WEBVTT 00:01.836 --> 00:04.763 (gentle piano music) 00:04.763 --> 00:05.805 - [Narrator] Quality of care. 00:05.805 --> 00:08.969 Patient experience and the overall success of the hospital 00:08.969 --> 00:11.463 all begins with patient safety. 00:11.463 --> 00:14.546 Winn Army Community Hospital has implemented an initiative 00:14.546 --> 00:18.044 to promote a culture of patient safety, by conducting 00:18.044 --> 00:19.794 daily safety huddles. 00:20.124 --> 00:22.171 - Alright good morning everybody, happy Thursday, woohoo! 00:22.171 --> 00:23.338 - [Crowd] Woo! 00:23.547 --> 00:25.959 - Alright so access today, we have pretty much all 00:25.959 --> 00:28.541 of our providers are here, which means our nurse to 00:28.541 --> 00:30.173 provider ratios are a little short again, so just make 00:30.173 --> 00:32.502 sure that we're on top of letting our patients know 00:32.502 --> 00:33.962 if we're running behind. 00:33.962 --> 00:36.468 For a couple of kudos, once again last month we had 00:36.468 --> 00:38.218 no safety incidences. 00:38.586 --> 00:39.588 Woo, go peds. 00:39.588 --> 00:40.589 - [Crowd] Woo! 00:40.589 --> 00:42.379 - So as far as safety concerns, we do have a new 00:42.379 --> 00:45.051 safety officer that's gonna be involved and that's gonna 00:45.051 --> 00:49.051 be PFC Summers, so she's our new safety officer. 00:49.920 --> 00:52.462 Another thing as far as kind of this season, we've 00:52.462 --> 00:54.049 been having a lot of sick kids in and out of our clinics, 00:54.049 --> 00:56.635 we know this, making sure MSA's as well if you guys know 00:56.635 --> 00:59.476 that these kids are coming in and they're sick with 00:59.476 --> 01:01.556 a cough, try to see if we can't get them to wear 01:01.556 --> 01:03.436 masks so we can prevent sickness spreading to 01:03.436 --> 01:04.564 other children here. 01:04.564 --> 01:06.480 Another kudos, this is a big deal for us, we've been 01:06.480 --> 01:09.482 promoting Relay Health like crazy, since February 21st 01:09.482 --> 01:13.023 until this past Monday, we have enrolled 535 new patients 01:13.023 --> 01:15.023 so good job to you guys. 01:15.345 --> 01:17.681 So those are the things that I want to put out 01:17.681 --> 01:18.679 this morning. 01:18.679 --> 01:20.269 - The only thing is I wanted to mention is whenever patients 01:20.269 --> 01:24.110 come in you have to check their allergies each visit. 01:24.110 --> 01:25.952 That was just a couple that wasn't checked, 01:25.952 --> 01:27.776 their allergies were in there, but it was not from that 01:27.776 --> 01:31.653 visit, but other than that the charts look great. 01:31.653 --> 01:32.529 - Question? 01:32.529 --> 01:35.031 - I have a question Cindy, and also there's two different 01:35.031 --> 01:37.537 areas, a couple areas with the allergies. 01:37.537 --> 01:41.287 We type it in there and then - I check it all. 01:41.334 --> 01:44.086 - So pretty much all of them, make sure they're in there? 01:44.086 --> 01:47.049 - You just have to put it one place. 01:47.049 --> 01:48.133 - Just on one place, okay. 01:48.133 --> 01:50.383 - Yeah it has to be verified every encounter, 01:50.383 --> 01:52.549 the same thing with pain, I know some of you 01:52.549 --> 01:54.595 put it in the vital signs, some of you put it in the note, 01:54.595 --> 01:56.558 there's like three different places I have you fill 01:56.558 --> 01:58.976 in for the pain and I look in all three places. 01:58.976 --> 02:01.224 - So everyone split into your teams, and have a great day. 02:01.224 --> 02:03.052 (applause) 02:03.052 --> 02:04.851 - [Narrator] Every morning throughout the organization, 02:04.851 --> 02:07.599 each department conducts a safety huddle. 02:07.599 --> 02:10.681 These huddles consist of multi-disciplinary teams 02:10.681 --> 02:14.224 made up of doctors, nurses, medics and administrative staff. 02:14.224 --> 02:18.224 - We have three RNs this morning an LPN on call, 02:18.390 --> 02:21.223 and for tonight we have three RNs. 02:21.646 --> 02:24.907 - And we have a c-section scheduled for this morning, 02:24.907 --> 02:26.985 it will be after 9am but I think she's coming at 02:26.985 --> 02:27.902 about 7:30. 02:28.193 --> 02:31.364 There's a c-section on Friday, and a ripening on Saturday. 