Become A FOCUS Site
There is much we have learned from Phase I of the FOCUS research project. As with all great research, more questions were asked than answered. What is the best method to improve patient safety in cardiac operating rooms? Can we help our colleagues evaluate and improve safety performance? How do we design and build better operating room equipment and machines to help us deliver safer patient care? These questions will drive the research, divided into three projects, for Phase II:
- Develop a learning collaborative within the cardiac surgical teams to enhance patient safety. This process will use the Michigan Keystone model developed by Dr. Pronovost and the QSRG team that has been so successful in eliminating catheter based infections in the ICU setting. The FOCUS learning collaborative will use reduction in wound infections as the metric that will inform us of how we are doing.
- Develop a peer-to-peer assessment tool that can be used by operating room teams to assess their own safety performance, or be used by an invited visiting team to provide feedback regarding areas for improvement in safety. This non-judgmental, for-internal-use-only peer-to-peer assessment tool will be based on the highly successful WANO (World Association of Nuclear Operators) process that has made the nuclear industry a “highly reliable” industry.
- Design the operating room of the future. Tackle the issues of equipment and OR design to improve the interfaces between humans and the machines they use to deliver patient care in the operating room.
We often read studies that are underpowered and poorly represent reality. The applicability of the conclusions outside of the narrow confines of the study population is therefore suspect. Cardiac anesthesiology is practiced in many different environments, from large private practices to small academic groups and everywhere in between. As the FOCUS project embarks on its next steps we must ensure that conclusions drawn from the research translate into all of our practices.