Culture Matters.
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Transcript of Culture Matters.
1
Disclosure
I do not have any affiliations with a commercial organization
SPEAK OUT FOR SAFETY:
COMMUNICATION TOOLS AND SAFETY CULTURE
Adele Harrison
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My Story
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Communication and Patient Outcomes500 Patient Safety &Learning System events/year
32% Patient Care Quality Office events
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Communication, Culture and Safety
CommunicationCulture
Safety
Engaged staff
Patient & Staff Safety
Patient & Staff Safety
“CUS” “I am concerned”“I am uncomfortable”“This is a safety issue”STOPClosed Loop
Communication
Repeating back in your own words
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Speak Out for Safety
Communication Tools
Culture of Safety
Enhanced Patient
Quality & Safety
Improved patient
experience
Safety events
reduced
Potential $41,000
saved/claim
Enhanced Staff
Satisfaction & Safety
Staff sick time
reduced 10%
Staff Injury
Reduced
Potential $24,000 saved/unit/year
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Aim Statement
To improve the patient safety culture by October 2014 as measured by a:
10% reduction in sick time (costs) 10% increase in patient safety event
reporting 10% increase in staff feeling safety
concerns are heard
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Build the team
Develop a vision and strategy
Gain understanding and buy-in
Empower others
Short term wins
The Project
Create a new culture
Create a sense of urgency
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The Teams
Susan Kurucz, Ann Dawkes and the Chemainus Health Care Centre staff, Island Health
Gillian Kozinka and the Victoria Neonatal Intensive Care Unit staff, Island Health
Bart Johnson, Quality and Safety, Island Health
Ann Marie Leijen and the UBC Sauder School of Business Physician Leadership Program
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Safety Climate
strongly
agree; 33%
agree; 40%
neu-tral; 20%
disagree, 7% strongly agree,
11%
agree; 50%
neutral, 28%
disagree; 11%
Do you feel your concerns about patient safety are heard?
Unit A Unit 1
What we Learned
No shortage of enthusiasm Staff looking for solutions to problems Importance of role modelling at all levels
of organization Different emphasis on the 2 tools for
each site Different implementation strategies for
different sites
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12
Sick time and overtime data: October 2014
2013 (1)
2013 (2)
2013 (3)
2013 (4)
2013 (5)
2013 (6)
2013 (7)
2013 (8)
2013 (9)
2013 (10)
2013 (11)
2013 (12)
2013 (13)
2014 (1)
2014 (2)
2014 (3)
2014 (4)
2014 (5)
2014 (6)
2014 (7)
0
200
400
600
800
1,000
1,200
1,400
1,600
Sick time and Overtime by time period (Unit A)
Overtime Worked Hours Sicktime Hours
Hours
Project start
699 to 425 (39% ↓)228 to 162 (29% ↓)
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Sick time and overtime data: January 2015
2013 (1)
2013 (2)
2013 (3)
2013 (4)
2013 (5)
2013 (6)
2013 (7)
2013 (8)
2013 (9)
2013 (10)
2013 (11)
2013 (12)
2013 (13)
2014 (1)
2014 (2)
2014 (3)
2014 (4)
2014 (5)
2014 (6)
2014 (7)
2014 (8)
2014 (9)
2014 (10)
0
100
200
300
400
500
600
Sick time and Overtime by time period (Unit A)
Overtime Worked Hours Sicktime Hours
Hours
Project start
221 to 178 (19% ↓) 303 to 404 (33%↑)
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Patient Safety Event Reporting
Jan
2010
Mar 2
010
May 2
010
Jul 2
010
Sep
2010
Nov 2
010
Jan
2011
Mar 2
011
May 2
011
Jul 2
011
Sep
2011
Nov 2
011
Jan
2012
Mar 2
012
May 2
012
Jul 2
012
Sep
2012
Nov 2
012
Jan
2013
Mar 2
013
May 2
013
Jul 2
013
Sep
2013
Nov 2
013
Jan
2014
Mar 2
014
May 2
014
Jul 2
014
Sep
2014
Nov 2
014
0
5
10
15
20
25
30
35
40
45
Patient Safety & Learning System Reporting
1 - No harm 2 - Minor harm 3 - Moderate harm 4 - Severe harm
Project start
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Patient Safety Event Reporting
↑ from 62% to 81%
Jun 2011
Jul 2011
Aug 2011
Sep 2011
Oct 2011
Nov 2011
Dec 2011
Jan 2012
Feb 2012
Mar 2012
Apr 2012
May 2012
Jun 2012
Jul 2012
Aug 2012
Sep 2012
Oct 2012
Nov 2012
Dec 2012
Jan 2013
Feb 2013
Mar 2013
Apr 2013
May 2013
Jun 2013
Jul 2013
Aug 2013
Sep 2013
Oct 2013
Nov 2013
Dec 2013
Jan 2014
Feb 2014
Mar 2014
Apr 2014
May 2014
Jun 2014
Jul 2014
Aug 2014
Sep 2014
Oct 2014
Nov 2014
Dec. 2014
0
10
20
30
40
50
60
70
80
90
100
No harm reporting as percentage of total PSLS events
Perc
eent
age
of n
o ha
rm re
porti
ng
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Safety Climate
Excellent40%
Very
good40%
Ac-cepta-ble20%
Excellent20%
Very good60%
Ac-ceptable20%
Please give your unit an overall grade on patient safety
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Safety Climate
strongly
agree;
33%
agree; 40%
neutral; 20%disagree; 7%
strongly agree
80%
neutral20%
Do you feel your concerns about patient safety are heard?
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What did the data mean to you? Did the patient safety culture
improve by October 2014?
10% reduction in sick time (costs)?
10% increase in patient safety event reporting?
10% increase in staff feeling safety concerns are heard?
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Speak Out for Safety
“CUS” “I am concerned”
“I am uncomfortable”
“This is a safety issue”
STOP
Closed Loop Communication