South Carolina CAUTI Midcourse Meeting August 22, 2012

Slides:

Advertisements

Similar presentations

The CAUTI Emergency Department Improvement Intervention

Advertisements

The Team Check-up Tool. Slide 2 Learning Objectives To understand the tool we use to: – Describe the anticipated activities of your ICU quality improvement.

PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs)

Hospital Acquired Infections & Quality Improvement Texas Rural Health Forum Conference, Austin, Texas November 10, 2010 Terri Conner, Vice President, TCQPS.

Lori Steele American Sentinel University August 20, 2013.

Preventing catheter-associated urinary tract infections:

Learning Objectives Review key steps of the CUSP Toolkit

CAUTI Talk: The Conversation That Never Ends Jenny Tuttle, RN, MSNEd, CNRN.

The CAUTI Prevention and Reduction Journey: Believe in Zero! Renee Juster, RN, BSN, PHN Infection Prevention Manager John Muir Health February 11, 2015.

CSTS: The Cardiovascular Surgical Translational Study Senior Leadership of Quality and Safety Initiatives in Health Care Peter J. Pronovost, MD, PhD The.

On the CUSP: Stop BSI National Content Call Chris George, RN MS Director, National Projects MHA Keystone Center for Patient Safety & Quality Monthly Team.

Building Your CUSP Team Part I Michael Rosen, PhD August 28, 2012 Armstrong Institute for Patient Safety and Quality Conference Number(s):

LEARN FROM A DEFECT Emily Pasola RN, MSN, CNL Clinical Nurse Leader Surgical Intensive Care Unit Saint Joseph Mercy Hospital Ann Arbor, Michigan.

Indiana Healthcare Associated Infection Initiative Kickoff.

Cohort 1 Coaching Call March Facilitators: Lisa Carhuff Kathy McGowan Joyce Reid.

© 2009 On the CUSP: STOP BSI Overview of STOP-BSI Program.

CUSP 4 MVP – VAP Improving Care for Mechanically Ventilated Patients Implementation Assessment Kisha Ali, MS May 13, 2015 ARMSTRONG INSTITUTE FOR PATIENT.

Improving ICU Care Through Teamwork

Qualis Health Nursing Home Quality Care Collaborative [name of nursing home] Team Storyboard July 2015.

11/10/20111 On The Cusp Journey: Sentara CarePlex Hospital Gail J. Rudder RN, CRNI Infection Preventionist November 10 th, 2011.

CSTS Data Entry The Cardiovascular Surgery Translation Study (CSTS) JHU Armstrong Institute for Patient Safety & Quality.

Data…Data…Data April 19, 2011 Sam Watson VP for Patient Safety and Quality MHA Keystone Center On the CUSP: Stop CAUTI 1.

The Comprehensive Unit-based Safety Program (CUSP)

Improving Care Through Technical & Adaptive Work Chris Goeschel RN MPA Director, Patient Safety &Quality Initiatives JHU Quality & Safety Research Group.

NEXT STEPS Armstrong Institute for Patient Safety and Quality 1.

Comprehensive Unit based Patient Safety Program Deepa Jose,RN,CCRN.

Disclosures  Nothing to disclose  No discussion of “off-label” use of medications.

Getting to Zero and Sustaining Success: The Virginia Experience Barbara Brown, Vice President Virginia Hospital and Healthcare Association May 8, 2012.

AHRQ Safety Program for Long-term Care: HAIs/CAUTI A Team Member’s Guide to a Culture of Safety Onboarding #1 for All Long-term Care Staff.

AHRQ Safety Program For Long-Term Care: HAIs/CAUTI Module 1: Using the Comprehensive Long-Term Care Safety Toolkit: Applying Safety Principles.

Small and Rural Critical Access Hospitals July 19, 2011.

Finances were a critical barrier to providing an innovative, evidence-based, bladder bundle A more pleasing and attractive poster could have been organized.

A Team Members Guide to a Culture of Safety

Small Rural/CAH Learning Community Meeting May 23, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement.

CUSP 4 MVP – VAP Quantitative Implementation Assessment 1: Aggregated Results Kisha Ali, MS Mayo Levering, BS September 2, 2014.

HAI Affinity Group CAUTI Prevention: The Nurse Driven Protocol for Catheter Removal April 10, 2013 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice.

Staff Safety Assessment 1. Learning Objectives To understand Step 2 of CUSP:Identify Defects To understand how to Implement the Staff Safety Assessment.

AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Toolkit: Building a Culture of Safety National Content Webinar April 16, 2015.

Results of Quarterly Team Update Interviews Kisha Ali, MS Donna Farley, PhD, MPH August 8, 2013.

© The Johns Hopkins University and The Johns Hopkins Health System Corporation, 2011 Providing Feedback: Structural Assessment 2 Results & Exposure Receipt.

Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School.

AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting AHRQ Safety Program for Reducing CAUTI in Hospitals Module 4: Summary.

Data…Data…Data December 8, 2010 On the CUSP: Stop CAUTI 1.

