Outpatient Surgery Magazine - Subscribers

Hip With the Times - July 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/845806

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Page 152 of 168

J U L Y 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 1 5 3 such as patients' medication allergies. This redundancy, intended as a mechanism to identify potential errors at multiple points before they occur, looks like extra work to staff members, who might resort to workarounds and shortcuts. • Social structure. The OR has historically been a hierarchical environment in which the surgeon is perceived to be the captain of the ship. Surgeon resistance to checklists therefore results in staff members also dismissing the process. — Vanessa Lyons, PhD, RN, CNOR checklist use due to inflated reported completion rates, so use observational audits to measure true compliance (a "secret shop- per" approach is one effective method to complete the observa- tions). Update staff on the results of the observational audits and current patient safety statistics, so they're aware of the checklist's real impact on case outcomes. Share specific examples of how the checklist rundown averted potential problems to show its value in your specific clinical setting. Institute consequences for noncompliance. Once you've identified the barriers to the checklist process (see "Reasons for Checklist Pushback"), provide non-punitive remedi- ation the first time a staff member fails to follow proper checklist protocols. If compliance continues to be an issue, your facility's policy should guide the disciplinary process. Regardless of your policy, consequences for noncompliance must be planned and clearly communicated to staff before checklist implementation. OSM Dr. Lyons (vanessa.lyons@kctcs.edu), a nursing instructor at West Kentucky Community and Technical College in Paducah, Ky., is the former perioperative staff development and technology coordinator at Murray- Calloway County Hospital in Murray, Ky. 5

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