02:31.364 --> 02:35.531 - And we have nobody actively in labor at the present time. 02:36.362 --> 02:38.864 - There are those moments when there's a piece of 02:38.864 --> 02:42.409 ^information that everybody in the room needs to know, 02:42.409 --> 02:44.432 ^and there's no other forum for that. 02:44.432 --> 02:47.482 ^There wouldn't really be any way to communicate that 02:47.482 --> 02:49.065 ^without the huddle. 02:49.357 --> 02:50.190 Room 405. 02:50.947 --> 02:53.745 It's a great opportunity when there's something special, 02:53.745 --> 02:56.697 something that needs to be communicated to the whole group, 02:56.697 --> 03:00.864 we have anesthesia we have pediatricians we have the nurses 03:01.450 --> 03:03.751 from both labor and delivery and the nursery, we have 03:03.751 --> 03:07.918 the OBGYNs and everybody gets to hear that same information. 03:07.971 --> 03:10.638 - Any safety issues or concerns? 03:11.379 --> 03:13.757 ^- It's important to have the multi-disciplinary team, 03:13.757 --> 03:16.684 ^everybody present so it's like a checks and balances 03:16.684 --> 03:18.430 ^so that everybody's on the same page. 03:18.430 --> 03:20.136 - Thank you for being the team that you are, 03:20.136 --> 03:22.221 and on that note, one team. 03:22.221 --> 03:24.054 - [Group] One purpose. 03:25.223 --> 03:27.197 - [Narrator] The goal of the huddle is to promote safety 03:27.197 --> 03:30.114 by fostering communication among team members. 03:30.114 --> 03:34.281 - Good morning folks, it is Tuesday, welcome thank you 03:35.380 --> 03:36.926 for being here today. 03:36.926 --> 03:39.093 We are gonna start off huddle with 03:39.093 --> 03:41.510 a few reminders this morning. 03:41.559 --> 03:44.605 Thank you so much for keeping up with Peta's metrics 03:44.605 --> 03:46.109 in your preventative screening. 03:46.109 --> 03:48.274 Just a friendly reminder to remember to order the 03:48.274 --> 03:51.112 mammograms when the patient's in the room if you 03:51.112 --> 03:53.696 notice that they are due, that way we can give them 03:53.696 --> 03:55.742 the contact information to call to schedule and they 03:55.742 --> 03:59.081 can you know book pretty much immediately. 03:59.081 --> 04:01.873 On this same note we also can remind our patients 04:01.873 --> 04:03.794 if they are having issues with the appointment line 04:03.794 --> 04:06.084 to go ahead and self-book their appointments through 04:06.084 --> 04:07.334 Tricare online. 04:08.040 --> 04:12.090 Lastly we need to providers specifically in addition 04:12.090 --> 04:14.426 to chart reviews, by the end of the month we have an 04:14.426 --> 04:17.176 opioid training that's a two hour training that's due 04:17.176 --> 04:20.009 and is accessible on Swank Health. 04:20.631 --> 04:24.014 For more information I can get with you after huddle. 04:24.014 --> 04:25.686 Alright, blue team head nurse? 04:25.686 --> 04:29.066 - No problems, everything looks clear for this morning, 04:29.066 --> 04:31.440 we have a few amount of doctors, so we're good on 04:31.440 --> 04:32.607 nursing staff. 04:33.019 --> 04:34.931 - Okay, very good, behavioral health? 04:34.931 --> 04:36.099 - Nothing new, ma'am. 04:36.099 --> 04:37.101 - Okay, case management any issues? 04:37.101 --> 04:37.934 - None. 04:39.189 --> 04:41.194 - Okay, any other issues, questions, concerns? 04:41.194 --> 04:45.361 - Our dermatology we have loaded the slides for the 04:46.278 --> 04:49.278 providers online and in our P drive. 04:50.740 --> 04:54.907 So the same simple things, the simple eczema and rashes 04:56.077 --> 04:59.714 and things like that that we can handle and Dr. Lucas 04:59.714 --> 05:03.881 was very kind enough to give us some in house training 05:04.058 --> 05:07.010 for us so it's loaded up on the P drive. 05:07.010 --> 05:07.927 That's all. 05:09.515 --> 05:10.597 - [Meeting Leader] Alright everyone, let's have a 05:10.597 --> 05:11.601 good Tuesday, thank you. 05:11.601 --> 05:13.641 - [Narrator] Although the focus is on patient care, 05:13.641 --> 05:16.226 the safety huddle is about the entire organization 05:16.226 --> 05:18.390 working together to ensure we appropriately care 05:18.390 --> 05:19.884 for every patient. 