Sunday, April 28, 2019

More than just a to-do list - build teamwork through project lists to improve execution

Two unique sources indicate a close link between the use of the project list in January 2009 and effective team building: events in American Airlines in New York and a study on medical checklists. Special issue of January 2009 from

New England Journal of Medicine
from

 The amazing results of medical research involving the use of checklists are highlighted. Researchers have suggested that because about half of surgical complications can be avoided and there is ample evidence that effective team building is associated with improved outcomes, the list of items may help reduce medical errors and improve patient safety.

The researchers did not have the dramatic impact as predicted in their research. During the study, mortality fell from 1.5% to 0.8%, and serious complications fell from 11% to 7% - an increase of 47% and 37%, respectively. The list of projects is now considered to be a powerful tool in health care, and they have long been used in the military – especially in military aviation, where tools and techniques developed in this low-error environment increase the value of the project. Performance improvement checklist and effective team building initiatives.

' Plan - Brief - Executive - Reporting & #39; Encourage effective team building

Brigadier General Charles Chaz is now retired, spending most of his career in the US Air Force's frontline fighter cockpit. During his career, he recorded more than 3,700 hours with high-performance jet fighters. Of all these flights, Chaz only had the necessary equipment for two pilots to fly - his flight list. "I have forgotten my list twice," Chaz said. "Although I clearly know every step in the list, I am still a nervous wreck. Chaz continues," the medical profession is one of the few careers in recent times. A standard procedure is used. They have now condensed these procedures into the same checks as military aviation. And is affected by the lack of enforcement discipline. "

In addition to demonstrating the value of the project list, the study also highlights the links between project lists, such as briefings and reports, which play a role in effective team building strategies. "In order to implement the checklist," the study said, "All sites must introduce formal care pauses prior to surgery for pre-operative team presentations and briefings as well as post-operative reporting – effective team building practices have previously been proven Improved safety processes reduce their attitudes and complications and mortality by 80%. "Correct briefings and reporting to encourage collaboration and effective team building, as evidenced by the plan-implementation-reporting cycle, is Military mission critical process aviation missions, as well as project listings.

"The act of opening the list of items," Chaz said, "speaking to individuals and teams and sending out information that is intentionally or unintentionally ignored. This happens in addition to eliminating obvious errors that are missing from the project. The list is specifically designed."

The role of the checklist and effective team building in the medical industry

The Joint Commission and other patient safety teams have been using tools used by military pilots to not only reduce errors, but also improve the performance of the OR and ER teams during surgery. The US Air Force learned directly in the 1950s and 1960s that more pilots died during training because pilots switched from propeller-driven aircraft to faster jets without proper planning, briefing, and reporting procedures. Not dying in battle. Even in the ultra-high reliability of modern aviation, we can see, for example, the importance of American Airlines in the Hudson River and the importance of checklists and good standard operating procedures. Captain Sullenburger will say that in his training and pre-flight briefings, the emergency, as he encountered, has been planned, briefed, and previously performed in his simulator training, and in his mind. It has appeared many times. Think about the impact these simple principals have on the business in our hospital's life-saving process, or as we have seen so far.

Checklists have long been a tool for military and commercial pilots. Professional skills to promote effective team building and personal relationships. "When you walk into the cockpit of the F-16, there is only one seat," Chaz said. "When you realize that you are making the right decision, it is ##; when there is a problem, no one else You can rely on a list that provides a strong sense of security and allows you to focus on the task. "The list of projects is widely recognized as a powerful tool for many different professions. Some of the main benefits are obvious. The checklist helps ensure that you perform all the key steps in the process. However, as Chaz knows, the list has more and less value to be understood.

Mutual support: the value of process planning

This value is related to both people, just as Chaz is as reassuring as his checklist and the psychological needs of effective team building. When the team is serious about working on a list of projects, the rules for proper execution will appear. To encourage effective team building programs, teams are typically responsible for the goals of day-to-day operations and innovative operations. Routine operations are often many and critical to success, so it can be taken for granted as "processing." By them, when the team fails to reach the goal, the finger will follow. Part of the Surgical Project List study includes what Chaz calls a mutual support concept. Chaz explained, "mutual support is just looking for each other and asking teammates to say something when they miss something or someone makes a mistake. Use the project list correctly. So when you are a pilot supporting other pilot teams, you are performing the task. When you are careful, you can even use your list to help others."

"In a crisis," he said, "genius in innovation is not always useful." What is absolutely vital to success is to make things that we know from experience and collective wisdom into the right things. This is a great way to ensure that we always do the right thing. "




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