: [email protected]