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  • 1. Location Date ResearcherSurgeon’s Offices Must haves for this location: Informed consent for all participants Guided tour Observation of patient appointment Observation of Surgeon writing orders Observation orders being scheduled Observation of any patient follow up SME Interview with Surgeons General Interview with scheduler Interview any staff with patient contact for OR Patient interview Gather all applicable artifacts/paper forms Take screen shots of all applicable interfaces
  • 2. 1 Guided Tour specialty title number initialsFor each physical space in the surgical journey we will ask a clinician to give us a guided tour to explain the spacelayout, tools, and general flow of people. This will give us a background understanding of each space and allow usto focus appropriately for each general observation.
  • 3. Surgeon’s Offices2 Observations specialty title number initialsObserve surgeon’s office including surgeons interaction with patient and process for determining surgical schedule.This will include observing the Surgeon, his or her Scheduling Administrator, and possibly a patient.Activity ObservedPeople & Interactions Tools & FeedbackProcessChallenges, Risks, Ah-has
  • 4. 3 Staff Interviews specialty title number initialsThese interviews involve participants who only touch one part of the surgical journey.TitleHow long have you been at this office? What has changed over the years?Could you explain the process of scheduling a surgery that will take place at KentHospital?
  • 5. Surgeon’s Offices specialty title number initials + -What do you like about this process? What do you dislike about this process? Could you tell me about any safety initiatives you currently use? What changes do you hope to see as a result of the surgical journey project? What do you think will be the biggest barriers to change?
  • 6. Surgeon’s Offices4 Surgeon Interviews specialty title number initials These interviews involve participants who touch multiple parts of the surgical journey. Title What brought you to Kent? Could you explain the process of scheduling a surgery that will take place at Kent Hospital? (How many times is information handed off?) + -What do you like about this process? What do you dislike about this process?
  • 7. Surgeon’s Offices How do you determine if a patient needs PAT? What other activities are you doing to prepare for surgery after the initial visit? + -What do you like about this process? What do you dislike about this process? Could you tell us about the process of establishing and maintaining pref. cards? How often are you missing important items? + -What do you like about this process? What do you dislike about this process?
  • 8. Surgeon’s OfficesCould explain a typical “Day in your life” on a day that you will be in the OR? Start fromthe time you leave your house until you return home
  • 9. Surgeon’s Offices Pre-Op follow up questions + -What do you like about this process? What do you dislike about this process? OR follow up questions + -What do you like about this process? What do you dislike about this process? PACU & Discharge follow up questions + -What do you like about this process? What do you dislike about this process?
  • 10. Surgeon’s Offices How do you document your process? Cerner CPOE Med Req + -What do you like about this process? What do you dislike about this process?
  • 11. Surgeon’s OfficesWhat part of the process creates the biggest challenge for patient safety?What is the process for reporting a safety problem?What is your vision for the future of surgical services?What do you think will be the biggest barriers to change?How do you think the addition of the ambulatory facility will affect you? And the hospitalas a whole?
  • 12. Surgeon’s Offices6 Patient Interview specialty title number initialsThese interviews involve patients at each point in their journeyProcedureWhy did you decide to have your procedure with this surgeon/at Kent?Could you explain what you expect to happen over the course of the next few weeks?Are there any questions that you still have about your procedure?How would your rate your current satisfaction with your surgical journey so far? + - What has been the highlight so far? What would you change?
  • 13. Notes specialty title number initials