Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/798078
Moses H. Cone Memorial Hospital in Greensboro, N.C., says inter-professional edu- cation has helped her organization bypass "a huge roadblock" in regard to preventing wrong-site surgeries. "Typically, nurses will educate nurses, surgeons will educate surgeons, and anesthe- sia will educate anes- thesia," she says. "In that kind of frame- work, we've already built silos. We need everyone to hear the same message." As part of efforts to break down those bar- riers, Cone Health cre- ated a time-out and debriefing video fea- turing "the whole complement of the team" that is viewed by surgeons, anesthesiologists and nurses. The video illustrates how a time out should look — and also how it shouldn't, with music blaring and casu- al conversation distracting team members — with standardized dia- logue among team members to articulate patient safety concerns. 1 0 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 7 D fi i i en 1 T 1 ets of a of The Joint Commission accreditation ization is and does in the pursuit of safety Safety C reditation . ursuit of safety Culture determine the values, attitudes, perceptions, competencies, and patterns of behavior that manuals defines safety culture as the product of individual and group beliefs, The Patient Sa Safety culture Definition of Safety Culture s com organization' es, perceptions, competencies, and patterns of behavior that es safety culture as the product of individual and group beliefs, afety Systems (PS) chapter of The Joint Commission accreditation is the sum of what an organization is and does in the pursuit of safety of Safety Culture mitment to quality and patient safety ompetencies, and patterns of behavior that s the product of ind chapter of The Joint Commission accreditation an organ e . and patient safety atterns of behavior that dividual and group beliefs, g that beliefs, unsafe conditions. just and transparent risk-based processes for recognizing 1 2 Use clear and learning from adverse events, close calls and Apply a transparent, nonpunitive approach to reporting . nd transparent risk- adverse events, close calls and nt, nonpunitive approach to reporting lose calls and -based processes for recognizing proach to reporting m unsafe, ors. enforced ee lessons" ety culture ve good ents and verse events, aviors for recognizing blameworthy actions. and champion efforts to eradicate intimidating behaviors. and communicated to all team members. with all team members (i.e., feedback loop). performance using a validated tool. safety improvement. develop and implement unit-based quality and safety 2 3 4 5 6 7 8 Use information from safety assessments and/or surveys to organization to find opportunities for quality and Analyze safety culture survey results from across the Determine an organizational baseline measure on safety culture suggestions for safety improvements. Share these "free lessons" close calls, who identify unsafe conditions, or who have good Recognize care team members who report adverse events and close calls and unsafe conditions. These policies are enforced Policies support safety culture and the reporting of adverse events, CEOs and all leaders adopt and model appropriate behaviors and distinguishing human errors and system errors from unsafe, , just, and transparent risk-based processes for recognizing Use clear . ation, resources and references. , "The essential role of leadership in developing ty improvement initiatives designed to improve the culture of safety safety systems. 18 to 24 months to review progress and sustain improvement. prioritize them for enhancement or improvement. 8 9 11 10 a safety culture," for more information, resources and references. See Sentinel Event Alert Issue 57, "The essential role of leadership in developing Repeat organizational assessment of safety culture every Proactively assess system strengths and vulnerabilities, and projects and organizational processes to strengthen Embed safety culture team training into quality improvement develop and implement unit-based quality and safety • SAFETY CULTURE In this infographic, The Joint Commission outlines what healthcare leaders must do to promote and support safe practices. SURGICAL ERRORS