CLAB In The Mainland. Overview Christchurch ICU Where were we? Where are we now? Where are we going?

Slides:

Advertisements

Similar presentations

Measures to Prevent Central Line Associated Bacteremia In the ICU Candace Anglea, RN, CIC Infection Control Practitioner.

Advertisements

West of England Academic Health Science Network - launch

University of Minnesota – School of Nursing Spring Research Day Glycemic Control of Critically Ill Patients Lynn Jensen, RN; Jessica Swearingen, BCPS,

Transforming Care in the ICU Seven Year Path to Excellence.

Context  Best Care Always! (BCA), is an initiative aimed at improving patient safety and spreading improvement methods in all South African hospitals.

Community Hospital Review – The Clinical Model What did we recommend? Dr. David Carson, Director, The Primary Care Foundation.

2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.

Developing a Trust wide framework to support Nurse Facilitated Discharge to reduce length of stay Kate Pound and Sue Haines Service Redesign Manager Assistant.

Saint Francis Hospital CLBSI Tennessee Patient Safety Initiative August 28, 2008 Terri Stewart MSN, RN Saundra Jirik MSN, RN.

Improving prescribing quality Richard Seal Programme Director National collaborative medicines management services programme.

Managing patients with tracheostomies: Demonstrating our value and striving for high quality care. Ioan Morgan – Highly Specialist Physiotherapist Claire.

Never Declare Victory against CLABSI Patty Kampf BSN RN CRNI Valarie Goitiandia RN CCRN CRNI Susan Imhoff MSN RN Never Declare Victory against CLABSI Patty.

Reduction of Contaminated Blood Cultures

The Introduction of a Specialist Paediatric Vascular Access team Sara Melville, Lead Nurse Vascular Access, Alder Hey.

The Ealing Experience and Vision for the Future: Dr Sanjeev Mehta, Consultant Diabetologist, Ealing Hospital NHS Trust Dr Sanjeev Mehta Consultant in Diabetes.

QUALITY IMPROVEMENT COLLABORATIVES Kupu Taurangi Hauora o Aotearoa.

‘Navigating the System’ Finding early opportunities to access Community Services- ‘Discharge to assess’ work stream Bie Grobet South Warwickshire Foundation.

Loyola University Chicago LOYOLA UNIVERSITY HEALTH SYSTEM Improving Care of Adult Patients Undergoing Cardiac Surgery LUMC CV-Surgical Team.

Anne Esson – Nurse Manager

Care Coordination What is it? How Do We Get Started?

CLABSI: Working Toward Zero Trinity Regional Health System Infection Prevention and Control Presented by: Patricia Herath, BSN, RNC Infection Preventionist.

Can we afford to waste medicines? - update on possible national strategies Bhulesh Vadher Clinical Director of Pharmacy and Medicines Management, Oxford.

Making pregnancy safer: can we do better? A PMMRC workshop on improving outcomes for New Zealand mothers and babies.

Inquiry process 4 panellists and 3 professional advisers Evidence briefing Written submissions from organisations Oral evidence sessions Professional.

Oral Care for Patients at Risk for Ventilator-Associated Pneumonia Issued April 2010.

First, Do No Harm Falls work Karen O’Keeffe Clinical Lead Presentation 7 to National Falls Programme Expert Advisory Group meeting 13 July 2012, HQSC.

Safe at all Times Delivery Proposal. ‘Normal’ Working Day Handover Medical Nursing Team Medical Rota Team Handover Surgical The ‘Alder Hey Clock’

Infection Prevention & Control Neil Wigglesworth Nurse Consultant, Infection Control 23 rd June 2008.

The epidemiology of HAI Scotland Dr Jacqui Reilly Consultant Epidemiologist Head of HAI and IC Group.

Educational Challenges Changing Roles

Waikato Regional Meeting Central Line Associated Bacteraemia 8 th November 2012.

Improving Patient Safety at the RD&E Council of Governors January 2010, Item 9 Respond, Deliver & Enable.

REDUCING CENTRAL LINE BLOODSTREAM INFECTIONS Going beyond the checklist Richard T. Ellison III, MD June 2009.

TeamSTEPPS Implementation Guide. T EAM STEPPS 05.2 Page 2 Implementation Guide Shift Toward a Culture of Safety.

National Patient Safety Programme Clydebank 9 th November 2007.

The Health Roundtable Early detection of patient deteriopration Presenter: (delegate name) Innovation Poster Session HRT1215 – Innovation Awards Sydney.

Will This Admission Help? Leonard Hock, D.O., CMD Covenant Hospice.

The Big Picture Jane O’Hallahan Clinical Director National Screening Unit.

 OM focuses on the effective management of the resources and activities that produce and deliver the goods and services of a business/organization  Resources.

First, Do No Harm Northern Region patient safety campaign Jacqueline RyanKaren O’Keeffe Programme ManagerClinical Lead Peter LeongKelly FraherImprovement.

