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1 16/10/ TS Thermometer of Sensitization New Research Tool for the Diagnosis of Safety Culture Mrs. Gilmara Espino Marketing consultant company focused exclusively in the healthcare industry Gilmara Espino 01 The largest accreditation methodology in number of granted certifications in Brazil Value is a pattern of basic assumptions that a given group had invented, discovered or developed in order to deal better with their own problems of external adaptation and internal integration. These are assumptions worked well enough to be considered valid for a group and, in this way, taught to new members as the correct way to perceive, think and feel." SCHEIN, Edgar. "Coming to a new understanding of organizational culture"

2 "How can anyone adopt and sustain a new way of acting if no benefits are perceived?" What are the benefits expected by them?" "Do they know why is the hospital getting into an accreditation processes?" "Do they know the meaning of the word accreditation?" There is a lot of work to be done! Are they afraid of being pointed as responsible for errors?" "Do they recognize their own role in patient safety? Hypothesis WE NEED EVERYONE IN THE HOSPITAL ENGAGED IN PATIEN SAFETY BUT.. THERE IS A LACK OF COMMUNICATION AND UNDERSTANDING. Hypothesis We don t respect individual previous understanding about Patient Safety; We deliver the same kind of message to everyone in the hospital; We ignore part of the team TS - Thermometer of Sensitization + Knowledge II Managers and Supervisors Nutrition Directors Multidisciplinary Staff I Link Pharmacist Physicians (Staff) Admin staff Hospitality III Physicians (no staff) Logistics + - Sensitization IV Gilmara Espino

3 Hospital 1 Managers and Supervisors Directors Multidisciplinar y Staff Knowledge Pharmacist Nutrition Is there any difference between the score obtained by the day team, compared to the team that works during night shift? Admin staff Hospitality Physicians (Staff) Do they have any previous experience in another accredited institution? Logistics Magnifyng Glass What are they afraid about accreditation process? Physicians (no staff) Sensibilization How have they been learning concepts about patient safety? Physicians Benefit 1: Would they like to be actively involved in discussions about patient safety in the institution? Easily see which group you need to focus first. What kind of extra value do they offer for a institution that obtained a quality certificate? Is that important when they recommend an institution to a patient? "Is there any assistance group under How they would like to be informed about the initiatives of hospital patient safety and accreditation? the knownlegde average line?" 3

4 Benefit 2: Understanding of what Benefit 3: Understanding of how far is main message is one group to another, demanded from each group: basic concepts or motivational messages? specially leaders from their staff Note: As much closer groups are, more consolidated is the As the tool gives a hospital score, it is possible to analise hospital performance along the time, creating a backlog of useful information Who to talk first How to talk with then Hospital São Luis - Unidade Itaim ONA 3 SP Private 1407 Hospital São Luis - Unidade Anália - Franco SP Private 854 Hospital São Luis - Unidade Morumbi SP Private ONA A few reminders With TS, hospital leaders will be able to: Hospital Joari 1* SP Private ONA Hospital Jabaquara SP Private Hospital AC Camargo SP Private ONA Hospital Santa Luzia SP Private ONA Hospital Regional de Ceilândia DF Public Hospital Regional de Santa Maria DF FF Public Hospital Regional de Sobradinho DF Public Hospital Regional do Paranoea DF Public Plan more effectively the strategy for internal communication (content and audience); 2.Monitor objectively the patient safety engagement in their team, creating a backlog of information. 3. Identify and qualify resistances to change. 4. This tool does not replace other diagnostic tools. It is complementary. Santa Casa de Passos Santa Casa de Muriaé Intermédica 1 Intermédica 2 Intermédica

5 "A manager of people needs to understand that all people are different. This is not ranking people. He needs to understand that the performance of anyone is governed largely by the system that he works in. thank you Gilmara Espino Deming, W. Edwards The New Economics for Industry, Government, Education, second edition

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