tag:blogger.com,1999:blog-32053362.post8881298172670145822..comments2024-03-18T06:27:51.599-04:00Comments on Not Running a Hospital: Tag, you're itPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-32053362.post-39504354509342849862009-05-03T19:38:00.000-04:002009-05-03T19:38:00.000-04:00You guys are amazing .... taking something as simp...You guys are amazing .... taking something as simple as hand hygiene (well, thought it was simple!) and making it competitively FUN. That's the "Hook" that's needed in mostly every behavioral education moment. You got this one right. Keep us posted on how it goes.<br />Kevin @ EinstienAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-91615016929382303922009-05-03T15:45:00.000-04:002009-05-03T15:45:00.000-04:00Why not just sing along:
http://www.youtube.com/w...Why not just sing along:<br /><br />http://www.youtube.com/watch?v=4RfAJjJheQE76 Degrees in San Diegohttps://www.blogger.com/profile/14358630186174729315noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-85063196490356901602009-05-02T06:33:00.000-04:002009-05-02T06:33:00.000-04:00How did this come about? As Chief of the ED there ...How did this come about? As Chief of the ED there was growing pressure to get this right. The drive to eliminate harm, recent DPH citations in other areas, and our culture of transparency was causing us to strive for perfection in hand hygiene. Considerable training, daily e-mail communications, and town hall discussions, along with random audits were performed to try and achieve compliance. However the ED has such a rapid flow of patient-provider contacts (any provider to be in compliance in the ED may need to wash hands up to 8-12 times/hour) that it is much harder than one might think to get there. With all the distractions that trip up providers from being 100% compliant, we were far from eliminating the problem. <br />Since the entire ED leadership team works in the department, there was a clear personnel understanding by everyone of the need to make compulsive hygiene practice a reflex more than a mandate. To do this, you really need to get everyone to watch everyone else. New providers are most often educated into our societal culture by people who may be just 1 or 2 years ahead of them. So we needed a method that would ensure that everyone remediated everyone else. You can't ensure this change in behavior through threats or compulsion. That will simply ensure that you burn out and loose your physicians and nurses. A game of tag seemed to be a good way to make this change in culture fun, and have everyone actively participate. But the final proof is in the pudding. It really is our multidisciplinary management team in the ED that developed it and made it functional. I'll take credit for the initial idea if it works and if it does not, I'll find someone else to blame it on. : )Richwlfnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-77635197340482131902009-05-01T21:27:00.000-04:002009-05-01T21:27:00.000-04:00If you don't have a electronic board for everyone ...If you don't have a electronic board for everyone to see (like in a nursing home) you could come up with some inconspicuous item (sticker on a name badge) that staff recognize as being it.Christian Sinclairhttps://www.blogger.com/profile/14685043408496367587noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-2671995399260938222009-05-01T21:04:00.000-04:002009-05-01T21:04:00.000-04:00How did the game emerge? Whose idea was it - who...How did the game emerge? Whose idea was it - who played a role in putting it toghether?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-86066840448170435222009-05-01T18:29:00.000-04:002009-05-01T18:29:00.000-04:00I give this one first prize for sheer inventivenes...I give this one first prize for sheer inventiveness. Now, what can the other medical staff departments do to top that??!! The surgeons surely ought to be able to come up with something, maybe involving sharp instruments.... (:<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-55813407982274386782009-05-01T13:29:00.000-04:002009-05-01T13:29:00.000-04:00I echo what Rich has written, this is a fun , frie...I echo what Rich has written, this is a fun , friendly game and all are engaging.... MDs, RNs, Techs, Registration staff, and the Unit Coordinators. People are having fun with this and paying attention to their own practice, as well as every person coming through our department.KirstenBnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-89197260643667933532009-05-01T12:09:00.000-04:002009-05-01T12:09:00.000-04:00From the ED perspective, I find Paul's comments qu...From the ED perspective, I find Paul's comments quirky.<br />The entire staff embraced the game enthusiastically in the first hours and a number of people were tagged. There is no punishment attached for being "it" so it is not viewed as "ratting someone out". Instead the providers see it that way it should be seen, with humour. If that is quirky, then I'm glad to be lucky to work with so many quirky people. <br />There is healthy competition developing between the categories of providers: attendings vs. residents vs. nurses vs. techs. So far we have not knocked over any elderly patients, but no promises.<br />I agree that proof of the validity of the exercise will depend on this exercise leading to providers adopting compulsive habits once we are beyond the first few days. It will be some time before we can assess this. But so far, so good.Richwlfnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-79309073865623597402009-05-01T11:28:00.000-04:002009-05-01T11:28:00.000-04:00We'll see, paul. A friend jokingly sent this note...We'll see, paul. A friend jokingly sent this note: "People can get very passionate when playing such games – knocking over an elderly patient to tag a violator, screaming 'gotcha' and doing a celebratory dance….."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-63271056356467094432009-05-01T09:19:00.000-04:002009-05-01T09:19:00.000-04:00Good idea. Friendly competition is a fine way to ...Good idea. Friendly competition is a fine way to engender good habits. Now if we can just stop folks from using "air" handkerchieves.REKordinghttps://www.blogger.com/profile/01327478005437933365noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-67290459300636639962009-05-01T08:19:00.000-04:002009-05-01T08:19:00.000-04:00It will be interesting to see if this works. I ho...It will be interesting to see if this works. I hope, Paul, that you post an update. I would guess that nobody will do it because working as a team I would think that ratting someone out would be against that. But, who knows, ED people are quirky folks. They might just like it. The question is: will it work?Paulhttp://www.mindparts.orgnoreply@blogger.com