wave 3: learning session 2
TRANSCRIPT
![Page 1: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/1.jpg)
New Approach to Controlling SuperbugsVirtual Learning Session 2
The Discovery Phase
![Page 2: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/2.jpg)
Agenda:1. Welcome and Introductions2. The Discovery Phase3. Discovery and Action Dialogue4. Improvisation5. Wise Crowd6. TRIZ
![Page 3: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/3.jpg)
The Premise Of Positive Deviance
No matter how bad things are, there are always people in the group that do a better job, despite having access to the same resources
![Page 4: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/4.jpg)
Positive Deviance-the 6 D’sPositive Deviance-the 6 D’s1. Define: the problem and a successful outcome
2. Determine: if there are any “positive deviants”
3.3. Discover: uncommon practices/behavioursDiscover: uncommon practices/behaviours
4. Design: activities enabling others to access and practice new behaviours
5. Discern: effectiveness of activities or project through ongoing monitoring and evaluation
6. Disseminate
![Page 5: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/5.jpg)
PD Tools
• Kick offs • Improvisation• Sharing Stories• Discovery and Action Dialogues• TRIZ• Wise crowds• Social Network Analysis• Ethnography
![Page 6: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/6.jpg)
“Act your way into a new way of thinking…”
ImprovizationAn Approach for
Practicing Positive Deviance
![Page 7: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/7.jpg)
Our Road to ImprovDiscovery & Action
Dialogues
Departmental Improv (e.g. General Surgery Unit)
Site-Wide Improv Day
![Page 8: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/8.jpg)
Improv Day at Toronto Western Hospital
![Page 9: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/9.jpg)
• Players (cast)
• Planted core group; audience
participation
• Artistic Director
• Can instruct Players to “play up” certain
behaviours; sentiments
• Keep the element of surprise/improv
![Page 10: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/10.jpg)
Lights… Camera… Discovery & Action!
![Page 11: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/11.jpg)
Core Group Member
![Page 12: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/12.jpg)
Residents
![Page 13: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/13.jpg)
ICPs; Nursing; Government
![Page 14: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/14.jpg)
Lessons Learned• Less can be more
• Provide very basic scenario outlines
• Use artistic director to uncover interesting themes.
• Take advantage of multi-disciplinary group
• Have a DAD!
• Follow-up with participants – they may have different perspectives/ideas for next improv
![Page 15: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/15.jpg)
Discovery and Action Dialogues:• 15-20 minute sessions • Ideally done right on the unit• Include those that want to be involved• Encourage a multidisciplinary group• Facilitator runs through a series of questions
that affirm the problem, identify barriers, uncover existing solutions, generate ideas/actions
![Page 16: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/16.jpg)
Discovery and Action Dialogues:How They Work
• Group selects a specific problem• The group as a whole identifies what the
solution looks like including key measures of success
![Page 17: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/17.jpg)
1. How do you know or recognize when ______ is present?
2. How do YOU contribute effectively to solving _____?3. What prevents you from doing this or taking these
actions all the time?4. Is there anyone you know who is able to frequently
overcome barriers?5. Do you have any ideas?6. What needs to be done to make it happen? Any
volunteers?7. Who else needs to be involved?
![Page 18: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/18.jpg)
Tips for FacilitatorsDo:• Hold the dialogue in the participants’ local
context – e.g. the unit• Make impromptu invitations as you enter • Designate a scribe to take notes• Start with the purpose, We are here to
stop…
![Page 19: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/19.jpg)
Do:• Give questions back to the group-wait 20 seconds
for a response• Encourage everyone to speak• Work through all questions without worrying about
the order• Demonstrate genuine curiosity in everyone’s
contributions
![Page 20: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/20.jpg)
Avoid:• Answering questions that have not been asked• Missing opportunities to “catch butterflies” – record
actions to be taken by participants• Coming away with a to-do list for yourself• Responding positively or negatively to contributions-
let the group sift through their own assessments
![Page 21: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/21.jpg)
Always remember:
“Nothing about me without me”
![Page 22: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/22.jpg)
Take 5
• Questions?• Experience
with DAD?• Outcomes?
![Page 23: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/23.jpg)
Wise Crowd
![Page 24: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/24.jpg)
TRIZ “theory of inventive problem solving”
• Define an unwanted result e.g. hospital acquired infections
• Design a system that would reliably create the unwanted result
• Compare the adverse system to the current system
![Page 25: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/25.jpg)
Example• Design a system where you will reliably
infect 100% of patients with a superbugs within a few days of admission
![Page 26: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/26.jpg)
Next Steps
• Continue to work on core team and “launch”
• Start using the DAD process and other methods on the floors
• Begin to think about data collection
![Page 27: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/27.jpg)
• Next Learning Session: Monday February 7th 1 pm EST
• Next Coaching Call: Monday February 14th 1pm EST
www.stopsuperbugs.com
![Page 28: Wave 3: Learning Session 2](https://reader036.vdocuments.mx/reader036/viewer/2022062400/588ae21d1a28abab6c8b594f/html5/thumbnails/28.jpg)