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30,000 ft
• South Carolina• St. Francis• Team STEPPS• Kaiser Patient Safety University• University of Aberdeen
Fotocommunity.com
Needs Analysis
South Carolina St. Francis Team STEPPS Kaiser University of Aberdeen
Needs Analysis Program content tailored to Checklist, sites may do additional needs analysis
Safety Attitudes Questionnaire, Observations
Readiness survey Case studies drawn from incident reports
Analysis of accidents involving non-technical skill failure in multiple industries
Audience Multidisciplinary Multidisciplinary Multidisciplinary 1) Multidisciplinary frontline 2)Leadership
Multidisciplinary
Who delivers? Site-dependent, regional workshops run by champions
Clinicians supported by consulting psychologist
“Master trainer” (QI/safety specialists)
Human factors expert and clinical expertise
Education Method
Classroom + exercise + videos
Classroom + roleplay + simulation in OR
Classroom + exerciseAlso: demonstration, case study, simulation, videos
Classroom + experiential learningor Online modules
Site-dependent, usually observation followed by debriefing, simulation
South Carolina St. Francis Team STEPPS Kaiser University of Aberdeen
Length 6 hours trainer workshop1-hour modules
Three 1-hour modules
Trainer: 2.5 daysFrontline: 4-6 hours
Frontline 2-4 hoursLeadership 2 days or 2-3 hour modules
Flexible, Site-dependent, ranges from watching one case to very intensive (80+ cases)
Implementation Train the trainer
Self-developed at one hospital
Train the trainer Internal Kaiser staff
Train the trainer OR expert goes to site
Sustainability or Repetition
Coaching Repeat every 3 months
Exercises and tools for post-training
Ongoing Flexible, Site-dependent
Measure of impact Qualitative feedback from participants
Safety Attitudes Questionnaire, feedback from participants
Academic studies, varies
Attempting various methods “a challenge to measure!”
Investigating evaluation methods, qualitative feedback for and from participants
Take-aways
• Needs analysis matters• Multidisciplinary audience• Hands-on• Content matches the person delivering it• Short sessions• Not just training, make it a reality through
coaching, role-modeling and repetition• Evaluate program and adapt
South Carolina St. Francis Team STEPPS Kaiser University of Aberdeen
Situation Awareness
Human Factors
Systems Reliability
Communication
Teamwork
Problem-solving and Decision-making
Leadership
Conflict & Respectful Behaviour
Just Culture
Incident analysis/learning
Surgical Safety Checklist (other checklists)
Coaching
1. Easy to execute at site level. Content doesn’t have to be perfect
2. Role plays and simulations3. Mindset shift – different way of
working vs. another project to implement
4. Respectful behaviour is a foundation5. Leadership will walk the walk: Model
desired behaviours and hold people accountable
Recipe for Success