Now to WOW

Now to WOW

Making NorthBay a Great Place to Have a Baby with a continual focus on establishing a culture of safety Safety culture has been defined as the product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine the commitment to, and the style and proficiency of, an

organizations health and safety management (Sexton et al., 2006, p. 2) Compassionate care, Advanced medicine, Close to home Clarify Purpose Every patient, Every Encounter, Every Time

CommunicationCommunication Communication Compassionate care, Advanced medicine, Close to home Clarity of Expectations Align SystemsUnleash Talent

2014 CLIN IV GOAL Create a Culture of Debriefs I will work with the staff, Physicians and leadership to implement a culture of debriefs. I commit to utilizing an agreed upon tool will be implemented to assess for system issues with high risk low volume occurrences, as well as acknowledge things that went well. The situations that will be debriefed will be decided upon by the team (maximum 5

mandatory debrief events) and through collaboration, competence and communication be completed with consistency at least 50% of time in qtr3 and 75% of the time in qtr4. Compassionate care, Advanced medicine, Close to home Patient Safety Culture Survey 2015

We are informed about errors that happen in this unit. 50%-ile L&D/MBU In this unit, we discuss ways to prevent errors from happening again 50%-ile MBU My supervisor/manager overlooks patient safety problems that happen over and over. 10%-ile L&D

Compassionate care, Advanced medicine, Close to home Patient Safety Culture Survey 2015 We are actively doing things to improve patient safety. 25%-ile NICU We are given feedback about changes put into place

based on event reports. 25%-ile NICU We are informed about errors that happen in this unit. <10%-ile NICU Compassionate care, Advanced medicine, Close to home

Compassionate care, Advanced medicine, Close to home CommunicationCommunication Communication Katie to Heather. Great write up. Let's save these debriefs. I think we can use them for staff education and our work

around pt safety. Compassionate care, Advanced medicine, Close to home CommunicationCommunication Communication Heather to Clin IVs.

I am seeking your opinion on how to best inform all of the staff on RIRs as well as sharing the take back information from various Debriefs. Do you want an email? Do you want to Huddle about it? Do we want to make a special bulletin board with the information on it? What would work best to get this information back to all of you? Looking forward to hearing all of

your great suggestions. Heather Here is what staff said I think that if we made a bulletin board then there would be a good chance that everyone wouldn't read it. However, an email followed up with a

huddle communication may be a good idea. Maybe once a month all of the RIR's/Debriefs could be summarized? Compassionate care, Advanced medicine, Close to home CommunicationCommunication

Communication From Katie to the Chairs of Anesthesia and OB Sharing the written debrief from the weekend. Let me know if you would like these communications sent to you when I receive them. As we work on creating a Culture of Safety, we are tracking debriefs and RIRs so that we can

look for trends/make improvements and will be communicating these with staff. Compassionate care, Advanced medicine, Close to home CommunicationCommunication Communication Very Impressive. Having Blood type and

Crossed may be the best choice given the geriatric speed we get blood product from the bank. Please continue to keep me in the loop. Jesse (Anesthesia Physician Leader) Compassionate care, Advanced medicine, Close to home

Compassionate care, Advanced medicine, Close to home Compassionate care, Advanced medicine, Close to home Compassionate care, Advanced medicine, Close to home Compassionate care, Advanced medicine, Close to home

From: "Driver, Chastity" Date: April 28, 2016 at 2:38:51 AM PDT To: "Troutt, Heather" , "Lydon, Katie" Subject: Code Blue drill Just wanted to let you know we did a code blue drill tonight. I've been inspired by my preceptor, Elisa Jang :-) I've been helping her/shadowing her while she runs code

blue drills during my clinical hours. It went really well, and it was a good review for the ones that attended the simulation in February, and a good learning experience for the ones that did not attend that day. We did a debrief, and some areas that required reminders were to have two people for the airway (new guideline: one person to hold the mask in order to ensure a good seal, and the second person to deliver the breaths with the ambu bag), also there was a reminder to remove the ambu bag off of the bag when the shocks are delivered.

Overall it was great, NICU came, and we used the CPR manikin that we have in the break room. I ordered some extra pads and an ambubag to use and labeled it "simulation" for anyone else that wants to do a simulation. The only thing that I was disappointed about was the fact that the pads don't make good contact with the manikin, so we couldn't evaluate the depth and rate, or recoil of the compressions, so we didn't get any feedback from the machine. Compassionate care, Advanced medicine, Close to home

employees present: Kathryn Vera, Cherie Wonnell, Ken Nelson, Adel Henry, Maria Lara, Chris Cruz (he helped me set up as well), Amber Haddon, Corrina Renaud

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