ICU Safe Care Initiative: Comprehensive Unit-Based Safety Program 1.

ICU Safe Care Initiative:ICU Safe Care Initiative:Comprehensive Unit-Based Comprehensive Unit-Based

Safety Program Safety Program

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SpeakersSpeakersModerator: Christine George, RN, MS, ICU Project Manager, Keystone Center,

Michigan Health & Hospital Association

Mercy Memorial Hospital

Ellie Wahl, Vice President and Chief Nursing Officer

University of Michigan

Bob Hyzy, MD, Pulmonary Intensivist,, Clinical Leader Keystone ICU

Maureen Thompson, MSN, RN, CCRN Coordinator, Patient Safety

Beaumont Hospitals

Rob Welsh, MD, Vice Chief of Surgical Service for Quality and Patient Safety, Chief of Thoracic Surgery , Beaumont RO and Troy Beaumont

Kathy Schumacher, MSA, CPHQ, Director of Quality, Safety, Standards, & Outcomes William Beaumont Hospital

Northern Michigan Regional Hospital

Gretchen Schrage, MBA, MT (ASCP)SH, Manager, Performance Improvement2

Comprehensive Unit-Based Comprehensive Unit-Based

Safety Program Safety Program

CUSP/KEYSTONE - ICU Project CUSP/KEYSTONE - ICU Project

Ellen R. Wahl, RN, BASEllen R. Wahl, RN, BAS Vice President and Chief Nursing Officer Vice President and Chief Nursing Officer

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Creating a Culture of SafetyCreating a Culture of Safety Monthly rounding by Senior Leadership Interacting with front line staff to hear their concerns

regarding safety and how the next patient may be harmed Open lines of communication and lets staff identify

defects in processes or equipment to improve patient care.

A Culture of Safety is ensuring every patient, every nurse, every physician, EVERY TIME receives best practice evidence based medicine.

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SENIOR LEADER & UNIT PARTNERSHIP / WALK-ROUNDS GOAL: Establish an environment of trust for frontline caregivers (“We are here to learn and improve, not to blame or audit”) COMMON DISCUSSION TOPI CS: Tell me what is working well today? Is there any staff that we should be recognizing? Is there anything we can do better? Do you have the tools and equipment to do your job? Are you aware of any recent Incident reports? Please describe how the next patient in this clinical area will be harmed. Can you think of a patient harmed because of less-than-safe care? What could this unit do on a regular basis to improve safety? Are there any immediate safety concerns that you need assistance with? Are there any current patient needs that you need assistance with? Review actions taken/not taken to address issues from previous rounds. Remember: The % of caregivers exposed to rounds over time should be maximized (# rounds as well as connecting with different caregivers each round). Other (Recent Huddles, etc.)

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SAQ ResultsSAQ Results

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8

CLBSI – 2004 to PresentCLBSI – 2004 to Present

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3.52

2.38

00

0.5

1

1.5

2

2.5

3

3.5

4

2003 BSI 2005 BSI 2009 BSI

Vent BundleVent Bundle Elevate HOB Appropriate PUD

prophylaxis Appropriate DVT

prophylaxis Appropriate sedation Daily assessment of

readiness to extubate Glucose control

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VAP 2004 to PresentVAP 2004 to Present

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2.56

1.67

00

0.5

1

1.5

2

2.5

3

2003 VAP 2005 VAP 2009 VAP

This program has significantly improved patient care and communication between

physicians and improved teamwork among all providers in the Intensive Care Unit.

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October 5 – MassachusettsOctober 12 – OhioOctober 14 – Pennsylvania

SpeakersSpeakersModerator: Christine George, RN, MS, ICU Project Manager, Keystone Center,

Michigan Health & Hospital Association

Mercy Memorial Hospital

Ellie Wahl, Vice President and Chief Nursing Officer

University of Michigan

Bob Hyzy, MD, Pulmonary Intensivist,, Clinical Leader Keystone ICU

Maureen Thompson, MSN, RN, CCRN Coordinator, Patient Safety

Beaumont Hospitals

Rob Welsh, MD, Vice Chief of Surgical Service for Quality and Patient Safety, Chief of Thoracic Surgery , Beaumont RO and Troy Beaumont

Kathy Schumacher, MSA, CPHQ, Director of Quality, Safety, Standards, & Outcomes William Beaumont Hospital

Northern Michigan Regional Hospital

Gretchen Schrage, MBA, MT (ASCP)SH, Manager, Performance Improvement13

Next StepsNext Steps

Registration and launch meetings in each stateOctober 5 – MassachusettsOctober 12 – OhioOctober 14 – Pennsylvania

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Questions?Questions?

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