The 4th Quarter ReportBill Berry, MD, MPH

Chris Wright, MD

Our GoalOur GoalHave a customized version of the Have a customized version of the

WHO Surgical Safety Checklist used WHO Surgical Safety Checklist used in a meaningful way to improve in a meaningful way to improve

teamwork and communication in the teamwork and communication in the operating room for every patient operating room for every patient

undergoing surgery in South undergoing surgery in South Carolina by the end of 2013 Carolina by the end of 2013

The Joint The Joint Commission Commission Time Out Is A Time Out Is A

GiftGift

Blood, Sweat, and TearsBlood, Sweat, and Tears• Over Over 2,0002,000 hours total learning about checklist hours total learning about checklist

implementation on webinars and office hoursimplementation on webinars and office hours

• 315315 Hours Visiting Hospitals Hours Visiting Hospitals

• 40 40 hours providing OR Team Traininghours providing OR Team Training

• 540540 hours creating materials for hospitals to use hours creating materials for hospitals to use to put the checklist into placeto put the checklist into place

• Over Over 150,000150,000 total hours spent across the state total hours spent across the state putting the checklist into placeputting the checklist into place

• Over Over 26,00026,000 miles traveled miles traveled

• More than More than 1,3001,300 people working on this project people working on this project

Current Hospital Current Hospital ParticipationParticipation

66 Hospitals Perform Surgery 66 Hospitals Perform Surgery South CarolinaSouth Carolina

61SC Hospitals

Have Participated in This Project At

Some Level

What is the Score in What is the Score in South Carolina?South Carolina?

The Surgical The Surgical Checklist From A Checklist From A

Surgeon’s Surgeon’s PerspectivePerspective

Chris Wright, MDChris Wright, MD

Why is Change Why is Change So Hard?So Hard?

8/1/2010 – 3/15/2011Planning &

Relationship Building

4/1/2011 – 8/30/2011Checklist

Implementation Early Adopters

- Wave 1 -

11/3/2011 – 4/26/2012Checklist

Implementation Continued - Wave 2 -

5/1/2012 – 9/15/2012Material

Revisions & Safe Surgery

2015 Expansion Planning

10/17/2012 – 6/20/2013Surgical

Teamwork Collaborative Every hospital

should participate

7/1/2013 – 12/31/2013Clean up &

Final Analysis

The Timeline

Surgical Surgical Teamwork Teamwork

Collaborative Collaborative – Wave 3 - – Wave 3 -

• Starts October 17Starts October 17thth, 2012, 2012

• Every should participate Every should participate

• Three in-person meetings, webinars, Three in-person meetings, webinars, and OR Team Training and OR Team Training

The Challenge of Involving The Challenge of Involving Patients In Patients In

Safe Surgery 2015: Safe Surgery 2015: South CarolinaSouth Carolina

This is a quality improvement This is a quality improvement project that can’t be done by the project that can’t be done by the nurses alone. Everyone is in the nurses alone. Everyone is in the room for the patient and we all room for the patient and we all need each other’s support and need each other’s support and encouragement. Surgery is a encouragement. Surgery is a

teamteam effort and the most effort and the most effective and safe effective and safe teamsteams

recognize that.recognize that.

In Medicine - In Medicine - Competence Competence

Is Often Is Often Measured By TheMeasured By The

Ability to Ability to RememberRemember

Physician Acceptance Physician Acceptance is the Critical Factor in is the Critical Factor in

Successful and Successful and Meaningful Use of the Meaningful Use of the

ChecklistChecklist

Law vs. Law vs. HeartHeart

BelievingBelievingEvidence Evidence

Based Based MedicineMedicine

I Need Your HelpI Need Your Help

What Can You Do If What Can You Do If You Are A. . .You Are A. . .

• TrusteeTrustee

• Hospital ExecutiveHospital Executive

• ClinicianClinician

• PatientPatient

““These experiences but emphasize the These experiences but emphasize the importance of an efficient routine . . . in importance of an efficient routine . . . in every operating room. Even if your . . . every operating room. Even if your . . . methods are so perfected that only one methods are so perfected that only one

death occurs in sixteen thousand . . . death occurs in sixteen thousand . . . that one life is well worthy of that one life is well worthy of

watchfulness and care and preparation watchfulness and care and preparation with every patient of the series. It is with every patient of the series. It is

with sad memories of lives lost with sad memories of lives lost because I was not prepared or efficient because I was not prepared or efficient

that I would speak to you with that I would speak to you with impressive earnestness.”impressive earnestness.” - W. Wayne Babcock, M.D - W. Wayne Babcock, M.D

1924 1924