30,000 ft south carolina st. francis team stepps kaiser patient safety university university of...

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30,000 ft • South Carolina • St. Francis • Team STEPPS • Kaiser Patient Safety University • University of Aberdeen Fotocommunity.com

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Page 1: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

30,000 ft

• South Carolina• St. Francis• Team STEPPS• Kaiser Patient Safety University• University of Aberdeen

Fotocommunity.com

Page 2: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

Needs Analysis

Page 3: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com
Page 4: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

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

Page 5: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

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

Page 6: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

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

Page 7: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com
Page 8: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

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

Page 9: 30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com

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