DRAFT – final pending AHRQ approval Perform an SSI Investigation Deb Hobson, RN BSN March 10 & 12, 2014 1.
Post on 05-Jan-2016
213 Views
Preview:
Transcript
DRAFT – final pending AHRQ approval1
Perform an SSI Investigation
Deb Hobson, RN BSN
March 10 & 12, 2014
DRAFT – final pending AHRQ approval2
Objectives
Distinguish between process and outcome data.
Describe how the SSI Investigation Tool can guide improvement work even when SSI rates are low.
Adapt an SSI Investigation Tool to reflect the care processes in your SSI Prevention Bundle.
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval3
SUSP Readiness Bridge
Are your frontline SUSP team members aware of the SUSP project?
Have you completed a safety culture survey (e.g. HSOPS) and debriefed your frontline SUSP team members?
Has your staff received the Science of Safety Training?
Have you collated Perioperative Staff Safety Assessment responses from your staff?
Have you held your Executive Safety Rounds Kickoff meeting?
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval
Assess Your Performance
Collect process and outcome data to assess current performance and progress towards improving patient care.
Process Data Outcome Data
What we do to patients What happens to patients
Depends on your local SSI Prevention Bundle
Every hospital in SUSP is tracking the same outcome data
e.g. Percentage of patients receiving appropriate antibiotic re-dosing
e.g. SSI Rate
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval5
Get SSI Data from the SUSP Website
Log onto the SUSP Website
Locate the SSI Data Registry
Access your SSI Data Report
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval6
Log onto the SUSP Website
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval7
Locate the SSI Data Registry
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval8
Access your SSI Data Report
DRAFT – final pending AHRQ approval9
Sample SSI Data Report
DRAFT – final pending AHRQ approval10
Always room for improvement
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval11
1 Organ Space SSI means…• 4.9% mortality rate• $14,448 additional cost of care• 24 additional length of stay
DRAFT – final pending AHRQ approval12
Because a multitude of factors influence outcome, it is not possible to know for certain, even after extensive adjustments for differences in case mix are made, the extent to which an observed outcome is attributable to an antecedent process of care. Confirmation is needed by a direct assessment of the process itself…”
Avedis Donabedian (1998)
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval13
Uncover Defects with SSI Investigation Tool
Identify lapses in infection prevention processes that may have contributed to your SSI case.
Assess adherence to your local SSI Prevention Bundle.
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval14
Patient or Provider Factors
DRAFT – final pending AHRQ approval15
Normothermia Maintenance
DRAFT – final pending AHRQ approval16
Glucose Control
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval17
Antibiotic Redosing
DRAFT – final pending AHRQ approvalQuestions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
18
Adapt the SSI Investigation Tool
Johns Hopkins Hospital clinicians designed this tool to assess adherence to their local SSI Prevention Bundle. – Your team may want to investigate care processes that are not
included in this tool. – This tool may include processes that your team does not use.
Please modify this tool to best fit your team’s needs.
DRAFT – final pending AHRQ approval19
What Your Team Can Do
Abstract this information from the patient’s chart.
Use SSI Audit tools to dig deeper into your care delivery system.
Present process data to the team at a routine SUSP meeting.
Share investigation results monthly or quarterly with your frontline staff and OR leadership.
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval20
Next Steps
Complete an SSI investigation of your most recent SSIs.
Share your findings on a March coaching call.
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval
What questions do you have?
Remember you have a support network– You can ask questions any time on MedConcert – You can ask questions during coaching calls– You can contact the SUSP helpdesk
21
Questions? Contact the SUSP helpdesk at SUSP@jhmi.edu.
DRAFT – final pending AHRQ approval22
Content Call Evaluation
We want to ensure that the content calls provide useful and pertinent information for the SUSP teams. For this reason we request that you complete a brief evaluation following each call. The evaluation may be found at the following link:
https://www.surveymonkey.com/s/SUSP_Cohort4
top related