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Better Teams. Better Systems. Better Care.                                       October 2008

 

 

In This Issue

For Further Reading

News You Can Use

Steve Harden's Blog

LifeWings' News

Streams in the Desert

Sharpening the Saw

Skills and Tools

Leadership Toolkit

Success Stories

Ask the Innovators

FOR FURTHER READING

Featured Article 

Happy Team

"Creating and Sustaining a Culture of Safety"

by Stephen W. Harden, 

 Patient Safety & Quality Healthcare

September/October 2008

 

NEWS TO USE:

In Implementing a CRM-based Safety and Quality Improvement Program 

NEWS

The Joint Commission's 2009 National Patient Safety Goals include major changes in three new hospital and critical access hospital requirements related to preventing deadly healthcare-associated infections due to multiple drug-resistant organisms (MDROs), central line-associated bloodstream infections, and surgical site infections.

 

Check out these related articles:

 

When bugs outwit drugs

September 7, 2008

by: Lim Wey Wen 

 

Rising foe defies hospitals' war on "super bugs"

September 17, 2008

by: Laura Landro

 

Medicare won't pay for hospital acquired injuries

September 28, 2008

by: James Schlett 

 

STEVE'S
BLOG

Thumbs Up

Check out more thoughts, musings, and personal stories from Steve Harden, President and co-founder of LifeWings Partners LLC.

 

LIFEWINGS HEALTHCARE SPEAKERS

 

Scheduled Events:

  

 VHA Teamwork and Patient Safety Track

 October 16, 2008

Salt Lake City, UT

 

Managing Today's OR Suite (MTORS)

Sponsored by:

 Karl Storz Endoscopy 

 October 31, 2008

Washington, DC

 

 Albany Medical Critical Care Nursing Conference

 November 4, 2008

 Saratoga Springs, NY

 

MAG Mutual Insurance Company Asheville Regional

Program

November 13, 2008

 Asheville, NC

 

Joint Commissions' 22nd Annual Conference
November 20, 2008

 Chicago, IL

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STREAMS IN THE DESERT

Thoughts and Stories to Inspire

 

 

SUSTAINABILITY 

by: Steve Montague

 

July's "Streams in the Desert" centered on the value of a thematic goal as it related to Hardwired Safety Tools designed to help tear down silos.  In joining together to achieve mid-term objectives, new relationships are forged and barriers are minimized.  What happens later on, after the dust has settled and you've achieved your thematic goal? How do you maintain the momentum? 

 

In other words, what about sustainability? 

 

[Read Article

 

 

SHARPENING THE SAW: A Message from Steve Harden, President of LifeWings Partners LLC 

Measuring What You Manage 

We have all heard the old adage, "If you can't measure it, you can't manage it." Most folks in healthcare strongly believe in this concept. So it will come as no surprise to you that when I speak to healthcare executives about the work of LifeWings, I am always asked, "How do you measure this?"
 
I think what they are really asking is, "What are the results we
can expect to see?" and "How can you document that?" Consequently, we spend quite a bit of time and effort helping hospital executive teams create realistic data collection and analysis plans to help them paint the "before" and "after" pictures for their teamwork-based patient safety initiatives. Of course, by gathering and analyzing data that builds the "after" picture, the client can see in their measurement tool if the steps they are taking are actually changing anything - are they hitting their goal(s)? If not, they can take management action and change or adjust the methodology to reach their goal(s).
 
One common goal of most hospitals today is getting great HCAHPS scores. CMS now publishes the results of these patient satisfaction survey scores on their web site. What patients think about the care they received in your hospital is now available for the whole world to see on the Internet. So, the goal of the facility is great patient satisfaction. The measurement tool is the satisfaction survey. What management action should an institution take if the satisfaction score is not where they'd like it to be? [
Read More]

 

LEADERSHIP TOOLKIT: Skills for Sustaining an Enduring Cultural Change

Using Safety Tools to Achieve Permanent Results in High-Reliability Organizations

"With our healthcare system plagued by cost, quality, and access problems, hospital leadership has an obligation to learn from other industries that have achieved those quality and productivity gains that deliver value to knowledgeable customers." - Mike Nichols, president of the American Society of Quality in Milwaukee 

 

Safety tools are the solution to achieving consistently safe outcomes in healthcare systems.

 

Tools "hardwire" the right behaviors into the daily operating system by controlling the way business is done. They help make the complex, simple, thereby guaranteeing reliable outcomes, rather than depending upon "extraordinary" efforts from staff.


The increasing complexity of healthcare has made the use of safety tools necessary. Using standardized ways of working (e.g. protocols, procedures, checklists) and communicating make it less likely that errors will occur and more likely that inevitable errors will be caught before they harm patients. Tools provide predictability for caregivers working in teams. Knowing one's specific job responsibilities and what to expect from coworkers for each situation makes it easier to focus on one's own job while being able to back up and cross-check other team members. [Read More]

 

SKILLS AND TOOLS: Get Better Today

Developing and Implementing Safety Tools: A nine-step plan to developing tools that fix problems and keeps them fixed!

 

No matter how comprehensive, applicable, integrated, and well-delivered -- training alone cannot create a safe system.

 

Providing trainees with personal skills, introducing the concepts of teamwork, and using all available resources are necessary to set the stage for improvement. This will not, however, change the ingrained behaviors of the larger group. All high-reliability organizations "proceduralize" safe operations using specific tools - making it easy to do the right thing and difficult to make an error. [Read More]

 

SUCCESS STORIES: Reported Results from Organizations Implementing LifeWings Patient Safety and Quality Programs

Creating and Sustaining a Culture of Safety

 

In 2004, The Nebraska Medical Center (TNMC) in Omaha decided to boost their patient safety efforts from very good, to great. A focus on quality and safety was one of four CEO leadership priorities, and was incorporated into the hospital's strategic plan with full approval of the Board.

 

"We want a safer place to practice medicine with the confidence that all steps necessary to ensure our patients' safety to the highest degree are taken into account for all cases."

- Steve Smith, MD 

Chief Medical Officer

The Nebraska Medical Center

 

Joining forces with LifeWings Partners, TNMC chose to follow a five-point plan for creating and sustaining an improved culture of safety. Proving that disciplined leadership action, effective interdisciplinary skills training, use of site-specific safety tools that hardwire behaviors, and program-guiding measurement, CAN change and improve safety culture, their successes are highlighted in the September/October 2008 issue of Patient Safety & Quality Healthcare. [Read Full Article]

 

ASK THE INNOVATORS: Road Blocks of Project Implementation

 

Q. At what point is the OB Time Out done (before/after induction, pre/drape) and are the nursery people present? The Joint Commission's 2009 Patient Safety Goals recommend that the Time Out take place ideally before induction.  Even if the Time Out is done after induction prep/drape, when do the nursery personnel arrive?  Should they be there for the Time Out?

 

A. A Time Out should be performed prior to induction. Since the whole team typically isn't assembled at this point the anesthesiologist and nurse should do a Time Out.  Once the entire team is assembled, including the nursery team, then a more comprehensive Time Out should be done.

 

About Us

LifeWings Partners LLC was founded by a former U.S. Navy Top Gun instructor and commercial airline pilot. The firm specializes in applying CRM based teamwork training and safety tools to help healthcare facilities save patients' lives and reduce costs. LifeWings has helped over 85 facilities nationwide provide better quality care to their patients.

LWP Group

 

 

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