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Preventing PostSurgical Harm Wednesday, June 5, 2019 Engaging Patients and Families in Safety Martha Hayward PFE Subject Matter Expert, HRET Vision for PFE Hospitals and other health care providers achieving quality and safety goals by


  1. Preventing Post‐Surgical Harm Wednesday, June 5, 2019 Engaging Patients and Families in Safety Martha Hayward PFE Subject Matter Expert, HRET Vision for PFE Hospitals and other health care providers achieving quality and safety goals by fully engaging patients and their families, determining what matters most to them in every situation, and partnering with them to make improvements to all aspects of care. 2 Changing your culture Front Line Staff Leadership Board/C‐Suite Florida Hospital Association | Mission to Care Hospital Improvement Innovation Network 1

  2. Preventing Post‐Surgical Harm Wednesday, June 5, 2019 The Big Takeaway To For WITH Moving from ‘doing for’ to ‘doing with’ 5 Current State Clinician: Patient: Holds all knowledge Passive Responsible for all decisions Unengaged/not participating Requires care Florida Hospital Association | Mission to Care Hospital Improvement Innovation Network 2

  3. Preventing Post‐Surgical Harm Wednesday, June 5, 2019 Ideal State Patient driving care through shared decision making Clinician is a trusted navigator Understanding roles What Matters to You? What Matters Most? Enhancing conversations between patients and clinicians from -- “What’s the matter?” to also including “What matters to you?” n engl j med 366;9 nejm.org march 1, 2012 CS9 Florida Hospital Association | Mission to Care Hospital Improvement Innovation Network 3

  4. Slide 9 CS9 Suggest having someone do double read and ensure citations are noted using standard format (this slide and slide 14) Collier, Sue, 4/2/2018

  5. Preventing Post‐Surgical Harm Wednesday, June 5, 2019 What might you ask? • What is the best question? • “What more can I do for you?” is never the right question. • End of Life – • What will make this a good day for you? • At rounds – • What is your greatest concern right now? • Prior to surgery – • What will success look like to you? Partnering with Family Members Caregivers are our most underused resource The voyage of discovery is not in seeking new landscapes but in having new eyes. Marcel Proust Florida Hospital Association | Mission to Care Hospital Improvement Innovation Network 4

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