Transcript
Appropriate Collection of Appropriate Collection of Blood for Blood Culture-Blood for Blood Culture-A Quality Improvement A Quality Improvement
Report.Report.
Today
The Big Picture! What was our problem. The Quality Improvement initiative. Lessons to be learnt.
InfectionInfection
ParasiteParasite
VirusVirus
FungusFungus
BacteriaBacteriaTraumaTrauma
BurnsBurns
SepsisSepsis SIRSSIRSSevereSevereSepsisSepsis
SevereSevereSIRSSIRS
Adapted from SCCM ACCP Consensus Guidelines
shock
BSIBSI
Number of sets
Site Preparation
Volume Of
Blood
91%
Nov to Dec 2007
•Communicate with the leadership. Publish Good Practice Guidelines.
Dec to Jan 2008
•Resend Good Practice Guidelines and include all Healthcare Workers in the distribution.
Jan to Feb 2008
•Start refresher workshops.
Feb to March 2008
•New management. Formation of multidisciplinary team of QM, Lab and Infection Control.
March to May 2008
•Assign full responsibility to SCDP QM Specialist. Review all deficient samples and report back to Nurse Manager. Weekly rounds.
Intervention
May to June 2008
•Leave…
June to July 2008
•Introduction of Unit based monitor.
July to August 2008
•Daily feedback regarding deficient samples.
Aug to Sept 2008
•Ramadan!
Sep to Oct 2008
•Success!
Blood Culture Solitary Percentage 2008
8783
70
45
23 24
91
72
80911
0
10
20
30
40
50
60
70
80
90
100
NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Months
Pe
rce
na
tge
Lessons to be Learned
• Ownership.
• Data Collection and Aggregation.
• Data Analysis and Interpretation.
• Dissemination/transmission of findings.
• Taking Action.
• Monitoring Performance and Improvement.
THANK THANK YOUYOU
top related