CUSP/Stop CAUTI Collaborative of Missouri Next Steps…

© 2009 On the CUSP: STOP BSI Senior Leadership of Quality and Safety Initiatives in Health Care.

“ Change of Urinary Tract Infection Prevalence at a Skilled Nursing Care (SNF) Facility or Long Term Care Facility (LTCF): Lessons Learned Michael Liu.

 Participated in HRET/THA collaborative “AHRQ CUSP CLABSI Project  Enrolled 22 bed Medical ICU; July 2010.

Template for a 48”x36” poster Enabling Technologies and Processes

Goals & Roll Out Urinary catheter care bundles

MHA Immersion Pilot Project

Invasive Devices WebEx

Heighten Education Assessment of CAUTI Risk Watch for CAUTI

Cindy Hernandez Mariam yazdi

AHRQ Safety Program for Improving Antibiotic Use

Northwest Medical Center Our CAUTI Journey

AHRQ Safety Program for Improving Antibiotic Use

The tools to make it happen

Introduction to CAUTI and CLABSI Initiatives

Staff Safety Assessment

Staff Safety Assessment

KEYS TO SUCCESS/INSIGHTS SUSTAIN/SPREAD CHANGES

Meeting Objectives Build skills among care team members that will improve teamwork, communication, and create a patient safety culture in your unit Hear.

ICU Safe Care Initiative/CUSP November 16, :30 am – 3:30 pm

VP for Patient Safety and Quality

Meeting Objectives Build skills among care team members that will improve teamwork, communication, and create a patient safety culture in your unit Hear.

MA ICU Safe Care Initiative: Comprehensive Unit Based Safety Program (CUSP) 2010.

Staff Identify Defects

On the CUSP: Stop BSI.

MA ICU Safe Care Initiative: Comprehensive Unit Based Safety Program (CUSP) October 25, 2010.

CLABSI K-HEN Data Collection & Submission

Presentation transcript:

South Carolina CAUTI Midcourse Meeting August 22, 2012 On the CUSP: Stop CAUTI South Carolina Data Review South Carolina CAUTI Midcourse Meeting August 22, 2012

Context: South Carolina and the National Collaborative South Carolina’s units enrolled in Cohort 3: Intervention date: April 2012 Other states enrolled in Cohort 3: Arkansas, California, Connecticut, Kansas, Maryland, New Jersey

South Carolina Enrollment (as of 8/2/2012): # HOSP # UNITS # ICU’s % ICU’s Cohort 3 18 26 8 31%

South Carolina: DATA LEARNING OBJECTIVES To understand your progress toward: Reducing the rate of catheter associated urinary tract infections (CAUTI’s) AND Implementing the Comprehensive Unit-based Safety Program (CUSP)

SC CAUTI Outcome Data Submission: (Note: May uptick due to 6 units dropping out of denominator)

SC CAUTI Process Data Submission: Baseline Period (15 days, March 2012)

SC CAUTI Process Data Submission: Implementation Period (16 days Apr-May) (note: uptick due to 6 units dropping out of denominator)

SC CAUTI RATES By Catheter Days: Increasing over Time (Unfavorable)

SC CAUTI RATES By Patient Days: Increasing over Time (Unfavorable)

SC Catheter Prevalence (from outcome data) Steady at 29%; comparable to peers

SC Catheter Appropriateness Decreasing slightly; comparable to peers

South Carolina: Lessons from the TCT CAUTI Technical Work Adoption of CUSP Strategies Caveat: Findings are based on very few TCT’s due to low data submission

SC TCT Submission: Very Low

CAUTI Reduction Work: Qtr 1 2012 SC vs. Cohort 3

CAUTI Reduction Work: Qtr 1 2012 SC vs. Cohort 3

CUSP Activities Qtr 1 2012 SC vs. Cohort 3

CUSP Activities Qtr 1 2012 SC vs. Cohort 3

Top Initial Barriers Qtr 1 2012 for South Carolina

South Carolina Take Home Points Data Submission -- Outcome and Process data: very good --- TCT: minimal submission

South Carolina: Take Home Points CAUTI Rates -- Increasing over time (unfavorable) Prevalence (from outcome data) -- No change in utilization of catheters Catheter appropriateness -- Decreasing slightly over time (unfavorable)

South Carolina: Take Home Points CAUTI Reduction Steps Bright spots: --- adherence to sterile catheter insertion technique Areas needing attention: --- review of catheter need BEFORE insertion --- proper catheter maintenance --- prompt catheter removal

South Carolina: Take Home Points CUSP Activities Science of Safety Video: not shared yet Senior Executive rounds, Identifying Defects, and Learning from Defects: only half of teams are using Note: based on low TCT data submission

South Carolina: Take Home Points Barriers, Qtr1 2012 Top initial issues --- Insufficient Team Member Participation --- Staff Distraction due to other events/priorities --- Time --- Staff Turnover Note: based on low TCT data submission

South Carolina Take Home Points The work continues to follow the catheter recommendations for EVERY patient, EVERY time, to help reduce the risk of CAUTI’s. Thank you for all that you do to make care safer for our patients.