Hospital Acquired Clostridium Difficile (HIIN) Standard Infection Ratio (SIR) 0.60 0.80 0.70 2016 Q3 2016 Q4 2017 Q1 2017 Q2 1.00 0.90 1.20 1.10 HIIN Target Target Resources: https://www.cdc.gov/hai/organisms/cdiff/cdiff_infect.html http://www.shea-online.org/priority-topics/compendium-of-strategies-to-prevent-hais http://apic.org/Resource_/EliminationGuideForm/ 59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf Contact: Roy Boukidjian MSN, CIC, PHN, NE-BC at [email protected] Email [email protected] for Prevent Cdif Checklist. Why? • One in nine patients over 65 with C-diff dies within 30 days of diagnosis • C-diff increases hospital length of stay by 2.8 to 5.5 days • The attributable mortality of C-diff is estimated to be 5%–10% What? Strategies • System ASP Taskforce • System hand hygiene campaign • Early C-diff detection by utilizing EHR • System gap analysis • Standardize EVS chemicals, processes, and quality assurance monitoring How? Leadership! • Metric: National Healthcare Safety Network • Co-leads: Infection Preventionist and Infectious Disease Physician • Task Force: Nursing, Environmental Services, Pharmacy, Physician Leadership, Quality, Informaticists, and Microbiologists Where? • 37 Dignity Health hospitals in California, Nevada and Arizona When? Yesterday! • System initiative began on July 1st, 2016 Clostridium Difficile A System Approach to Improving Outcomes Outcome to date?
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Hospital Acquired Clostridium Dif�cile (HIIN)Standard Infection Ratio (SIR)
0.60
0.80
0.70
2016 Q3 2016 Q4 2017 Q1 2017 Q2
1.00
0.90
1.20
1.10
HIINTarget
Target
Resources:https://www.cdc.gov/hai/organisms/cdiff/cdiff_infect.html http://www.shea-online.org/priority-topics/compendium-of-strategies-to-prevent-hais http://apic.org/Resource_/EliminationGuideForm/59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf
Contact: Roy Boukidjian MSN, CIC, PHN, NE-BC at [email protected] [email protected] for Prevent Cdif Checklist.
Why? • One in nine patients over 65
with C-diff dies within 30 days of diagnosis
• C-diff increases hospital length of stay by 2.8 to 5.5 days
• The attributable mortality of C-diff is estimated to be 5%–10%
What? Strategies• System ASP Taskforce• System hand hygiene campaign• Early C-diff detection by utilizing EHR• System gap analysis• Standardize EVS chemicals, processes, and
quality assurance monitoring
How? Leadership!• Metric: National Healthcare Safety Network• Co-leads: Infection Preventionist and
Infectious Disease Physician• Task Force: Nursing, Environmental Services,
Pharmacy, Physician Leadership, Quality, Informaticists, and Microbiologists
Where?• 37 Dignity Health hospitals in California,
Nevada and Arizona
When? Yesterday! • System initiative began on July 1st, 2016
Clostridium Dif�cileA System Approach to Improving Outcomes
Outcome to date?
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