1. Unit 9.1: The BSI Story HIT Infecting a Patient Safety Culture Component 12/Unit #9 1 Health IT Workforce Curriculum Version 1.0/Fall 2010

2. At the end of this segment, the student will be able to: Discuss the success of a simple checklist in improving central line blood stream infections. Objectives Component 12/Unit #9 Health IT Workforce Curriculum Version 1.0/Fall 2010 2

3. [insert picture of Peter – first one in your video] Health IT Workforce Curriculum Version 1.0/Fall 2010 3 Component 12/Unit #9

4. [insert picture of dog licking man’s face] Health IT Workforce Curriculum Version 1.0/Fall 2010 4 Component 12/Unit #9

5. [insert picture of Peter and team] Health IT Workforce Curriculum Version 1.0/Fall 2010 5 Component 12/Unit #9

6. Key Topics The checklist: why was it successful? What is this thing called “culture”? How can we prevent projects from failing? Health IT Workforce Curriculum Version 1.0/Fall 2010 6 Component 12/Unit #9

7. [insert picture of space shuttle flying over planet] Health IT Workforce Curriculum Version 1.0/Fall 2010 7 Component 12/Unit #9

8. [insert picture of earth from outer space] Health IT Workforce Curriculum Version 1.0/Fall 2010 8 Component 12/Unit #9

9. Health IT Workforce Curriculum Version 1.0/Fall 2010 9 Component 12/Unit #9

10. Health IT Workforce Curriculum Version 1.0/Fall 2010 10 Component 12/Unit #9

11. BSI Checklist Wash your hands Clean you skin with Chlorhexidine Avoid placing catheters in the groin Use full barrier precautions Ask every day if you still need the catheter. Health IT Workforce Curriculum Version 1.0/Fall 2010 11 Component 12/Unit #9

12. Science of Safety Standardize Care Health IT Workforce Curriculum Version 1.0/Fall 2010 12 Component 12/Unit #9

13. Science of Safety Independent Checks Health IT Workforce Curriculum Version 1.0/Fall 2010 13 Component 12/Unit #9

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17. [insert picture of surgical team operating] Health IT Workforce Curriculum Version 1.0/Fall 2010 17 Component 12/Unit #9

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20. Science of Safety Learn from Every Defect Health IT Workforce Curriculum Version 1.0/Fall 2010 20 Component 12/Unit #9

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23. The BSI Story Health IT Workforce Curriculum Version 1.0/Fall 2010 23 Component 12/Unit #9

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29. Summary Despite massive efforts, quality & safety have not significantly improved It takes teamwork and cooperation National efforts to improve central line BSI rates have been hugely successful. Standardization, independent checks, and learning from every defect are keys to success. Component 12/Unit #9 Health IT Workforce Curriculum Version 1.0/Fall 2010 29