Gynecology Care Pathway Kimberly McKinley Penticton Regional Hospital

Initial Drill Down – when and who?

Why are PRH post-op gyne. patients at increased risk for UTI?  Age  Type of surgery  Varying practice between Health Care Team members  Lack of “Best Practice” care standard not much we can do about these factors there is room for improvement here

Where could we improve? PAR STAFF WARD STAFF PHYSICIANS INFECTION CONTROL NSQIP TEAM OR MANAGEMENT QI

What else are we doing?  Using gyne nursing staff to help audit pathway compliance on charts  Education huddles weekly  Complete review of charts that do not follow pathway guidelines – why were they outside the norm?

Improvement?  too soon to tell  increasing numbers of patients are going home with self catheterization instead of indwelling catheters  still some barriers to overcome with some staff (nursing and medical)  adding custom fields to improve tracking