Missing equipment on a cart: Staff developed a checklist to assign responsibility for stocking supplies on the cart. Inconsistent use of Daily Goals Checklist tool during patient rounds: The staff reached consensus regarding the elements of the tool to be applied during rounds. Residents report receiving inaccurate information during rounds: An electronic progress note system was developed to maintain accurate information exchanges on the unit. Slide 20 How Can Your Team Identify Defects? SAY: Here is a list of some ways through which defects can be identified. We’re used to thinking about event reporting systems, liability claims, sentinel events, and mortality and morbidity conferences when we want to identify defects that occur in our clinical areas. The Perioperative Staff Safety Assessment, which is an effective and proactive tool for identifying defects, adds direct communication with frontline providers. Slide 21 PSSA Taps Wisdom of Frontline Providers SAY: The Perioperative Staff Safety Assessment taps into the wisdom and knowledge of frontline providers in the perioperative area and uses that knowledge to guide efforts to improve safety. In leveraging staff member knowledge, the PSSA allows teams to determine risks that have jeopardized or could jeopardize patient safety on a unit. Frontline staff members are the eyes and ears of patient safety. They can list valid improvement opportunities and focus your safety program activities. Slide 22 What Is the PSSA? SAY: The Perioperative Staff Safety Assessment asks providers to complete four questions about the issue of patient safety in their clinical area. This simple tool asks: How will the next patient be harmed? What can we do to prevent that harm? How will the next patient in the operating room get a surgical site infection? What can we do to prevent the surgical site infection?
Missing equipment on a cart: Staff developed a checklist to assign responsibility for stocking supplies on the cart. Inconsistent use of Daily Goals Checklist tool during patient rounds: The staff reached consensus regarding the elements of the tool to be applied during rounds. Residents report receiving inaccurate information during rounds: An electronic progress note system was developed to maintain accurate information exchanges on the unit. How Can Your Team Identify Defects? SAY: Here is a list of some ways through which defects can be identified. We’re used to thinking about event reporting systems, liability claims, sentinel events, and mortality and morbidity conferences when we want to identify defects that occur in our clinical areas. The Perioperative Staff Safety Assessment, which is an effective and proactive tool for identifying defects, adds direct communication with frontline providers. Slide 20 PSSA Taps Wisdom of Frontline Providers SAY: The Perioperative Staff Safety Assessment taps into the wisdom and knowledge of frontline providers in the perioperative area and uses that knowledge to guide efforts to improve safety. In leveraging staff member knowledge, the PSSA allows teams to determine risks that have jeopardized or could jeopardize patient safety on a unit. Frontline staff members are the eyes and ears of patient safety. They can list valid improvement opportunities and focus your safety program activities. Slide 21 What Is the PSSA? SAY: The Perioperative Staff Safety Assessment asks providers to complete four questions about the issue of patient safety in their clinical area. This simple tool asks: How will the next patient be harmed? What can we do to prevent that harm? How will the next patient in the operating room get a surgical site infection? What can we do to prevent the surgical site infection? Slide 22
onboarding_scienceofsafety_facnotes.docx