05:19.884 --> 05:21.510 - Hi good morning everyone. 05:21.510 --> 05:22.844 - [Crowd] Good morning, ma'am. 05:22.844 --> 05:24.512 - Alright we're gonna start off this morning with. 05:24.512 --> 05:25.929 - [Crowd] Safety. 05:26.219 --> 05:27.052 - Great. 05:27.345 --> 05:29.723 ^I would say that everybody should start their day 05:29.723 --> 05:31.939 ^off with safety and if you don't make it the most 05:31.939 --> 05:34.325 ^important thing in your day, then nobody else will. 05:34.325 --> 05:36.242 - The HEDIS measure for mammograms is over 50, but 05:36.242 --> 05:38.624 if they're over 40, we should be talking to them 05:38.624 --> 05:41.126 about their annual mammograms but the HEDIS measure 05:41.126 --> 05:42.834 is over 50 with the discussion at 40. 05:42.834 --> 05:44.963 - Our clinic is a solider-centered medical home 05:44.963 --> 05:47.175 which is a little bit different from the other clinics 05:47.175 --> 05:51.342 and so each of our providers have medics instead of nurses. 05:51.554 --> 05:53.474 And we have a small amount of nurses that help out in 05:53.474 --> 05:56.388 the treatment, immunizations and sometimes with screening. 05:56.388 --> 05:58.972 We all collaborate together and in that way we're all 05:58.972 --> 06:00.059 in the same sheet of music. 06:00.059 --> 06:02.683 It helps us to provide better care for our patients 06:02.683 --> 06:04.261 and it keeps us safe. 06:04.261 --> 06:06.095 - Captain Anderson is on leave, Lieutenant Duke is 06:06.095 --> 06:09.025 out in the field and Captain Sanders will also 06:09.025 --> 06:10.564 be at the PT solarium. 06:10.564 --> 06:12.694 I oversee all the medics and the staffing. 06:12.694 --> 06:15.774 It's my responsibility every day to figure out 06:15.774 --> 06:18.108 whose gonna work where with what provider. 06:18.108 --> 06:20.657 ^We had a provider within the last few weeks that 06:20.657 --> 06:24.037 ^actually had a close call, he had actually put in a 06:24.037 --> 06:27.452 ^wrong medication for a patient, he had two patients 06:27.452 --> 06:31.172 with similar last names so it was simple mistake, 06:31.172 --> 06:33.880 honest mistake and that patient actually went to the 06:33.880 --> 06:36.377 pharmacy and was given the wrong medication and caught it 06:36.377 --> 06:40.460 and brought it to my attention at the front desk. 06:40.681 --> 06:44.021 I immediately informed the provider of the mistake 06:44.021 --> 06:45.986 and he went in and fixed it immediately and I submitted 06:45.986 --> 06:47.986 a patient safety report. 06:48.734 --> 06:50.658 I think patient safety is everyone's responsibility 06:50.658 --> 06:54.580 regardless of what your job is or what your function is 06:54.580 --> 06:56.163 here in the clinic. 06:56.413 --> 06:58.287 Whether you work at the front desk, in treatment, 06:58.287 --> 07:00.787 whether you're a provider, medic, it's just everyone's 07:00.787 --> 07:02.037 responsibility. 07:02.373 --> 07:05.006 - [Narrator] Although the focus is on patient care, 07:05.006 --> 07:08.050 the safety huddle is about the entire organization 07:08.050 --> 07:09.962 working together to ensure we appropriately care for 07:09.962 --> 07:11.129 every patient. 07:11.420 --> 07:13.381 The safety huddle is a quick meeting designed to look 07:13.381 --> 07:16.669 back at the previous 24 hours, or last shift to identify 07:16.669 --> 07:18.961 significant safety or quality issues, and to look 07:18.961 --> 07:21.884 forward in anticipation of any safety or quality issues 07:21.884 --> 07:25.134 in the next 24 hours or the next shift. 07:27.170 --> 07:28.921 - Look for something positive in each day, even if 07:28.921 --> 07:31.588 some days you have to look hard. 07:31.963 --> 07:35.255 We want to make sure situational awareness of any problems 07:35.255 --> 07:39.394 that could impact the safety and quality of patient care 07:39.394 --> 07:40.974 closest to the patient. 07:40.974 --> 07:44.602 ^- [Man] We here at Fort Stewart Meddac, are committed 07:44.602 --> 07:46.901 ^to providing the highest quality, safe, accessible 07:46.901 --> 07:48.479 ^patient care out there. 07:48.479 --> 07:50.312 We truly are one team, 07:50.569 --> 07:52.402 - [Crowd] One purpose.