Wave 3: Learning Session 2
- 1. New Approach to Controlling Superbugs Virtual Learning Session 2 The Discovery Phase
- 2. Agenda: Welcome and Introductions The Discovery Phase Discovery and Action Dialogue Improvisation Wise Crowd TRIZ
- 3. The Premise Of Positive Deviance No matter how bad things are, there are always people in the group that do a better job, despite having access to the same resources
- 4. Positive Deviance-the 6 D’s D efine: the problem and a successful outcome D etermine: if there are any “positive deviants” Discover: uncommon practices/behaviours D esign: activities enabling others to access and practice new behaviours D iscern: effectiveness of activities or project through ongoing monitoring and evaluation D isseminate
- 5. PD Tools Kick offs Improvisation Sharing Stories Discovery and Action Dialogues TRIZ Wise crowds Social Network Analysis Ethnography
- 6. “ Act your way into a new way of thinking…” Improvization An Approach for Practicing Positive Deviance
- 7. Our Road to Improv Discovery & Action Dialogues Departmental Improv (e.g. General Surgery Unit) Site-Wide Improv Day
- 8. Improv Day at Toronto Western Hospital
- 9. Players (cast) Planted core group; audience participation Artistic Director Can instruct Players to “play up” certain behaviours; sentiments Keep the element of surprise/improv
- 10. Lights… Camera… Discovery & Action!
- 12. Residents
- 14. Lessons Learned Less can be more Provide very basic scenario outlines Use artistic director to uncover interesting themes. Take advantage of multi-disciplinary group Have a DAD! Follow-up with participants – they may have different perspectives/ideas for next improv
- 15. Discovery and Action Dialogues: 15-20 minute sessions Ideally done right on the unit Include those that want to be involved Encourage a multidisciplinary group Facilitator runs through a series of questions that affirm the problem, identify barriers, uncover existing solutions, generate ideas/actions
- 16. Discovery and Action Dialogues: How They Work Group selects a specific problem The group as a whole identifies what the solution looks like including key measures of success
- 17. How do you know or recognize when ______ is present? How do YOU contribute effectively to solving _____? What prevents you from doing this or taking these actions all the time? Is there anyone you know who is able to frequently overcome barriers? Do you have any ideas? What needs to be done to make it happen? Any volunteers? Who else needs to be involved?
- 18. Tips for Facilitators Do : Hold the dialogue in the participants’ local context – e.g. the unit Make impromptu invitations as you enter Designate a scribe to take notes Start with the purpose, We are here to stop…
- 19. Do: Give questions back to the group-wait 20 seconds for a response Encourage everyone to speak Work through all questions without worrying about the order Demonstrate genuine curiosity in everyone’s contributions
- 20. Avoid: Answering questions that have not been asked Missing opportunities to “catch butterflies” – record actions to be taken by participants Coming away with a to-do list for yourself Responding positively or negatively to contributions-let the group sift through their own assessments
- 21. Always remember: “ Nothing about me without me”
- 22. Take 5 Questions? Experience with DAD? Outcomes?
- 23. Wise Crowd
- 24. TRIZ “ theory of inventive problem solving” Define an unwanted result e.g. hospital acquired infections Design a system that would reliably create the unwanted result Compare the adverse system to the current system
- 25. Example Design a system where you will reliably infect 100% of patients with a superbugs within a few days of admission
- 26. Next Steps Continue to work on core team and “launch” Start using the DAD process and other methods on the floors Begin to think about data collection
- 27. Next Learning Session : Monday February 7th 1 pm EST Next Coaching Call : Monday February 14th 1pm EST www.stopsuperbugs.com