creating a culture of safety: crew resource management principles for patient safety, efficiency,...
TRANSCRIPT
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Creating a Culture of Safety: Crew Resource Management Principles
for Patient Safety, Efficiency, and Quality Management
Claude Oppikofer
Montreux, Switzerland
www.chirurgie-plastique-riviera.com
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CRM - safety culture05-06-2012 ASAPS Vancouver © OP/CPRSA 2
DISCLOSURES
LifeWings®Advisory Board, no money
www.mediqual.chAdvisory Board, no money
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http://www.oppikofer.com/page30/page30.html
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Tony Parker
$13,500,000
2399 FT
©www.basketball-reference.com
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The humanfactor
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QuickTime™ et undécompresseur
sont requis pour visionner cette image.
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Foto C. Oppikofer
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Crew Resource Management(CRM)
Improve efficiency and security by making optimum use of all available resources of a team, especially the human factor
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« Aviation culture »
• Working with checklists • Briefing/debriefing• Error management
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Icebreaker Aurora Australis: Australian supply ship
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2000 miles / 1 week / 450 K$: How to avoid?
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Checklists
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Cessna 172
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Admiral Charles R. Michaelis
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Left is portRight is
starboard
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Briefing
Foto C.Oppikofer
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Briefing
• mission• constraints• alternatives• etc.• encourage «speaking up»
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Debriefing
• what was good• what contributed to the success• where could we have done better
Very important for team
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Source:
www.saferpatients.com
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Patient as part of the team
• Local anesthesia
• Include in the briefing
• or separate briefing for patient
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remember:
CRM
Improve efficiency and security by making optimum use of all available resources of a team, especially the human factor
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Speaking up
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Situational awareness:
The White Team
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13
…but what about the moonwalking bear?
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Toyota: the Andon Cord
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Communication
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Critical Incidence Reporting System
CIRS
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www.wimed.org/asaps
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Dealing with errors
What is wrong?
not
Who is wrong?
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Quality Culture
Safety Culture
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ISO/ANSI 9001:2008
• Process approach • Customer satisfaction• Continuous improvement
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(source: ICAO Safety Management Manual. 1st edition)
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(source: ICAO Safety Management Manual. 1st edition)
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Caracteristics of a culture of safety in plastic surgery:
• Recognizing safety as a top level-priority• Consciousness of the presence of risk in every activity• Consciousness of the human factor and of human error• Environment allowing team members to report errors and “near misses” without fear of punishment• Readiness to learn from errors and “near misses”• Awareness of every in team member of his/her role and importance in he safety process• Readiness of every team member to help solving safety issues together• Willingness to provide resources for the safety process
(adapted from VL Young)
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Foto C.Oppikofer
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Foto C.Oppikofer
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Take home messages
• Use all resources of the team• You are part of the team• The patient is part of the team• Safety measures are not for the lawyers but for the patients• Quality = Safety
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Foto C.Oppikofer
Thank you
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http://www.oppikofer.com/page30/page30.html
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