Complex Organization And System Change : Implementing Of Local Anesthetic Systemic Toxicity Program Analysis

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Planning for Complex Organization and System change: Implementing of
Local Anesthetic Systemic Toxicity Program
Organizational Assessment The Local Anesthetic Systemic Toxicity (LAST) can be dangerous and life-threatening and it requires immediate actions once noticed (Parry, 2011). It requires that anesthesia staff have a comprehensive understanding of the best practices associated with local anesthesia to provide safe care for patients in the surgery setting (White & Spruce, 2015). The LAST program is focusing on improving early detection, crisis preparedness, and treatment effectiveness of LAST in a hospital setting. Implementing a LAST program in the anesthesiology department can significantly improve the anesthesia staff’s
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The change leaders must constantly evaluate the effectiveness and the cost throughout the LAST program implementation processes. If the practice change did not provide any significant improvement or did not meet desired outcomes, additional steps should be taken immediately, such as gathering additional research to guide practice decision. If the costs overweight the benefits, the LAST program will fail.
Facilitating Factors Analyzing facilitating factors is an important step of LAST program implementation. When planning the change, the organization must develop goals that are realistic, attainable and measurable. In order to gain support from staff, it is important to ensure stakeholders to understand the changing process, and how this change can improve patient safety and benefit the organization. The LAST program implementation requires at least one individual or governance group to have primary responsibility for guiding users through the Evidence Based Practice (EBP) process, which requires education to help staff to know each step and process of this model (Rycroft-Malone & Bucknall, 2010). Collaboration plays a critical part of implementing the LAST program. The composition of the changing team should include interested interdisciplinary stakeholders and specialists who can provide input and support and discuss the practicality of
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