Teaching an old dog new tricks!

Sandra Cunningham, IPC, CNS

Why?

•Do we have a problem?

•HQSC/Open for better care National surgical site infections – Hips and knees surveillance programme

How?

Considerations:•A framework to adopt – IHI model for improvement methodology•Communication – who, how?•Identifying and building a solid team!•Mentorship

Quality Improvement structure……

•Development of project plan•Key stakeholders notified and expectations of all•Key members to drive the project

Framework

•Driver diagram – aims/measures, primary and secondary drivers•PDSA cycles - continuous•DHB data set – vital for own reporting & auditing•Self auditing – DHB reporting

Successes

•Team member selection•Communication•Touching base

Challenges

•Data collection•Data input•Data In – Data out!•No rework!

How do we know that the changes we have made are an improvement and not just changes?

Results so far:Normal variation, not enough points yet but will continue to monitor.

Can you teach an old dog new tricks? you sure can……. She just needs trainer wheels for awhile!!

Thank you, any questions?