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On the CUSP: Stop BSI

On the CUSP: Stop BSI. On the CUSP: Stop BSI. What the data tell us… Face to Face Meeting Massachusetts November 16, 2010. Learning Objective.

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On the CUSP: Stop BSI

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  1. On the CUSP: Stop BSI

  2. On the CUSP: Stop BSI What the data tell us… Face to Face Meeting Massachusetts November 16, 2010

  3. Learning Objective To understand state-level progress towards reducing the rate of central line associated blood stream infections (CLABSI) and implementing the Comprehensive Unit-based Safety Program (CUSP)

  4. Data In – Information Out: CLABSI Enter 2 data points Access to state and national comparisons

  5. Data In – Information Out: MTCT Answer 18 questions Access activity and barrier reports 5

  6. Data Completeness

  7. CLABSI: Mean Rate Goal: <1 BSI per 1,000 line-days

  8. CLABSI: Estimated Impact Assumptions: 12.3% case fatality rate $53,000 per BSI; 8 days per BSI

  9. MTCT: General Activities (Q2&Q3 2010) *Total number of responses: 34/108 (31%) • Teams met average of 1.2 times per month • Reviewed data: 1.4 • Shared data with unit: 1.6 • Data presented to • Senior leadership: 79% • Board: 65%

  10. MTCT: CUSP Activities (Q2&Q3 2010) 10 • Science of Safety Training - All/most staff viewed video: 56% - Video in orientation: 18% • Staff Identify Defects - Prioritized safety issues: 18% • Senior Executive Partnership - Met with senior executive: 0.9/month • Learning from Defects - Learned from defects: 24% - Shared results: 18% • Teamwork Tools *Total number of responses: 34/108 (31%)

  11. MTCT: CLABSI Practices Central Line Checklist Compliance ALL MOST SOME FEW

  12. MTCT: Top Barriers (Q2&Q3-2010) Not enough time: 65% (tie) 1. Physician buy-in: 65% (tie) Nursing buy-in: 53% (tie) 2. Physician leadership support: 53% (tie) 3. Autonomy/authority: 41%

  13. Take Home Points • BSI data completeness – Very Good! • MTCT data completeness – Needs Improvement! • Mean BSI rates – Improved since beginning of project, but need to maintain focus • Activities and barriers – Many opportunities to learn from together

  14. Learning Objective To understand state-level progress towards reducing the rate of central line associated blood stream infections (CLABSI) and implementing the Comprehensive Unit-based Safety Program (CUSP)

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