INNOVATIVE APPROACHES TO PREVENTION OF FALLS POSITIVE DEVIANCE AND FRONTLINE OWNERSHIP. Guest Presenter: Dr. Michael Gardam

Transcription

1 INNOVATIVE APPROACHES TO PREVENTION OF FALLS POSITIVE DEVIANCE AND FRONTLINE OWNERSHIP Guest Presenter: Dr. Michael Gardam

2 Thank you for joining us. Nous vous remercions de votre participation. Your line will be muted until the call begins. Les lignes seront soussilence au début de cet appel.

3 Did you Join the Call Correctly? Êtes-vous connecté à l appel correctement? You Joined Correctly! There IS a phone icon beside your name. You will be able to join the breakout sessions. Vous êtes bien connectés! On voit un icône de téléphone près de votre nom. Vous pourrez vous joindre aux salles d exercise virtuelles (Breakout sessions). You Joined Incorrectly!There is NO phone icon beside your name. You will be Unable to join the breakout sessions. Vous êtes bien connectés! On voit un icône de téléphone près de votre nom. Vous pourrez vous joindre aux salles d exercise virtuelles (Breakout sessions). Login before making phone connection Veuillez vous joindre à la partie vidéo en suivant le lien à l ordinateur avant de téléphoner pour joindre la partie audio

4 If there is NO phone icon beside your name: S il n y a pas de téléphone noir près de votre nom 1. Hang up and disconnect from Audio WebEx. Raccrocher et vous serez déconnecté de la partie Audio de WebEx 2. Click the audio Icon. If needed, rejoin using original link. Enter name & & click on Join Now Cliquer sur l icône audio. Au besoin, suivre le lien original. Entrer votre nom & courriel puis cliquer sur Join Now 3. A popup will display the phone information./ Une boîte de dialogue offre l information téléphonique Direct Line Enter number Ligne directe, entrer votre numéro Line with Extension I will call in Ligne avec poste Or/ou

5 Your Presenters and Faculty Nadine Glenn--CPSI Dr. Michael Gardam Hélène Riverin--CPSI Susan McNeill--RNAO Verity White--RNAO Gina Peck--CPSI

6 From where are you joining? Use your pointer.

7 Using Front-Line Ownership to Prevent Falls Michael Gardam University Health Network

8 Insanity: doing the same things over and over again and expecting different results. 8

9 With which statement do you most agree? A. Improved education can solve most quality and safety issues; B. Healthcare workers generally know what they need to do but for whatever reason, they don t do it; C. Improving quality and safety invariably requires more money; D. Standardized tools and processes will efficiently bring about change.

10 Traditional Healthcare Culture Need to get things done immediately Evidence-based practice (scientific proof) Information and data are trusted Culture change is complicated Leaders need to step-up Top-down leadership Zimmerman et. al. Healthcare Papers 2013

11 How we think the healthcare world works: A B How it really works: W BLACK BOX B

12 In a Linear World One size can fit all Copying best practices makes sense Top down leadership ( develop the program and roll it out ) works Checklists work

13 In a Complex World One size never fits all What works here may not work there this is how we do things here There is no one big fix Bottom up leadership works Social immune response

14 Safety Strategies 1 Prevention 1Resilience

15 Prevention

16 Reality

17 Resilience

18 RONT INE WNERSHIP Zimmerman et. al., Healthcare Papers, 2013

19 Ownership

20 Buy in

21 How to get here? From here?

22 Principles Participation is voluntary everyone can opt in or opt out Bottom up, top down and sideways Make the invisible visible Include the unusual suspects Go slow to go fast Nothing about me without me Act your way into a new way of thinking

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24 Rebuilding the wheel

25 Example: Hand hygiene 25

26 TRIZ

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28 Nursing engagement

29 Ideas different socks change blood draw time Bedside report talking to patients fall monitors busy aprons stay with patients while in the bathroom

30 Current Collaborative Performance shows Falls across 6 hospitals declined by 13% In comparison to the baseline rate, a total of 14 falls have been prevented in 2013

31 Falls per 1,000 Patient Days Falls: BOZ total trend Q Q Q Q Q Q Q BOZ Total Trend with intervention Trend without intervention

32 Culture SHIFT Taking time to think Practice-based evidence (social proof) Stories and relationships are trusted Culture change is simple Leaders need to step back Bottom up leadership from the front-line

33 What we have learned Rarely are there significant education deficits. Healthcare workers do know what they need to do. Remarkable change can occur for no money. Standardize outcomes but not necessarily processes

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35 Questions? Raise your hand Or type your question into Chat. Remember to select All Participants

36 Taking the Pulse Poll But wait.there s more! Please do not exit the call without completing the poll 15-Nov

37 Thank you Dr. Michael Gardam Registered Nurses Association of Ontario CPSI Technical hosting All attendees who are working diligently to make care safer Thank you for sharing and learning on the Falls Community of Practise

38 Mark your Calendars for these Upcoming Calls Assessing delirium: pragmatics and confounders November 19, :00 p.m.-1:00 p.m. EST The ten obstacles to Hand Hygiene December 10, :00 p.m.-3:00 p.m. EST For dial-in information, please go to: