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Sustaining and Spreading Surgical Safety Improvements Sustaining and Spreading Surgical Safety Improvements

Sustaining and Spreading Surgical Safety Improvements - PowerPoint Presentation

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Uploaded On 2018-10-26

Sustaining and Spreading Surgical Safety Improvements - PPT Presentation

AHRQ Safety Program for Surgery Sustainability AHRQ Pub No 1618000415EF December 2017 Learning Objectives After this session you will be able to Define sustainment and spread ID: 698014

sustainment safety team process safety sustainment process team staff surgical patient continue north technical adaptive work carolina data time

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Slide1

Sustaining and Spreading Surgical Safety Improvements

AHRQ Safety Program for SurgerySustainability

AHRQ Pub. No. 16(18)-0004-15-EF

December 2017Slide2

Learning Objectives

After this session, you will be able to–Define sustainment and spreadDetermine if you are ready to sustainPlan key actions for sustainmentPrioritize needs for successful sustainmentSlide3

Sustainment Is. . .

What you do to continue to build on your successesHow your efforts to change culture and improve safety persistWhen you apply the process for improving surgical safety to new challengesSlide4

Adaptive or Technical?

Adaptive

CUSP

Technical

SSI

PreventionsSlide5

Why Worry About Sustainment?

Avoid recidivism, or backslidingRespect probability of failure over time Recognize risks to sustaining progressStaff turnoverOverlying priorities

Organizational changesSlide6

Definition of Spread

1“Spreading takes the process from the narrow, segmented population(s) or group(s) and broadens it to include all the population(s) or group(s) that will use the process.”

“Formalizing a process provides a reference to others: those new to the organization and those in the organization needing clarity about the specifics of the process.” Slide7

What Do Effective Teams Look Like?

Effective teams–Hold regular meetingsInclude active surgical champions who partner with othersHave executive leadership support Believe that progress is possible

Invent ways to create engagement (and then reinvent more ways)

Maintain frequent

communicationSlide8

What Sustainment Strategies Work?

Stick to formal processesTest changes on small scale firstMeasure and make data-driven decisionsMaintain access to continuous feedbackRequire current data to validate progressSlide9

What Sustainment Strategies Work?

Secure time and resourcesFormalize job responsibilities for patient safety improvement workDedicate financial resources and personnel, including protected time

Make data support available

Take care of your team

Plan for team growth and turnover

Offer highly engaged team members professional development opportunitiesSlide10

We Are Ready To Sustain: Now What?

Readminister Perioperative Staff Safety Assessment (two-question survey) at least every 12–18 monthsLearn from defects at least once each quarter

Share results and stories with frontline staff

Orient all new staff to the

Science of Safety

Continue updating staff on

patient safety activities

Continue collaborative activities

Revisit the “right team mix” and augment needs as team and projects

evolveSlide11

Preview of Premortem2

Looking AheadWhat if your teams’ gains in technical and adaptive work slip away?Why? List all possible reasons for a loss of your hard-earned gains

Review the CUSP

Pre

m

ortem

Tool and

record responsesSlide12

References

North Carolina Center for Hospital Quality and Patient Safety. North Carolina Prevent Catheter-Associated Urinary Tract Infections Collaborative. North Carolina; 2010.Klein G. Performing a Project Premortem. Harvard Business Review. Sept 2007. https://hbr.org/2007/09/performing-a-project-premortem. Accessed Aug 22, 2015.