Wave 2: Learning Session 2


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Mention: how to raise hand for question Annotation Arrow Emoticons Oct 20, 2010
  • Solutions before our eyes What enables people to find these solutions? Findings are accessible to all
  • Six D’s – See Handbook
  • Wave 2: Learning Session 2

    1. 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. 2. Interacting in WebEx Oct 20, 2010 <ul><li>Be prepared to use: </li></ul><ul><ul><li>Pointer </li></ul></ul><ul><ul><li>Raise your hand </li></ul></ul>
    3. 4. New Approach to Controlling Superbugs Virtual Learning Session 2 The Discovery Phase
    4. 5. Agenda: <ul><li>Welcome and Introductions </li></ul><ul><li>The Discovery Phase </li></ul><ul><li>Discovery and Action Dialogue </li></ul><ul><li>Improvisation </li></ul><ul><li>Wise Crowd </li></ul><ul><li>TRIZ </li></ul>
    5. 6. <ul><li>QUICK POLL </li></ul>
    6. 7. The Premise Of Positive Deviance <ul><li>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 </li></ul>
    7. 8. Positive Deviance-the 6 D’s <ul><li>D efine: the problem and a successful outcome </li></ul><ul><li>D etermine: if there are any “positive deviants” </li></ul><ul><li>Discover: uncommon practices/behaviours </li></ul><ul><li>D esign: activities enabling others to access and practice new behaviours </li></ul><ul><li>D iscern: effectiveness of activities or project through ongoing monitoring and evaluation </li></ul><ul><li>D isseminate </li></ul>
    8. 9. <ul><li>Discover uncommon practices/behaviors enabling the PDs to outperform/find better solutions to the problem than others in their “community” </li></ul>Discover
    9. 10. PD Tools <ul><li>Kick offs </li></ul><ul><li>Improvisation </li></ul><ul><li>Sharing Stories </li></ul><ul><li>Discovery and Action Dialogues </li></ul><ul><li>TRIZ </li></ul><ul><li>Improv </li></ul><ul><li>Wise crowds </li></ul><ul><li>Social Network Analysis </li></ul><ul><li>Ethnography </li></ul>
    10. 11. <ul><li>Emphasizes hands-on learning </li></ul><ul><li>Focuses on actionable behaviours </li></ul><ul><li>“ it is easier to act your way into a new way of thinking than to think your way into a new way of acting” </li></ul>Using an inquiry based process: DAD
    11. 12. Discovery and Action Dialogues How They Work <ul><li>Group selects a specific problem </li></ul><ul><li>The group as a whole identifies what the solution looks like including key measures of success </li></ul>
    12. 13. What this looks like: <ul><li>15-20 minute sessions </li></ul><ul><li>Ideally done right on the unit </li></ul><ul><li>Include those that want to be involved </li></ul><ul><li>Encourage a multidisciplinary group </li></ul><ul><li>Facilitator runs through a series of questions that affirm the problem, identify barriers, uncover existing solutions, generate ideas/actions </li></ul>
    13. 14. <ul><li>Be sure not to ignore little changes, suggestions and adaptations that emerge </li></ul><ul><li>Answers and successful strategies that emerge will differ by organization, unit etc… </li></ul><ul><li>Provide feedback to others and rapidly act on suggestions or communicate why they can’t be acted on </li></ul><ul><li>Try not to be silent or wishy-washy on suggested actions </li></ul>
    14. 15. <ul><li>How do you know or recognize when ____ the problem selected is present? </li></ul><ul><li>How do YOU contribute effectively to solving the problem? </li></ul><ul><li>What prevents you from doing this or taking these actions all the time? </li></ul><ul><li>Is there anyone you know who is able to frequently___ solve the problem, overcoming barriers? </li></ul><ul><li>Do you have any ideas? </li></ul><ul><li>What needs to be done to make it happen? Any volunteers? </li></ul><ul><li>Who else needs to be involved? </li></ul>
