Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka

U & I Preventing UTIsPost-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery) Team Members: Susann Camus Filda Grado Jas Sidhu Melanie Skidmore Leah Tennant Angela Wilson Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka SQAN Presentation: November 16, 2012

Team Goal Apply National Surgical Quality Improvement Program (NSQIP) data and methods to reduce Urinary Tract Infection rates in SMH Postsurgical Patients from 1.6% on February 29, 2012 to 0.8% by June 30, 2012

Improvement Strategies • Use NSQIP risk and non-risk adjusted data to drive improvement • Apply NSQIP best practices

Quality Improvement Strategies Team Goals • Use Positive Deviance and TRIZ • Carry out Plan-Do-Study-Act (PDSA) cycles to test improvements and small changes • Staff and patient education • Regular facilitated meetings

What we have done to date • Developed Foley plan of care sticker for Kardexes • PDSA Cycles performed on positioning of catheter bag, integrity of loops, catheter care and documentation of Foley plan of care on Kardex • Chart reviews

What we have done to date con’t • Pioneered use of physician reminder sticker • Staff huddles and contests • Posters, factoids and spot checks • Patient education

Results

Lessons learned • No quick fixes • Important to master the basics • Essential to remind people and to ensure new staff and casual staff are included in education • Key challenge: getting the word out and getting people to change practice • Be persistent

Hints for new teams • 6-8 staff members is optimal • Every team member is actively involved • Facilitated meetings keep us on track • Build in time during meetings to do PDSA cycles • Have fun • Celebrate successes

Wavin’ the Cath (apologies to K’naan)

Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka