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CDI Prevention Collaborative Workshop March 29, 2011. Welcome – our participants. Collaborative team members From Hospitals From Long term facilities Disciplines: IPs, nurse managers/nurses, physicians, pharmacists, environmental services, other. Essential Elements for Improvement.
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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?