Blood Culture Presentation

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