Case Study Soriano

Topic: Training Employees
Title of Case: The Underrated Checklist: Five Steps to Save Lives
Summary of Case:
Dr. Peter Pronovost of Johns Hopkins University School of Medicine proposed a five-step checklist that
would not only save money, but save lives.
In the United States, hospital-acquired infections affect 1 in 10 patients, killing 90,000 of them and
costing as much as $11 billion each year.66 Many of those infections are acquired when an IV line
delivering medication becomes infected. Dr. Pronovost’s checklist is simple and straightforward,
including steps such as: Doctors must wash their hands before inserting an IV, and the patient’s skin
must be cleaned with antiseptic at the point of the insertion. When Michi-gan hospitals put the checklist
into practice, they not only saved over $175 million in eighteen months because they didn’t have to
treat infections, but they saved nearly 1,500 lives!
The hospitals found the same truth that many trainers face: employees don’t always comply with rules
that are for their own good or for the good of others. They need to be convinced. It turns out that
doctors are just as stubborn as production employees who refuse to wear safety goggles or a hard hat.
Dr. Pronovost found that doctors don’t like being told what to do. They especially resented being
reminded of the checklist by the nurses who were put in charge of managing the checklists. The
organizational culture of the hospitals, including the roles of doctors and nurses, got in the way of
patient safety. Dr. Pronovost learned to overcome the resistance by bringing both doctors and nurses
together in training and appealing to their common concern for patient health. He asked, “Would you
ever intentionally allow a patient’s health to be harmed in your presence?” They’d say “Of course not.”
Then he would hit them with “Then how can you see someone not washing their hands and let them get
away with it?”67 Saving lives, saving money. It’s all in the training.
Conflicts:
Hospital acquired infections that affect 1 out of 10 patients, killing them and costing so much money.
The Hospitals don’t always comply with the rules, they needed to be convinced and reminded of what to
do. Even the hospitals found out its true, Doctors are as stubborn as a normal production employee who
refuses to wear safety gears to work.
Proposed Action to Resolve Conflict:
Dr. Peter Pronovost of Johns Hopkins proposed a five-step checklist that would remind the Doctors, this
include steps such as, the Doctors must wash their hands before inserting an IV, and the patient’s skin
must be cleaned with antiseptic at the point of the insertion. This checklist by Dr. Peter Pronovost is
aimed to save money and lives.
Guide Questions & Answers
1. How can HR professionals overcome resistance to training?
HR professional can overcome such resistance issues through the following:
• Schedule a Clear plan for the training.

• End output has to be targeted by both trainer and trainee.
• Reasons for launching the training has to reach every employee.
• HR has to build immense interest of employee over the training process.
• Employee has to be converted into a learner than a digester of information.
Here, in the case The Doctors should overcome resistance of training by connecting doctors and
nurses, making them realize that training helps them to take better care over their patients,
avoid costs and promote safety for them as well.
2. What method should hospitals use to evaluate Five checklist training?
Hospitals should evaluate the checklist training by highlighting the advantages oft it. Doctors,
Nurses and Hospital employees should know the benefits if they implement the techniques that
they will come up. Human Resource Department in the Hospitals should ensure that the Five
step checklist is simple, credible and feasible.
In detail. The method that the hospital should use in evaluating Five checklist training is
measuring the return on investment (ROI). The method would be used to measure the financial
return that the hospital would derive if its doctors used the IV checklist. The ROI is a quantifiable
metric, which has high credibility for the use in HR evaluation. The hospital’s HR department has
to prove the method’s worth. The HR department would require critical data for evaluation, and
measuring return on investment is a valuable tool that may be used for communicating a
positive result of the human resource’s work to the hospital administration.
To implement the ROI method successfully, the HR department should begin by putting in place
an evaluation plan, including developing the program objectives, evaluating the plan, and having
a baseline data. The next step would be the data collection phase where the HR department
would collect data before and after the program implementation. Thereafter, data analysis
would be conducted by isolating the impacts of the program and then converting the resulting
data to monetary value. With those data in place, the ROI can be calculated, and the result
reported to generate impact.
3. Develop a checklist that would make a process more efficient or safe for your employer or
college.
Checklists has been a proven form improving continuity, efficiency and increased productivity
across a variety of professions and industries.
The following are the benefits of Checklists:

 Help an individual stay more organized
 It acts as a Memory
 Increases Motivation
 Improves Productivity
 Continuity of Tasks
In this case, checklists in hospitals may vary depending on the procedures, medical checklists are
very important most specially in hospitals because it can really save lives.
4. What is the best way to train an employee to use your checklist? How would you evaluate
your training?
The best way to train an employee to use the checklist is through learning management. with
this approach, employees will be educated through blended training, that will increase
employee engagement and enhances the goal setting as well as succession planning.
It will provide employees with a unique set of skills that are related to their occupation and work
experience. The training is based on the idea of learning that will be meaningful and effective if
the trainees will be able to apply them in work situations. Often, integrated learning supports
the competence, hands-on learning experience, and builds an understanding of specific skills,
behaviors, and knowledge that should be mastered by them.
The employees’ reaction to the training will be one of the areas that the evaluation will focus
on. By evaluating learning, it will be easier to determine the skills that will have improved as well
as the attitudes that should have changed as a result of the training. In addition to that, the
employee’s behavior will demonstrate the willingness and ability to apply the learning
objectives in practice.
Reference:
Case Study: Fundamentals of Human Resource Management: Tenth Edition
Decenzo and Robbins (2010)

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Topic: Training Employees

Title of Case: The Underrated Checklist: Five Steps to Save Lives

Proposed Action to Resolve Conflict:

1. How can HR professionals overcome resistance to training?

HR professional can overcome such resistance issues through the following:

• Schedule a Clear plan for the training.

2. What method should hospitals use to evaluate Five checklist training?

The following are the benefits of Checklists:

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