The Safe Surgery Saves Lives Workshop, Safe Surgical Care – Accepting no less! – provided an engaging keynote address, two thought-provoking plenary sessions, 12 interactive concurrent sessions and surgical safety expo to promote networking and discussion amongst participants. Some 80 participants travelled to Montreal, QC to attend sessions on March 28-29, 2011 and 20 organizations signed up for the webcast, with 140 people from those organizations participating in the sessions.
“We are what we do, not what we say we do ... communication is about doing the right thing; particularly on a difficult day.” - Dr. Aidan Halligan
Dr. Halligan is an engaging storyteller and highlights of his keynote presentation, Patient Safety – Compliance versus Engagement, centered on accepting, embracing and learning from failure as an important step for success. As the Director of Education, University College London Hospitals and the Chief of Safety, Brighton and Sussex University Hospitals, Dr. Halligan says that culture is critical and there are two leverage points for successful change: sending the right messenger and entering from the right angle (position). If you really want to connect with people, look at the white of their eyes, not their shoes. And, as a leader, you need to inspire and motivate people - ask yourself, why would anyone follow your leadership?
“Unexpected, negative findings can be as valuable as celebrating success! But we don’t often attend to them.” - Dr. Lorelei Lingard
Dr. Lingard’s presentation, Beyond Compliance: Grappling with Paradoxes and Silences in OR Team Communication, looked at preoperative briefings to structure interprofessional discussions, using examples from the research program, “Team Talk”. The plenary session included a brief summary of the team briefing’s impact on team communication failure rates and collaborative work processes, followed by an extensive discussion of two key lessons learned: the importance of paradoxical effects of communication interventions in complex systems, and the challenge of ‘silence’ in the assessment of team communication.
“I became a near miss statistic, which registered on no one else’s radar while in hospital, resulting in frightening and undiagnosed symptoms that persisted throughout my stay.” Mary Bromley
The plenary session, To Prevent or Not Prevent: a Memoir of Major Bilateral Pulmonary Embolism, provided the patient perspective from Mary Bromley, an artist from rural Ontario, who described her efforts in “wanting to be a good patient” and, following four surgeries in five years, questions about why the appropriate thromboprophylaxis was not administered.
The concurrent sessions provided insight into various topics centered on surgical safety, including the surgical checklist, Positive Deviance, accreditation, preventing surgical site infections, venous thromboembolism prophylaxis, liability trends, legal risks in the operating room environment, implementing cultural change, medication safety, and measurement.
Click here to listen to and access copies of presentations from the Safe Surgery Saves Lives Workshop.