Influencing Demand – Altering Preload for Canterbury EDs Dr Greg Hamilton Planning and Funding.

Central Line-Associated Bloodstream Infection Reduction: Lessons Learned Ken Sands, MD, MPH SVP, Silverman Institute for Health Care Quality and Patient.

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

Process of Planning, Designing and Financing a Hospital

Anne Foley Senior Advisor, Ministry of Health New Zealand Framework for Dementia Care.

Challenges of CLAB prevention outside the ICU Learning Session Two.

CHAPTER 5: PROMOTING ACCOUNTABILITY THROUGH MEASUREMENTS Jamie Duffy ETM 568/ Dr. Burtner.

Patients get “recommended care” ~ 50% of the time. Adverse events occur in 10% of hospital patients. –50% are preventable. –7.5% of these patients die....the.

Liaison Psychiatry Service Models ‘Core 24’ and more

Vascular Surgery in Thames Valley Dr Will Orr Clinical Lead CVD Thames Valley NHS England 1.

HSE - Prevention of Falls A Joint Presentation by: Antoinette Malone, Clinical Placement Co-Ordinator Nursing Practice Development Department Connolly.

Yousef I. Aljeesh, PhD, RN Said Abusalem, PhD, RN Naeem Alkariri, MSN, RN John A. Myers, PhD, MSPH Fawwaz Alaloul, PhD, RN Staff Developed IP Program Increases.

Insert name of presentation on Master Slide Leadership and Safety Climate March 18, 2008 Presenter: Sue Gullo, RN,MS.

Bela Patel MD Associate Professor of Medicine UT Health Science Center Houston Memorial Hermann Hospital – Texas Medical Center.

Insert name of presentation on Master Slide Annual Quality Framework Quality & Safety improvement Reporting.

Title of the Change Project

Healthstat Employee Clinic

Patient Safety in Surgical Care Reducing Patient Harm due to

Reducing Mortality & Harm in Welsh Ambulance Services NHS Trust

An overview of findings from two recent research projects

Mortality and harm reduction in Cwm Taf Health Board

Patient Safety Goals for BCUHB

2Loma Linda University Medical Center, Loma Linda, CA

Southern Cancer Network Work Programme Update April 2018

Physician Quality and Safety Academy

Cardiff and Vale UHB Dr Graham Shortland

Larrabee’s Quality of Nursing Care Theory

Using Data to Improve Practice

Presentation transcript:

CLAB In The Mainland

Overview Christchurch ICU Where were we? Where are we now? Where are we going?

The Challenge South Island – 56% New Zealand – 23% population – 5 DHBs – Culture Christchurch – Single ICU All subspecialties except paeds cardiac and burns – Population 550,000

Christchurch ICU Size of unit – Staffed 16 ICU bed equivalents – 120 nurses, 8 SMO and 18 registrars – 2.9 beds/100,000 (4.8 NZ average) Interventions – 65% ventilation rate – Mean length of stay 3.5 days Outcomes – Mortality 12% – Low SMR

CLAB Consideration History – Insertion process established 2009 Patients – 1250 admissions PA (70% CVC) – 350 cardiac patients – 120 LTM patients Process – Antibiotic impregnated lines for high risk – PICC service for LTM lines Observation – Average 300 line days per month

Quality Healthcare in Christchurch

Historic Chch CLAB Data

CLAB Results Structure – Team – Dr, nurses, educator, data, IPC + guest Regular meetings – Goals Simple -Awareness/Education Process – Compliance – insertion/maintenance/cultures Alliance and complement DHB processes – Robust data

Outcome CLAB rate 0/1000 line days 352 CLAB free days – 10 CLAB avoided – 1-5 lives saved – Up to $500,000 saved Endorsement CEO Role out to NICU

Problems Education Data burden – E-database – Global IT issues Compliance – Insertion – % (10/week) – Maintenance % (150 episodes/week) – Blood culture- recent reduction in compliance

Key Success CLAB rate QI profile MDT

Future Maintain high profile Formalise competencies Compliance improvement Blood culture simplicity Sustainability beyond April 2013

Key Objectives 1.Reduce the rate of CLAB in New Zealand ICUs towards zero (<1 per 1000 line days by 31 March 2013) 2.Share evidence based practices and provide leadership, coordination and data management that will lead to sustainable improvement and better patient safety outcomes 3.Establish a robust national measurement approach for CLAB 4.Spread the methodology to at least one other area

The Region CityPopulationDHB Christchurch380,900CDHB Dunedin117,700SDHH Nelson60,800NMDHB Invercargill49,200SDHB Blenheim30,300NMDHB Timaru27,700SCDHB Ashburton17,950CDHB Oamaru13,000SDHB Queenstown10,442SDHB Greymouth10,100WCDHB