    15. 16. Tips for Facilitators <ul><li>Do : </li></ul><ul><li>Hold the dialogue in the participants’ local context – e.g. the unit </li></ul><ul><li>Make impromptu invitations as you enter </li></ul><ul><li>Designate a scribe to take notes </li></ul><ul><li>Start with the purpose, We are here to stop… </li></ul>
    16. 17. <ul><li>Do: </li></ul><ul><li>Give questions back to the group-wait 20 seconds for a response </li></ul><ul><li>Encourage everyone to speak </li></ul><ul><li>Work through all questions without worrying about the order </li></ul><ul><li>Demonstrate genuine curiosity in everyone’s contributions </li></ul>
    17. 18. <ul><li>Do Not: </li></ul><ul><li>Answer questions that have not been asked </li></ul><ul><li>Miss opportunities to “catch butterflies” – record actions to be taken by participants </li></ul><ul><li>Come away with a to-do list for yourself </li></ul><ul><li>Avoid responding positively or negatively to contributions-let the group sift through their own assessments </li></ul>
    18. 19. <ul><li>Always remember: </li></ul><ul><li>“ Nothing about me without me” </li></ul>
    19. 20. Take 5 <ul><li>Questions? </li></ul><ul><li>Experience with DAD? </li></ul><ul><li>Outcomes? </li></ul>
    20. 21. Wise Crowd
    21. 22. <ul><li>QUICK POLL </li></ul>
    22. 23. Improv Mohammad Salhia Toronto Western Hospital
    23. 24. “ Act your way into a new way of thinking…” Improvization An Approach for Practicing Positive Deviance
    24. 25. Our Road to Improv <ul><li>Discovery & Action </li></ul><ul><li>Dialogues </li></ul>Departmental Improv (e.g. General Surgery Unit) Site-Wide Improv Day
    25. 26. Improv Day at Toronto Western Hospital
    26. 27. <ul><li>Discovery & Action </li></ul><ul><li>Dialogues </li></ul>Departmental Improv (e.g. General Surgery Ward) Site-Wide Improv Day <ul><li>Players (cast) </li></ul><ul><ul><li>Planted core group; audience </li></ul></ul><ul><ul><li>participation </li></ul></ul><ul><li>Artistic Director </li></ul><ul><ul><li>Can instruct Players to “play up” certain </li></ul></ul><ul><ul><li>behaviours; sentiments </li></ul></ul><ul><ul><li>Keep the element of surprise/improv </li></ul></ul>3. Site-Wide Improv
    27. 28. Lights… Camera… Discovery & Action!
    28. 29. Improv Day <ul><li>Discovery & Action </li></ul><ul><li>Dialogues </li></ul>Departmental Improv (e.g. General Surgery Ward) Site-Wide Improv Day <ul><li>Four 45 minute sessions </li></ul><ul><li>Agenda per session </li></ul><ul><ul><li>Introduction: What is PD; Why Improv? </li></ul></ul><ul><ul><li>Set-up improv </li></ul></ul><ul><ul><li>Discussion  DAD </li></ul></ul>
    29. 30. Core Group Member
    30. 31. Residents
    31. 32. ICPs; Nursing; Government
    32. 33. Lessons Learned <ul><li>Less can be more </li></ul><ul><ul><li>Provide very basic scenario outlines </li></ul></ul><ul><ul><ul><li>ID player; their relationships </li></ul></ul></ul><ul><li>Use artistic director to uncover interesting </li></ul><ul><li>themes. </li></ul><ul><li>Take advantage of multi-disciplinary group </li></ul><ul><ul><li>Have a DAD! </li></ul></ul><ul><li>Follow-up with participants – they may have </li></ul><ul><li>different perspectives/ideas for next improv </li></ul>
    33. 34. TRIZ the power of creative destruction <ul><li>Define an unwanted result e.g. hospital acquired infections </li></ul><ul><li>Design a system that would reliably create the unwanted result </li></ul><ul><li>Compare the adverse system to the current system </li></ul>
    34. 35. Next Steps <ul><li>Continue to work on core team and “launch” </li></ul><ul><li>Start using the DAD process and other methods on the floors </li></ul><ul><li>Begin to think about data collection </li></ul>
    35. 36. <ul><li>Next Coaching Call : Monday October 28 th 1pm EST </li></ul><ul><li>Next Learning Session : Monday November 15 th 12pm EST </li></ul><ul><li>www.stopsuperbugs.com </li></ul>
    36. 37. <ul><li>QUICK POLL </li></ul>