Webinar 13:Implementing the Checklist Continued:

Improving the use of the Checklist Through Coaching

Topics of Last Week’s Call• A case study.

• Participants shared their experiences using the checklist and talk about where they are in terms of implementing the checklist.

• SCHA Hospital Site Visits.

• Common issues/barriers seen in South Carolina ORs.

How Did the Homework Go?

Last Weeks Homework• Continue/Start to administer the culture survey.

• Continue to talk with your colleagues one-on-one.

• If you haven’t already, hold the meeting that you scheduled at the beginning of the call-series with as many surgical personnel that can attend. This can be a large inter-disciplinary meeting or departmental meetings.

• Start your checklist advertising campaign.

• Prioritize surgical specialties for the roll-out using your knowledge of which surgeons will be most receptive to the checklist.

• Create a timeline for your hospital’s expansion and send it to the Safe Surgery 2015 team at safesurgery2015@hsph.harvard.edu.

• Continue implementing the checklist.

Today’s Topics• Coaching 101

– Purpose of coaching

– Choosing the right people to be coaches

– Providing feedback to surgical teams

• Checklist implementation and use best practices.

• This week’s Poll

• Using the observation tools in the OR – A few reminders.

CoachingTaking the Checklist to the

Next Level

• Listening

• Asking Questions

• Trying to improve people’s performance

What Coaching Is

• Telling

• Criticizing

• Instructing

What Coaching Isn’t

Ask Questions

• “I noticed that . . . can you help me understand?”

• “I saw that you . . . . . can you explain?”

• “I observed that you . . . . What could you have done differently?”

Who Makes a Good Coach?

• The best coaches are:

– coachable

– respected by their peers

– Understand how to give feedback

Checklist Implementation and Use Best Practices

The Team

Kimberly Hubbard, MHAProject Coordinator

SCHA

Ashley Kay Childers, PhDSystems Engineer

SCHAClemson University

Education, Development, and Publicity

• Newsletters, posters, flyers• Saves/good catches• Debriefing output can be used for QI• Grassroots education

– Peer to peer communication– Make it personal– Understanding of checklist components

• Board members, administration observations

Checklist Execution• Hard stops, huddle around the patient• Wait until everyone in the room is ready• Review checks from a hard copy

– Do not rely on your memory!– Paper copy, poster on wall, card– Review checks in order; do not omit– Conversational flow

• Everyone should participate – Introductions are important– Designate talking points

Contact Us with Questions, Concerns, or If You Would Like

us to Visit Your Hospital

Ashley Kay Childers: childer@clemson.edu

Kimberly Hubbard:KHubbard@scha.org

This Week’s Poll1. Have you or your colleagues completed the

online training for the observation tool?

2. Have you or one of your colleagues used the teamwork observation tool in at least one case?

3. Have you or one of your colleagues used the checklist implementation observation tool in at least one case?

4. Have you used the observation tools together in one case?

Observation Tools

• We have made some minor modifications to the tools and the online training.

• Both observation tools should be used together in a given case.

Announcements

• We will send out the updated call series agenda through the end of August following today’s call.

• The webinar on Tuesday, August 9th will be cancelled.

• Office hours on Friday, August 12th will be cancelled.

This Week’s Homework

• Continue to implement the checklist.

• Use the Surgical Safety Checklist and Teamwork Observation tool in at least one case.

??Questions

Ask Us a Question By Using the Raise Hand Button

Office Hours:

Friday 12:00-1:00

Next Week’s Call:Coaching Continued,

Speaking to Your Nursing and Surgical Tech Colleagues, and

Hospital’s Will Share Their Experiences

Resources

Website:www.safesurgery2015.org

Email: safesurgery2015@hsph.harvard.edu