Games Support Learning

Games support learning foundational knowledge. They also support the Roadmap and its design axioms.

Checklists:

Support achieving and maintaining preparedness at points of care in accordance with established standards and consistent adherence to protocols

Checklists are tools that organize and list (show for visual checklists) the items required by standards, to be at points of care. They are simply words on paper that represent an end point of many processes and actions like communication, ordering, retrieving, checking, and more. It is important to recognize that adopting checklist at points of care is not a paper requirement but a host of action requirements that must be taught and learned. While achieving full compliance to checklists produces some standardization that improve patient care and decreases workers' tension, the changeover can be stressful, require dedication, take time, and spark strongholds to old ways that were good. Benefits are lessened and even lost when nonconformity in as few as one person persists. The driving force here is safety. Safety requires preparedness to standards, and checklists are tools that makes this easier. If there is a better tool available, use it. Achieving preparedness of items and actions at points of care must be solid and complete because further standardization of sites that identify where an item should be, and more will be needed to further improve patient care and ease workers' tension.

Checklists in digital form can be modified to suit local needs

Checklists

Checklists: Emergency Boxes

Checklist: At Points of Care

Patient Hand off Reports

In this adult airway box, there is a space for every essential item and on the clear lid - above each space - the item that should be in that space is written. There is a graphic showing all of this in the the visual checklist. It is easy to see when an item is missing and to know exactly the name and size of the missing item. This allows for a "cross check" of readiness that can be done quickly and by an an assistant who is not familiar with the items.

There are protocols with the visual checklists that include: Securing the box with a tamper evident plastic lock in the evenings. This makes the box accessible for emergencies yet secures it for the next day's cases making morning set-ups more efficient. Keeping everything in the box clean and labeling everything that leaves the box as "dirty". This makes sure items ain the box are always clean and ready.

Assessments:

To evaluate compliance to standards and help with corrections

Preparedness Assessments This assessment is completed on paper forms then entered into a computer program. The computer program calculates what is needed at each site to get it to standards of care. Three reports come from the program and shows each sites: I) Compliance with standards of preparedness at a point in time, II) The capacity of the hospital to maintain preparedness in the near, 30-day future, III) The capacity of the hospital to maintain preparedness sustainably-(WIP)

There are One Standard assessments for: Perioperative sites, airway and emergency boxes, for EECC and more.

Qualities of "Suitable" Equipment and an Assessment:

Often good equipment that works well when it is in climate-controlled environments and supported by a team of biomedical engineers, seamless maintenance, and user expertise finds its way to mission hospitals where these conditions are not met. Moreover, the items are often incomplete from the start, not coupled with use or care training, and there are no provisions for maintenance and the replacement of fragile parts.

The assessment is in a workable draft form. It assesses equipment and generates reports showing: I) The Usability of the Equipment at the Time of the Assessment and II) The Predicted Usability of the Equipment in the Future. Asking questions and sparking discussions can lead to improvements.

Educational and Airway Technique Videos

Foundations Of Patient Ventilation: