343 - Simulation Improves Interprofessional Communication to Launch Robotic Program
Description: When the Phoenix VA Health Care System decided to launch a robotic service, the OR Team knew they had to form a multidisciplinary team with the authority and responsibility to provide oversight for a safe and successful robotics program based on AORN's Team Communication Guideline. A workgroup of key stakeholders was established that included the Chief of Surgery, OR Manager, robotic surgeons, mentoring experienced proctor robotic surgeons, Perioperative Educator, OR Robotic Coordinator, sterile processing, vendor representative, logistics, biomed and Anesthesia Providers. Following an overview by robotic vendor representatives to familiarize the group with launching a robotics program, it was decided for the culture of safety that the program would start with one specialty. The Urology surgeons had the most recent robotic experience and they chose to start with a prostatectomy.The workgroup met weekly to identify and articulate clear goals, assign tasks and responsibilities. Team members were encouraged to assist one another and to facilitate information sharing. Each week the progress to launching the robotics program was reviewed, monitored, and the plan was modified to facilitate conflict resolution. The group identified barriers such as OR room size, receiving all supplies needed, education time for OR training, and equipment set-up specifics. A work flow design chart was implemented to keep the targeted milestones completion dates on time.A "Core Robotics Team" initiated training with online educational modules followed by a "hands on" course with a competency checklist. The team then completed dedicated OR simulation trainings to ensure our culture of safety. The robotic team members reviewed the literature for the best approach to implementing a new program. In the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health Care System, simulation training is recommended as one strategy that can be used to prevent errors in the clinical setting. The report states that "...health care organizations and teaching institutions should participate in the development and use of simulation for training novice practitioners, problem solving, and crisis management, especially when new and potentially hazardous procedures and equipment are introduced". This information along with our AORN Guideline supported our interdisciplinary simulation training.Our Core Robotics Team had 69% staff who were previously trained on robotics. This group with robotic experience in a post training assessment had 77% respond that the simulation training significantly improved our interprofessional communication. The staff who had not been previously trained on robotics "survey responses" showed 100% felt the simulation training significantly improved our interprofessional communication and 100% felt they gained knowledge and skills beyond non-simulation trainings.