Wave 2: Learning Session 2
- 1. Did you Join the Call Correctly? If there is NO phone icon beside your name: 1. Hang up and disconnect from WebEx. 2. Rejoin using original link. Enter name & Email & click on Join Now 3. A popup will display the phone information . Direct Line Enter number Line with Extension “ I will call in” You Joined Incorrectly! There is NO phone icon beside your name. You will be Unable to join the breakout sessions. You Joined Correctly! There IS a phone icon beside your name. You will be able to join the breakout sessions.
- 2. Interacting in WebEx Oct 20, 2010 Be prepared to use: Pointer Raise your hand
- 4. New Approach to Controlling Superbugs Virtual Learning Session 2 The Discovery Phase
- 5. Agenda: Welcome and Introductions The Discovery Phase Discovery and Action Dialogue Improvisation Wise Crowd TRIZ
- 6. QUICK POLL
- 7. 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
- 8. 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
- 9. Discover uncommon practices/behaviors enabling the PDs to outperform/find better solutions to the problem than others in their “community” Discover
- 10. PD Tools Kick offs Improvisation Sharing Stories Discovery and Action Dialogues TRIZ Improv Wise crowds Social Network Analysis Ethnography
- 11. Emphasizes hands-on learning Focuses on actionable behaviours “ it is easier to act your way into a new way of thinking than to think your way into a new way of acting” Using an inquiry based process: DAD
- 12. 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
- 13. What this looks like: 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
- 14. Be sure not to ignore little changes, suggestions and adaptations that emerge Answers and successful strategies that emerge will differ by organization, unit etc… Provide feedback to others and rapidly act on suggestions or communicate why they can’t be acted on Try not to be silent or wishy-washy on suggested actions
- 15. How do you know or recognize when ____ the problem selected is present? How do YOU contribute effectively to solving the problem? What prevents you from doing this or taking these actions all the time? Is there anyone you know who is able to frequently___ solve the problem, overcoming barriers? Do you have any ideas? What needs to be done to make it happen? Any volunteers? Who else needs to be involved?
- 16. 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…
- 17. 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
- 18. Do Not: Answer questions that have not been asked Miss opportunities to “catch butterflies” – record actions to be taken by participants Come away with a to-do list for yourself Avoid responding positively or negatively to contributions-let the group sift through their own assessments
- 19. Always remember: “ Nothing about me without me”
- 20. Take 5 Questions? Experience with DAD? Outcomes?
- 21. Wise Crowd
- 22. QUICK POLL
- 23. Improv Mohammad Salhia Toronto Western Hospital
- 24. “ Act your way into a new way of thinking…” Improvization An Approach for Practicing Positive Deviance
- 25. Our Road to Improv Discovery & Action Dialogues Departmental Improv (e.g. General Surgery Unit) Site-Wide Improv Day
- 26. Improv Day at Toronto Western Hospital
- 27. Discovery & Action Dialogues Departmental Improv (e.g. General Surgery Ward) Site-Wide Improv Day Players (cast) Planted core group; audience participation Artistic Director Can instruct Players to “play up” certain behaviours; sentiments Keep the element of surprise/improv 3. Site-Wide Improv
- 28. Lights… Camera… Discovery & Action!
- 29. Improv Day Discovery & Action Dialogues Departmental Improv (e.g. General Surgery Ward) Site-Wide Improv Day Four 45 minute sessions Agenda per session Introduction: What is PD; Why Improv? Set-up improv Discussion DAD
- 31. Residents
- 33. Lessons Learned Less can be more Provide very basic scenario outlines ID player; their relationships 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
- 34. TRIZ the power of creative destruction 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
- 35. 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
- 36. Next Coaching Call : Monday October 28 th 1pm EST Next Learning Session : Monday November 15 th 12pm EST www.stopsuperbugs.com
- 37. QUICK POLL