Protocol/equipment adjustment

LUMC example

Initial video review revealed a practice that increased contamination risk during sterile line insertions: providers were placing sterile gloves near the sink before washing their hands. This led to the following iterative improvement cycle: Protocol Adjustment: The protocol was revised to prohibit using the sink area for sterile gloves. This change was communicated to the team. Observation & Iteration: Subsequent video reviews showed the practice persisted, indicating a need for further intervention. Reinforcement: The protocol adjustment was reiterated through a team newsletter. Success: Follow-up video reviews demonstrated adherence to the revised protocol, confirming a sustained improvement. Key Takeaway: Video review offers a powerful tool to identify areas for improvement, implement changes, and evaluate the effectiveness of those changes in a continuous cycle.