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Join us for a collaborative workshop focused on improving communication of current precautions in the context of CDI prevention. Led by Susanne Salem-Schatz, Sc.D., this event brings together interdisciplinary team members from hospitals and long-term care facilities, including infection preventionists, nurses, physicians, and pharmacists. Over ten months, we have tracked our progress in antibiotic stewardship and signage improvements. This workshop will highlight the accomplishments, discuss effective strategies, and outline next steps as we continue to enhance care and prevent healthcare-associated CDI.
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Welcome – our participants • Collaborative team members • From Hospitals • From Long term facilities • Disciplines: IPs, nurse managers/nurses, physicians, pharmacists, environmental services, other
Ten months in: What have we accomplished and what’s next? Susanne Salem-Schatz, Sc.D. CDI Prevention Collaborative Workshop II March 29, 2010 www.macoalition.org
Learning and Sharing • 12 expert and coaching calls • 3 Regional workshops • 11 teams joined antibiotic stewardship workgroup
You Tested Changes Improve Communication of Current Precautions Status • PLAN: • Standardize location of signage • Store precautions signage in convenient location near/with PPE • DO: • Installed sign holder outside room • Store one of each precaution signs in each sign holder • ACT: • Reduce size of signs; magnetize signs to attach to door frame • Reconsider signage storage options • CHECK: • Sign holders too big for available space to accommodate 4 signs per room • Sign fit well in holders; concern sign holders will break from continual expansion to remove/replace signs
Outcome measures may tell you Intervention
or…. HA-CDI Rate / 10,000 Patient Days
But they may not tell you: • Who was involved • What they did • How they got there • What important lessons were learned • Whether you rates are “good enough”
A True Story HA-CDI Rate / 10,000 Patient Days
Regrouping and Moving Forward • Review your aim • Review your practice • Pre-existing practices • Changes you have made • Where are your next opportunities?
How to spend the rest of the day • Share and Learn • Changes • Change Concepts
Change or Change Concept? Improve Communication of Current Precautions Status • PLAN: • Standardize location of signage • Store precautions signage in convenient location near/with PPE • DO: • Installed sign holder outside room • Store one of each precaution signs in each sign holder • ACT: • Reduce size of signs; magnetize signs to attach to door frame • Reconsider signage storage options • CHECK: • Sign holders too big for available space to accommodate 4 signs per room • Sign fit well in holders; concern sign holders will break from continual expansion to remove/replace signs
How to spend the next 20 minutes • Practice Opportunities Worksheet • What do we do? • How well do we do it? • How do we know?