Presentation on theme: "U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery) Team Members: Alana Cohen Margaret Dyka Dareena."— Presentation transcript:
1U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery)Team Members:Alana CohenMargaret DykaDareena MalliPawan SindharBrenda SmithLorraine PrysunkaSusann CamusFilda GradoJas SidhuMelanie SkidmoreLeah TennantAngela WilsonSQAN Presentation: November 16, 2012
2Team Goal Apply National Surgical Quality Improvement Program (NSQIP) data and methods to reduceUrinary Tract Infection rates in SMHPostsurgical Patients from 1.6% onFebruary 29, 2012 to 0.8% by June 30, 2012
3Improvement Strategies Use NSQIP risk and non-risk adjusted data to drive improvementApply NSQIP best practices
4Quality Improvement Strategies Team Goals Use Positive Deviance and TRIZCarry out Plan-Do-Study-Act (PDSA) cycles to test improvements and small changesStaff and patient educationRegular facilitated meetingsTeam meets q 2-3 weeks for mins to keep involved and up to date with education and improvements
5What we have done to date Developed Foley plan of care sticker for KardexesPDSA Cycles performed on positioning of catheter bag, integrity of loops, catheter care and documentation of Foley plan of care on KardexChart reviewsChart reviews completed on patients who have had an UTI to understand the path and see where improvements could have been made.
6What we have done to date con’t Pioneered use of physician reminder stickerStaff huddles and contestsPosters, factoids andspot checksPatient educationStaff huddles performed, also had a contest on the units: Asked questions of which answers were given previously in huddles, all correct answers thrown in a draw and 5 winners awarded a Starbucks gift CertificatePosters/Factoids posted in walls, staff room. Spot checks performed regularly to remind staff to look out for the best practices (ie. Catheter care performed, drainage containers rinsed/changed, catheter size appropriate, etc)Education provided to patients to inform risks of catheter and promoting them to answer why they have catheters.
9Lessons learned No quick fixes Important to master the basics Essential to remind people and to ensure new staff and casual staff are included in educationKey challenge: getting the word out and getting people to change practiceBe persistent
10Hints for new teams 6-8 staff members is optimal Every team member is actively involvedFacilitated meetings keep us on trackBuild in time during meetings to do PDSA cyclesHave funCelebrate successesMeetings are fun (snacks, jokes, etc)
11Wavin’ the Cath (apologies to K’naan) When we get data, we will drill downCall us high flyersHigh flyers wearing the crownChorus:Call us high flyers. High flyers wearing the crown.We will cut back,We will cut back.First Verse:From Surrey downtown, Surgical FloorThese are my patients, couldn’t ask fo’ moreThis is our way, I am a nurseCaring is first, knowledge we thirstOur patients come first, they’ll be the best,PDSA we always testPatient will heal, this is for realThis is our way, that’s all we can sayTimes struggling, Getting the word outWe’re wondering, what’s that about nowWe actively wait for zero point eightIt’s not far away, For now we sayChorusSecond Verse:Two person insertion is less exertion,Use the best practice, tell everyoneHold all our contests, we’ve just begunNo easy way, Work is the wayLet’s do this together, make all believersNSQIP best practice, strive to improveWe’re making our way to zero point eightWe’ll not give up, Our team is great!We’re reminding, all the physiciansWe’re stickering, all our KardexesWe’ll actively wait for zero point eightIt’s not far away but for now we say.Chorus (repeat twice)