CAUTIs IMPROVEMENT PROJECT LAUNCH€¦ · What next? CEC Collaborative Series for CAUTIs...
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CAUTIs IMPROVEMENT PROJECT LAUNCH What needs to be done next Jan Gralton CLINICAL EXCELLENCE COMMISSION 18 February 2016
Transcript of CAUTIs IMPROVEMENT PROJECT LAUNCH€¦ · What next? CEC Collaborative Series for CAUTIs...
CAUTIs IMPROVEMENT
PROJECT LAUNCH
What needs to be done next Jan Gralton
CLINICAL EXCELLENCE COMMISSION
18 February 2016
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What next?
Go back to hospital/LHD
Hospital/LHD level Unit/Department level
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What next?
Hospital/LHD level
•Share learnings and ideas with your
colleagues
•Introduce others to the resources that you’ve
seen today
•Talk about the project
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What next?
Diagnostics Forming teams
Unit/Department level
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What next?
Diagnostics
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
Are we getting the basics right?
Are we reliable with our catheter
care?
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What next?
Diagnostics
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
What are the common themes?
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What next?
Diagnostics
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
Do we have a problem with catheters?
What does our pathology ordering
patterns say?
What does our antimicrobial prescribing
say?
What does our equipment access and
stock supply look like?
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What next?
Diagnostics
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
What are our bottlenecks?
What are our duplications?
Where are our gaps?
What isn’t ‘ideal’?
Patient comes to the ED
Patient is seen by triage nurse
Patient history and obs are taken
Medical assessment undertaken
Is a consult
required?
YES
NO
Is hospital admission required?
YES
NO
Patient is sent home
Is a diagnostic investigati
on required?
YES
NO
Is a urine specimen required?
NO
Other diagnostic investigations are performed
Has an IDC been medically ordered?
YES
Insert an IDC and collect
specimen if required
YES
Get patient admitted to the ward
Transfer patient to ward
ED nurse hands over patient to ward nurse
Ward nurse takes baseline obs and checks paperwork
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What next?
Diagnostics Forming teams
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
•Who is needed to make change happen?
Nurse/medical educators
Other preceptors?
Night and weekend staff
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What next?
Diagnostics Forming teams
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
•Who is needed to make change happen?
•Who will bring the expertise?
Quality improvement
Continence/Urology
Infection prevention and control
Clinical microbiology
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What next?
Diagnostics Forming teams
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
•Who is needed to make change happen?
•Who will bring the expertise?
•Who can clear roadblocks?
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Medical director
QI or patient safety unit
Clinical governance
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What next?
Diagnostics Forming teams
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
•Who is needed to make change happen?
•Who will bring the expertise?
•Who can clear roadblocks?
•Who will be the team leader?
Time and capacity
Interest and motivation
Local ownership
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What next?
Diagnostics Forming teams
Unit/Department level
•Gather the intelligence
•Start with the maintenance audit
• Investigate CAUTIs incidents
•Talk to others and to each other
•Flow chart current processes
•Who is needed to make change happen?
•Who will bring the expertise?
•Who can clear roadblocks?
•Who will be the team leader?
Reach agreement on the problem
•Confirm there is a problem
•Define the problem (problem statement for the
DD)
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What next?
CEC Collaborative Series for CAUTIs Improvement
• Local projects running in parallel, learning from each other
• Face to face team workshops, teleconferences and
webinars
• 6 months coached series
• Need to have diagnostics, project team and problem
ready
• More info to be sent to DCGs if interest is high
Unit/Department level
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What next?
Stuck on what to do or how to do it?
Not sure how to explain all of this to others?
Can’t tell your primary drivers and secondary drivers apart?
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What next?
Stuck on what to do or how to do it?
Not sure how to explain all of this to others?
Can’t tell your primary drivers and secondary drivers apart?
CALL THE CEC
Local CAUTIs launch
Local QI coaching
Diagnostic advice
Thank you
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For further information:
Jan Gralton
HAI Project Officer
P: 02 9269 5582
www.cec.health.nsw.gov.au
Join the conversation online @NSWCEC #CAUTI
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