Implementation of Safe Surgery Saves Lives initiative in Ahmed ...

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3.3 Change modelHSE change model (Figure 5) developed by Organisation Development and Design Unit, as ausers‟ guide to managing change, it consists of four main interacted phases; initiation, planning,implementation and mainstreaming and has been developed to improve the experience ofpatients and service users, help staff and teams play a meaningful role in working together toimprove services, promote a consistent approach to change across the system (HSE, 2008). Italso fulfilling the effective activities contributing for effective change is motivating change,creating vision for change, developing political support, managing the transition of change andsustaining momentum (Cummings & Worley, 2008).The HSE change model was a result ofadaptation of many change models to help change implementation healthcare services (HSE,2008).Figure 5: HSE Change Model28
3.3.1 InitiationThe purpose of this early preparation and scoping stage is to create readiness and a consideredcase for change, to establish a sense of shared responsibility, and to scope out a solid foundationfor successful change. It builds upon core leadership and management responsibilities (HSE,2008). It is about getting approval from leaders, and some consultation from experts regardingthe applicability and importance of change in the selected area.In preparing to lead the change I started to communicate the idea of this change the qualitymanagers in the ministry of health in Khartoum state – Sudan, during a training sessions ofpatient safety where the importance and the need of safe surgery discussed, then I approached theleaders of the ministry, I explained the main objectives, the rationale, and expected results of theproject. I found immediate support, and great appreciation, they assigned me as a project leaderassisted with the quality team in the ministry of health to start immediately the project. Thechange project team composed of five members, the team role was to prepare the policydocuments to policy makers in the health authorities, and communicate with and AGCCmanagers and staff, involve them, and ensue their participation and contribution in planning andimplementation of the safe surgery initiative change project. The health authority leaders securethe technical support from the WHO office.Together with quality team we formed the change project team.In the initiation of the project, the change team performed a meeting, where agreed on criteria ofthe piloted area, according to that, and out of some alternatives the team agreed to select Ahmed-Gasim‟s Cardiac Center (AGCC) as a pilot area for implementing the safe surgery saves liveproject. We consulted the managers of Ahmed-Gasim‟s Cardiac Center (AGCC) about theapplicability of change, and readiness of the AGCC. I met the director general of AGCC and29
Page 1 and 2: Royal College of Surgeons in Irelan
Page 3 and 4: Implementation of Safe Surgery Save
Page 6 and 7: 3.3.4 Mainstreaming ...............
Page 8 and 9: AbstractAim: This paper reports on
Page 10 and 11: Chapter 1Introduction1.1 Introducti
Page 12 and 13: Figure 1: Map of Piloted CitiesDeri
Page 14 and 15: Chapter 2Literature Review2.1 Intro
Page 16 and 17: The framework aims to represent a c
Page 18: 2.3 The checklistHealthcare relies
Page 21 and 22: healthcare staff by producing the S
Page 23 and 24: nature of many of these work system
Page 25 and 26: piloting, framing to promote Checkl
Page 27 and 28: Chapter 3Methods3.1 IntroductionThe
Page 29: Time out phase:Before skin incision
Page 33 and 34: meeting, where a surprising event h
Page 35 and 36: The change project team designed in
Page 37 and 38: performing the surgery will continu
Page 39 and 40: consent ,as the one previously used
Page 41 and 42: area was yet to encouraged as the c
Page 43 and 44: of the project. These incentives do
Page 45 and 46: medical and nursing staff before an
Page 47 and 48: Staff Opinion about Checklist87%98%
Page 49 and 50: Chapter 5Discussion and Conclusion5
Page 51 and 52: y improving the reporting system de
Page 53 and 54: 5.6 ConclusionThe implementation of
Page 55 and 56: HSE. (2008, July). Improving ourser

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