1 Turning data into action: Using HSOPS and SSI data as part of a meaningful change Sallie Weaver, PhD & Deb Hobson, RN Julius Pham, MD, PhD ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY July 21 st and July 23 rd , 2014 DRAFT-Final pending AHRQ approval
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Turning data into action: Using HSOPS and SSI data as part of a meaningful change
Turning data into action: Using HSOPS and SSI data as part of a meaningful change. Sallie Weaver, PhD & Deb Hobson, RN Julius Pham, MD, PhD ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY July 21 st and July 23 rd , 2014. DRAFT-Final pending AHRQ approval. Agenda. - PowerPoint PPT Presentation
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Turning data into action: Using HSOPS and SSI data as part of a
meaningful changeSallie Weaver, PhD & Deb Hobson, RN
Julius Pham, MD, PhD
ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITYJuly 21st and July 23rd , 2014
DRAFT-Final pending AHRQ approval
Agenda
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SUSP timeline: Where are we now?Interpreting safety culture survey data (HSOPS) and using results for improvement1. Accessing & interpreting HSOPS Score reports2. Debriefing & using your team’s data
High level description of new SSI data registry features1. SSI rate reports (App Performance Monitor & Trend Graph)2. Missing data reports
Debriefing is a semi-structured conversation among frontline clinicians and staff that is usually led by a designated facilitatorEncourages open communication, transparency, and interactive discussion– across all levels of the work area– between disciplinesEngages clinicians and staff in generating and implementing their ideas about how to create an effective safety culture in their work area
What is Debriefing?
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Work units that debrief around safety culture perform better
Data is data. Debriefing turns data into information.
Debriefing accelerates improvement.1
Units who did not debrief survey results achieved2.2% Reduction in Infection Rates
Share culture results with everyone on the unit during a survey debriefing– Bring together team members from your work area– Follow your debriefing plan
Take notes and recognize recurring themes
Encourage open, honest discussion about making the culture of your work area the best it can be
Brainstorming culture discussion itemsStatement To Be Discussed
Unit Safety Assessment Score %What does this statement mean to you?How accurately does the unit score reflect your experience on this unit? Share examples.How would it look (what behaviors or processes would we see) in this unit if 100% of staff responded “agree strongly” with this item?Identify at least one actionable idea to improve unit results in this area.What are the next steps and how will we accomplish them?
1. Review the survey report for your clinical areas
2. Distill the information into 3-5 key slides
3. Plan debriefing strategy to share results with team– Be prepared to listen
– Ask for feedback
– Ask teammates to help come up with solutions
4. Gather a small group together and use the “culture debriefing tool” to examine the roots of problem areas and begin to formulate strategies for improvement
Anyone who has “administrator” access to the hospital level and team (NHSN and/or NSQIP) networks in SUSP portal– If your name was on your hospitals’ SUSP Portal
Registration Form, you have “administrator” access!
Compare your hospital’s SSI rate to:1. All SUSP NSQIP (or NHSN) participants2. All hospitals in your cohort3. All hospitals in your CE4. All hospitals who are working on same
1. Vigorito MC, McNicoll L, Adams L, Sexton B. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Jt Comm J Qual Patient Saf. 2011 Nov;37(11):509-14.