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1 1 U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery) Alana Cohen Margaret Dyka Dareena Malli Pawan.

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Presentation on theme: "1 1 U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery) Alana Cohen Margaret Dyka Dareena Malli Pawan."— Presentation transcript:

1 1 1 U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery) Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka Susann Camus Filda Grado Jas Sidhu Melanie Skidmore Leah Tennant Angela Wilson Team Members: SQAN Presentation: November 16, 2012

2 2 Team Goal Apply National Surgical Quality Improvement Program (NSQIP) data and methods to reduce Urinary Tract Infection rates in SMH Postsurgical Patients from 1.6% on February 29, 2012 to 0.8% by June 30, 2012

3 3 Improvement Strategies  Use NSQIP risk and non-risk adjusted data to drive improvement  Apply NSQIP best practices

4 4 Quality Improvement Strategies Team Goals  Use Positive Deviance and TRIZ  Carry out Plan-Do-Study-Act (PDSA) cycles to test improvements and small changes  Staff and patient education  Regular facilitated meetings

5 5 What we have done to date  Developed Foley plan of care sticker for Kardexes  PDSA Cycles performed on positioning of catheter bag, integrity of loops, catheter care and documentation of Foley plan of care on Kardex  Chart reviews

6 6 What we have done to date con’t  Pioneered use of physician reminder sticker  Staff huddles and contests  Posters, factoids and spot checks  Patient education

7 7 Results

8 8

9 9 Lessons learned  No quick fixes  Important to master the basics  Essential to remind people and to ensure new staff and casual staff are included in education  Key challenge: getting the word out and getting people to change practice  Be persistent

10 10 Hints for new teams  6-8 staff members is optimal  Every team member is actively involved  Facilitated meetings keep us on track  Build in time during meetings to do PDSA cycles  Have fun  Celebrate successes

11 11 Wavin’ the Cath (apologies to K’naan) When we get data, we will drill down Call us high flyers High flyers wearing the crown Chorus: When we get data, we will drill down Call us high flyers. High flyers wearing the crown. We will cut back, We will cut back. First Verse: From Surrey downtown, Surgical Floor These are my patients, couldn’t ask fo’ more This is our way, I am a nurse Caring is first, knowledge we thirst Our patients come first, they’ll be the best, PDSA we always test Patient will heal, this is for real This is our way, that’s all we can say Times struggling, Getting the word out We’re wondering, what’s that about now We actively wait for zero point eight It’s not far away, For now we say Chorus Second Verse: Two person insertion is less exertion, Use the best practice, tell everyone Hold all our contests, we’ve just begun No easy way, Work is the way Let’s do this together, make all believers NSQIP best practice, strive to improve We’re making our way to zero point eight We’ll not give up, Our team is great! We’re reminding, all the physicians We’re stickering, all our Kardexes We’ll actively wait for zero point eight It’s not far away but for now we say. Chorus (repeat twice)


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