![Page 1: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/1.jpg)
Glenn Billman, MD, Chief Quality Officer
Rady Children’s Hospital San Diego
Why a Safety Coach Program May be Our Most Important Legacy
![Page 2: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/2.jpg)
Overview
• What’s the problem? • The limitations of a tactical approach • The importance of addressing culture • The role of the Safety Coach • Implementing a Safety Coach program • Tracking the Impact • Lessons Learned • Sustainability
![Page 3: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/3.jpg)
10-6
10-5
10-4
10-3
10-2
10-1
Highly Reliable Organizations
![Page 4: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/4.jpg)
Journey to High Reliability
![Page 5: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/5.jpg)
Why Do We Need Safety Coaches?
![Page 6: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/6.jpg)
CLABSI Rate
![Page 7: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/7.jpg)
Why Do We Need Safety Coaches?
![Page 8: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/8.jpg)
CLABSI – Reliability to Bundle
![Page 9: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/9.jpg)
Rules, Laws, Policies, or Commands will never be enough!
![Page 10: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/10.jpg)
Journey to High Reliability
![Page 11: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/11.jpg)
Journey to High Reliability
![Page 12: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/12.jpg)
Unit-based front line staff who are passionate about patient and staff safety. Safety Coaches are trained to observe work behaviors, and to provide peer to peer support to reinforce
organizational safety practices and behavior expectations
What is a Safety Coach?
![Page 13: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/13.jpg)
Why Do We Need Safety Coaches?
![Page 14: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/14.jpg)
Top 7 Reasons We Need Safety Coaches?
#7 People Make Mistakes
![Page 15: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/15.jpg)
#6 People Drift
Top 7 Reasons We Need Safety Coaches?
![Page 16: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/16.jpg)
#5 We Resist Change Diffusion of Innovations Model, Everett Rogers, 1962
Top 7 Reasons We Need Safety Coaches?
![Page 17: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/17.jpg)
#4 You Can’t Be Everywhere All The Time
Top 7 Reasons We Need Safety Coaches?
![Page 18: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/18.jpg)
Safety Coach
#3 Habit Formation Takes Time
Top 7 Reasons We Need Safety Coaches?
![Page 19: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/19.jpg)
#2 For any important change to
occur that has lasting impact, it
must be made at the LOCAL level!
Top 6 Reasons We Need Safety Coaches?
![Page 20: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/20.jpg)
The #1 Reasons We Need Safety Coaches?
![Page 21: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/21.jpg)
![Page 22: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/22.jpg)
The VISION
![Page 23: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/23.jpg)
![Page 24: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/24.jpg)
Program Infrastructure
Safety Coach Leadership • Safety Coach Mentor / Project Manager
- Communicates directly with Safety Coach Unit Leader
- Attends Unit Meetings • Safety Coach Unit Leader
- Leads Unit Meetings - Trains and Supports Safety Coaches
• Safety Coaches
![Page 25: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/25.jpg)
Safety Coach Development
Basic Training • Monthly • Day and PM shifts
Forums • Quarterly • Train and Share
Newsletter • Monthly
Celebration • Train, Share, & Celebrate
Website
![Page 26: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/26.jpg)
Safety Coach Communication
Bundled and Streamlined: - Communication through Safety Coach Mentor
Newsletter : Impact - Announcements - Great Catch Stories - Safety Alerts - Upcoming Education - Safety Articles
Website
![Page 27: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/27.jpg)
Branding
![Page 28: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/28.jpg)
Recognition
![Page 29: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/29.jpg)
Marketing the Progam
![Page 30: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/30.jpg)
![Page 31: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/31.jpg)
• Make a One Year Commitment as a Safety Coach
• Attend Safety Coach Training and Quarterly Meetings
• Attend Unit Based Quality Council Meetings
• Observe, and provide praise / coaching / feedback to
colleagues utilizing Safety Communication Practices.
• Immediately reports any safety or critical issues.
• Submit 4 Behavioral Observations Tools / month.
Safety Coach Responsibilities
![Page 32: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/32.jpg)
“Dispelling the Myth”
What a Safety Coach Isn’t!
![Page 33: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/33.jpg)
![Page 34: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/34.jpg)
![Page 35: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/35.jpg)
![Page 36: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/36.jpg)
![Page 37: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/37.jpg)
![Page 38: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/38.jpg)
![Page 39: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/39.jpg)
Because all Safety Issues Start With a Story. Tell. Listen. Discuss. Act.
New Role: Safety Stories
![Page 40: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/40.jpg)
New Role: Good Catch Awards
![Page 41: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/41.jpg)
5291
New Role: Communication Training
![Page 42: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/42.jpg)
Behavioral Observation Tool
![Page 43: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/43.jpg)
New Tools
![Page 44: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/44.jpg)
![Page 45: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/45.jpg)
New Tools
Safety Coaches = Local Change Agents
![Page 46: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/46.jpg)
![Page 47: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/47.jpg)
Request : Dig Deeper!
Staff Took Ownership
![Page 48: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/48.jpg)
New Knowledge
![Page 49: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/49.jpg)
New Knowledge
![Page 50: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/50.jpg)
So Has This Made a Difference?
![Page 51: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/51.jpg)
Gaps Have Narrowed, and Improvements Sustained
![Page 52: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/52.jpg)
Our Preventable Harm Rate is Falling!
![Page 53: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/53.jpg)
Our Culture of Safety Has Improved!
![Page 54: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/54.jpg)
![Page 55: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/55.jpg)
Lessons Learned
• Ensure alignment of leader expectations & coach efforts. • Mentor safety coach leaders as well as safety coaches. • Anticipate ‘reboots’. • Embrace unit creativity – One size doesn’t fit all. • Embed safety coach activities into existing meetings. • Provide unrelenting encouragement to Safety Coaches. • Quality can only encourage – front line staff must own it. • Listen!
![Page 56: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/56.jpg)
To Avoid Stagnation
• Establish an annual overarching goal for program. • Provide Safety Coaches the option to retire annually. • Host an annual Safety Coach celebration. • Celebrate the expanding # of safety coach in units. • Provide training on topics relevant to coaches.
![Page 57: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/57.jpg)
![Page 58: Why a Safety Coach Program May be Our Most Important Legacy · 10/27/2017 · Why a Safety Coach Program May be Our Most Important Legacy . Overview ... and to provide peer to peer](https://reader034.vdocument.in/reader034/viewer/2022042204/5ea6088223a6ef4c595ac84c/html5/thumbnails/58.jpg)