3.3 Small

Start Small, Scale Smart: Thrive with a Focused Approach

It's easy to get excited about using video review in medical education or practice improvement. However, launching an ambitious project right out of the gate can quickly drain resources. Instead of pouring time and money into a massive endeavor, starting small is key. A focused pilot project allows you to:

• Test the Waters: See how video reviews fit into your workflow and whether they resonate with your team.

• Refine Processes: Figure out the best technology, feedback methods, and content formats before scaling up.

• Build Buy-in: Early successes pave the way for greater enthusiasm and support for expansion.

Remember, starting small doesn't stifle ambition. It's about building a strong foundation. As you demonstrate the value of video reviews on a smaller scale, you'll gain the momentum and resources to expand your project confidently in the future.

Consider the following :

The Value and Complexities of Audio in Video Review

Audio plays a crucial role in video review for healthcare. It enriches the learning experience by capturing elements that visuals alone cannot:

• Verbal Communication: Reveals nuances of team interactions, provider-patient dialogue, and decision-making processes.

• Patient Reactions: Captures subtle but important patient sounds like breathing patterns.

However, audio also raises significant privacy concerns:

• Identifiable Information: Voices and background conversations can easily reveal patient and provider identities.

• Sensitive Discussions: Recordings may capture confidential diagnoses, family dynamics, or ethically complex situations.

Balancing Benefits and Privacy

• Selective Audio Recording: Consider recording audio only when essential for learning objectives and delete it afterwards if not strictly necessary.

• Strict Consent: Obtain explicit consent from providers for audio recording.

• Legal Questions: What are the specific privacy laws in your hospital regarding audio recordings in healthcare settings? Do they differ from video recording regulations?

• Provider Concerns: How do you anticipate healthcare providers might feel about audio recording compared to video recording alone? For more information, click here.
• Benefits: Consider what the value of audio is. If you are recording communication and teamwork, it is invaluable!

Technical and Logistical Considerations

• Storage and Security: Does your hospital have systems in place to handle audio data with the same level of security and encryption as video?

• Workflow Impact: If selective audio recording is used, how will decisions be made on when to enable audio and who will be responsible? Could this create extra steps and workflow disruptions?

Implementation Strategy

• "Low-Hanging Fruit": Which types of procedures might be ideal starting points for audio-inclusive video review (low-risk, high educational value)?

• Buy-in Strategies: How could you address potential concerns and promote understanding among staff and patients about the potential benefits and risks of audio recording?

• Scaling Considerations: What factors would need to be in place to justify expanding the use of audio in video review on a larger scale?

A small, focused approach to video review reduces initial resistance, builds trust, and allows for faster implementation. By starting with easily obtainable elements and addressing privacy concerns (such as initially omitting audio), you create early successes and a strong foundation for expansion. This strategic approach streamlines the process, making it adaptable to your team's needs while demonstrating the value of video review.

If you don't start small with video review, you risk overwhelming your team and encountering greater resistance. Attempting to tackle too many variables at once (e.g., audio, complex procedures, etc.) can create logistical hurdles and complicate analysis. This may lead to delays, frustration, and a perception that video review is overly complicated. Additionally, unresolved privacy concerns or immediate technological challenges can undermine trust and discourage participation. Overall, not starting small can hinder the early success of the project and make it more difficult to build momentum for improvement.

By starting small, you can begin to foster your Neoflix video review program, and sustain the safety. You can always expand later on. Just begin!