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The real work starts after implementation
Jerry Fahrni, Pharm.D. Product ManagerTalyst, Inc
Describe components necessary for BCMA success Describe components necessary for BCMA success
Describe tools to go beyond traditional troubleshootingDescribe tools to go beyond traditional troubleshooting
Identify need for multi-disciplinary collaborative effortsIdentify need for multi-disciplinary collaborative efforts
Identify methods to analyze human factors associated Identify methods to analyze human factors associated
with BCMA failurewith BCMA failure
Identify tools utilized to go beyond basic data analysisIdentify tools utilized to go beyond basic data analysis
Defend punitive measuresDefend punitive measures
4And now for the blah, blah, blah…
5
BCMABCMA
Problematic
Valuable
A journey
Disruptive
Experimental Educational
Fun
Labor intensive
Time consuming
Resource heavy
Lifetime work
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5 SUGGESTIONS FOR 5 SUGGESTIONS FOR POST-BCMA POST-BCMA
SUCCESSSUCCESS
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Develop the right team …
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Pharmacists and nurses should be involved with the … BCMA system.
...policies and procedures should be developed by an interdisciplinary team…
Pharmacists and nurses should be involved with postinstallation evaluation and system improvement.
The role of nurses as end users of this technology should not be underestimated; nursing involvement is essential to successful system implementation and use.
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“…it isn’t electronic medical records, superstar physicians, adherence to protocols, high-tech equipment, or data on re-admission rates that make a hospital great, it’s the culture - how people communicate and support each other and the organization.”
– Richard Reece, M.D.
Source: http://medinnovationblog.blogspot.com/2011/03/search-for-very-best-hospitals.html
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Drag the c-suite into the weeds with you
“Politicians are the same all over. They promise to build a bridge even where there is no river.” - Nikita Khrushchev
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Dig, dig, dig … tunnel if you must
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DATA MININGDATA MINING
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TROUBLESHOOTINGTROUBLESHOOTING
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Sometimes it’s the product Sometimes it’s the user
Sometimes it’s the tools
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THE PRODUCTTHE PRODUCT
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THE TOOLSTHE TOOLS
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THE HUMAN ELEMENTTHE HUMAN ELEMENT
“We cannot change the human condition, but we can change the
conditions under which humans work”
- James Reason
Source: BMJ. 2000 March 18; 320(7237): 768–770.PMCID:
Don’t just read the reports….
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“nothing good ever happens in the office”
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BARCODE UNREADABLE
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BARCODE UNREADABLE
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Find the holes…. before and after
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Failure Modes and Effects Analysis (FMEA)
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Controlling the human element
Adequacy of preparation
Addressing system issues
System management post “Go Live”
FMEA results in a nutshellFMEA results in a nutshell
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““I’m over here…”I’m over here…”
“…“…uh, you should be here”uh, you should be here”
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Controlling the human element – well, sort of…
Adequacy of preparation – bummer
Addressing system issues - nailed it…Yay!
System management post “Go Live” – 50% is good, right?
FMEA results in a nutshellFMEA results in a nutshell
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Show a little tough love…
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Just Culture –
“…A just culture recognizes that competent professionals make mistakes and acknowledges that even competent professionals will develop unhealthy norms (shortcuts, “routine rule violations”), but has zero tolerance for reckless behavior.”
Source: California Hospital Patient Safety Organization
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WILLFULWILLFUL: done deliberately : intentional
<as in willful disregard>
Source: Merriam-Webster
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Develop the right team and take it seriously
Dig through the data
Get out of the office
Find the holes in the system
Don’t use “just culture” as an excuse to ignore bad behavior
SummarySummary
Thank you for attending this session.
The real work starts after implementationJerry Fahrni, Pharm.D.
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