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NSQIP Supports Pneumonia Prevention at Vancouver General Hospital Irene Siu Spotlighting Surgical Improvement in BC November 16, 2012.

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Presentation on theme: "NSQIP Supports Pneumonia Prevention at Vancouver General Hospital Irene Siu Spotlighting Surgical Improvement in BC November 16, 2012."— Presentation transcript:

1 NSQIP Supports Pneumonia Prevention at Vancouver General Hospital Irene Siu Spotlighting Surgical Improvement in BC November 16, 2012

2 Non-Risk Adjusted Pneumonia Rates May-Dec 2011 VGHSQANNSQIP Overall General Surgery Vascular ENT

3 July 2012 SAR Risk Adjusted Pneumonia Outcomes Odds RatioDecileStatus ALLCASES High Outlier/Needs Improvement GEN1.55 9As expected VASC1.28 9As expected ENT n/a

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5 Pneumonia Working Group Engage manager of General Surgery, Vascular, ENT - units T8/9 Audit of current practice Improvement Charter/SBAR Gather the team What to do?

6 *Rosenkranz et al. (July ). “ICOUGH”: The Development of a Multidisciplinary Program to Address Postoperative Pulmonary Complications. Powerpoint lecture presented at ACS NSQIP National Conference in Westin Copley Place, Boston MA.

7 I ncentive Spirometer DB+ CO ral Care U nderstand/ Education G et out of bed/Mobility H OB 30˚ Pain Control % Patients17%52%60%21% 17% chair 76% walking48%86% Audit Results

8 PDSA, Improvement Charter… Goal: I ncentive Spirometer DB+ CO ral Care U nderstand/ Education G et out of bed/Mobility H OB 30˚ Pain Control % Patients 17%52% 60% 21% 17% chair 76% walking 48%86%

9 Goal 50% reduction in post-op pneumonia rates in General Surgery, Vascular and Otolaryngology by June 2013

10 Challenges Engagement, Buy-In, Ownership Details, details, details! –Care plans, education materials, staff education

11 Overcoming Challenges Enlist people with expertise and influence TRIZ/TIPS Don’t re-invent the wheel! Best practice guidelines Utilize PDSA, Improvement Charter, SBAR Don’t give up!

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13 Going forward… Prep T8/9 units December 2012: In-services, educational materials, care plan GOLIVE January 2013 Ongoing PR Schedule ongoing audits PDSA ongoing Hospital-wide?

14 Thank you!

15 Contacts VCH NSQIP Team:


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