Slide 11 Key Concepts: Technical and Adaptive Work SAY: Technical work is the long list of evidence-based practice and includes interventions we know we should do to prevent complications, such as giving the right antibiotic at the right time and appropriately prepping the skin prior to incision. Many organizations have worked for years to standardize care and incorporate these interventions into local policies, protocols, and checklists to help ensure patients receive the right therapies. These checklists are helpful tools, but they only work if the staff is engaged to use them. Adaptive work is the components of work, like “intangible” ensuring OR team members hold each other accountable for quality skin prep. Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, and processes within our organizations and ORs. Addressing adaptive concerns tends to provide many challenges, but it is the only way to improve teamwork and safety culture. Checklists can only be effective if they are actually used. Slide 12 Comprehensive Unit-based Safety Program (CUSP) SAY: To address the adaptive work, we will be CUSP. CUSP builds on the principles of high-reliability organizations and provides a practical strategy to build capacity at the front line, engage and motivate frontline staff, and give them the voice they need to feel valued and the skills and tools they need to improve care. CUSP is a five-step process: Educate ALL staff on the science of patient safety to help them develop a big-picture perspective, referred to as systems lenses in the Science of Safety program. Identify defects by asking staff how the next patient will be harmed and what they think can be done prevent harm. Partner with a senior executive within your organization. The senior leader should meet with the safety team at least monthly to help the team better prioritize improvement
Key Concepts: Technical and Adaptive Work SAY: Technical work is the long list of evidence-based practice and includes interventions we know we should do to prevent complications, such as giving the right antibiotic at the right time and appropriately prepping the skin prior to incision. Many organizations have worked for years to standardize care and incorporate these interventions into local policies, protocols, and checklists to help ensure patients receive the right therapies. These checklists are helpful tools, but they only work if the staff is engaged to use them. Adaptive work is the “intangible” components of work, like ensuring OR team members hold each other accountable for quality skin prep. Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, and processes within our organizations and ORs. Addressing adaptive concerns tends to provide many challenges, but it is the only way to improve teamwork and safety culture. Checklists can only be effective if they are actually used. Slide 11 Comprehensive Unit-based Safety Program (CUSP) SAY: To address the adaptive work, we will be CUSP. CUSP builds on the principles of high-reliability organizations and provides a practical strategy to build capacity at the front line, engage and motivate frontline staff, and give them the voice they need to feel valued and the skills and tools they need to improve care. CUSP is a five-step process: Educate ALL staff on the science of patient safety to help them develop a big-picture perspective, referred to as systems lenses in the Science of Safety program. Identify defects by asking staff how the next patient will be harmed and what they think can be done prevent harm. Partner with a senior executive within your organization. The senior leader should meet with the safety team at least monthly to help the team better prioritize improvement Slide 12