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Transcript
Winchester Hospital B2 Infection Prevention Team Pam Linzer RN Karen Peters RN Karen Pimental RN David Gullbrand RN Chris Baskarakumar RN Erin Studley RN Executive Sponsor: Dr. Rick Iseke Aim – Reduce hospital acquired multidrug resistant organisms on one unit in three phases over one year. Front Line Workers- only way it was successful! Discover and Action Dialogues More Alcohol Based Sanitizers- Wipes Identified patient and visitor teaching as necessity. Change of Shift Huddles to educate and communicate Encouraged non-punitive culture to “catch and remind” each other. Be proud we are the Infectious Disease Unit. Phase 1: Hand Hygiene Compliance and Infection Rate 100 84.0 90 90 7 6 80 72.0 70 5 60 4 50 3 40 30 6 3.2 2 2 21.5 1.2 1 1 0.56 20 0 10 Dec 07 - Feb 08 Dec 08 - Feb 09 March 09-May 09 0 Dec Jan Feb Mar-May # Infections Rate/1000 Pt Days Leadership Engagement Imperative to have leadership engagement. Let us use his office for conference calls. Staff RN’s wanted to know if he was coming Press . . .and more press . . . Accolades …. and more accolades . . . Our Newsletter- nursing and hospital-wide Board of Directors Medical Executive Committee Lessons Learned Found surprise positive deviants- a CA on evenings helped with most of the audits and learning conversations on her shift. Need to touch base regularly even if to huddle and make to do lists to keep forward momentum. Would include more disciplines next time. Would do action plans from the beginning. “Real work and progress” takes place during work time- not meeting time. Huddles work the best. AND p HAND HYGIENE IS # 1