LIFEWINGS "TIP OF THE MONTH" -  March 2010

 

 

 

 

"Aviation based teamwork training and human factors tools proven to reliably improve safety and quality in healthcare."

 

A Debriefing "Ah-Ha" Moment

 

During a monthly Cath Lab meeting, physicians were complaining about the operations and efficiency of their lab. Debate and discussion centered on tracking and reporting issues and how to hold everyone, MDs, staff, and leadership alike, accountable for improving processes.

 

During the discussion, the Nurse Manager of the Cath Lab had with her a stack of approximately three dozen debrief forms submitted from the previous day. She noticed that all but two of these forms were blank. She wondered, "Does this suggest lab operations are running near perfectly?" The heated discussion they were having suggested otherwise. This question inspired her "Ah Ha" moment.

 

"Obviously, everything wasn't running perfectly, so why weren't the debriefing forms being utilized?"

 

Solution:

 

The Nurse Manager asked this question of the group and it became an "Ah Ha" moment for them. They too wondered, "Why aren't we utilizing this form?" They reminded themselves how using the form had already led to other significant improvements in the Cath Lab. Based on the group's discussions that day, leaders revised the form to address specific concerns and allow feedback on the things they wanted to fix.

 

Results:

 

Physician and staff buy-in to the use of the debrief form markedly improved. Currently 70% of debrief forms are submitted with written comments. Leaders now receive the information needed to take action on the items and issues requiring improvement. Physicians and staff can see that their concerns are being heard and addressed.

 

Download LifeWings free "How to Debrief" Guide  

 

View a Sample Debrief Form

 

 

LifeWings Partners is the industry leader in using aviation safety, leadership, team building, and human factors tools to reduce patient-harming medical errors and improve safety and quality. Over 90 health care organizations in 29 states have implemented the LifeWings Patient Safety System. Learn more by visiting www.SaferPatients.com today.