New Approach to Controlling SuperbugsVirtual Learning Session 3

Data – Measuring Progress

Interacting in WebEx

Apr 19, 2023 2

Be prepared to use:

•Pointer

•Raise your hand

Agenda:

1. Welcome and Introductions

2. Quick poll

3. Why Measure

4. Types of Measures

5. The NACS Measurement Buffet

6. Getting started with the SHN! measures

Positive Deviance-the 6 D’sPositive Deviance-the 6 D’s

1. Define: the problem and a successful outcome

2. Determine: if there are any “positive deviants”

3.3. Discover: uncommon practices/behavioursDiscover: uncommon practices/behaviours

4. Design: activities enabling others to access and practice new behaviours

5. Discern: effectiveness of activities or project through ongoing monitoring and evaluation

6. Disseminate

Why Measure?

• To establish benchmarks• To monitor compliance with policies and

procedures• To understand the impact/efficacy of your

interventions• Motivation

Measure what the front line thinks is important

What to Measure

• Measure the things that provide value for your setting

Ask yourself?• Is the information relevant? Will gathering data add

value?• Can this process or outcome be measured?• Can the data be fed back to frontline staff in a way

that makes sense to them?

Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues

Types of Measures

Process:• Measure how people do things• Most done by auditing or observation• Purpose is to verify that health care providers

are following procedures• E.g. donning and doffing PPE, environmental

cleaning

Outcome:• Measure the impact of what people do

• For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism

The Measurement Buffet

Process Measures

• Volume of ABHR used• Volume of soap used• Number of gowns, boxes of gloves used

Process Measures

• % of eligible admissions screened for MRSA• % of eligible admissions screened for VRE• Hand hygiene compliance

Process Measures Continued…• % of bed spaces where ABHR is readily

available, full, easy to activate

• % high touch areas in patient environment where there was appropriate cleaning as demonstrated by using a fluorescent marker

Process Measures Continued…

• Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)

Outcome Measures• Surveillance for new healthcare

associated MRSA clinical isolates

• Surveillance for new healthcare associated VRE clinical isolates

• Surveillance for new cases of healthcare associated C. difficile infection

Getting Started• Take a critical look at your setting

• Identify the data you need to collect

• Get help

• Choose a time period

• Review data/analyze information

• Share data with the frontline

Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010

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8A Glove use 8A Sanitizer use 8A HH Compliance

Safety Cross

Safety Calendar: AKA Bug Tracker

Hand Hygiene Compliance

Quinte Health Care

Social Network Mapping

25

Legend

RN

External

Clinical Educator

Allied Health

Director

ICP

Admin

Housekeeping

MD

Executive

Volunteer ResourcesWard Clerk

Patient Education

Manager Today, who do you talk to about the prevention of superbugs?

Who do you talk to about the prevention of superbugs?

26

Legend

RN

External

Clinical Educator

Allied Health

Director

ICP

Admin

Housekeeping

MD

Executive

Volunteer ResourcesWard Clerk

Patient Education

Manager With whom would you like to work with in the future that you haven’t in past superbug prevention work

Who do you want to work with in the future?

• Next Learning Session: Monday March 7th 1 pm EST

• Next Coaching Call: Monday February 14th 1pm EST

www.stopsuperbugs.com