Preventing Surgical Site Infections at PHC

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Text of Preventing Surgical Site Infections at PHC

the Providence Health Care Experience

the Providence Health Care ExperienceDr Ahmer KarimuddinMeghan MacLeodDr Alex SealPHC Surgical ProgramUniversity of British ColumbiaFebruary 19th, 2015

University of British Columbia

Preventing Surgical Site Infection

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.DisclosureThere are no conflicts of interest and nothing to disclose

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.OutlineWhy this is importantOur approach to thischallenging problemBundleResultsthe FUTUREmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.THANK YOU

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.SSI Prevention TEAMJock ReidJim AbelAhmer KarimuddinVictor LeungChris PrabhakarMeghan MacLeodLisa TobackElisa Lloyd-SmithStephen ParkerMichelle BechThelma VelascoLona CunninghamSandy GrimwoodRupinder KhotarAlex Seal

...all of SPH and MSJ

Randy RaeJin-So PaoAlice Lee Flavia MandicSharon BissonPaul SmithHoward GreenBarry SchaferLu OviattTamara YoungerLia Randellmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.THANK YOU SPH & MSJ Team

SSIsmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.BackgroundWhy do this?

Opportunity to improve the care of patientsIndividualServiceSiteCity, province, etc...

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Background

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.DATA

NSQIP Risk Adjusted DataSurgical Site InfectionAll Cases reviewed July 2011 June 2012SPHMSJmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Goal of Working GroupUltimately Reduction in Rates of SSI**

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Opportunities for ImprovementPrevention of SSI - ACS NSQIP best practice Guidelines

290,000 SSI in US (2002)8,207 deaths7-10 increase hospital daysmorality rate (2-12x)$3.45-$10.07 billion (2007)

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Goal of Working GroupID the problemExplore the processBuild the TeamID root causes/best practiceSelect and test solutionsmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.EPIC ApproachWill it be EPIC?

E - Easy to implementP - PermanentI - Impact HighC - Cost effective

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.

Best Practice Brainstorm

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Strategies for Prevention

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Brainstorm

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Looked at Other CentresExample initiative:Northwestern experience: OR closing bundle (colorectal)New glovesNew instruments

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.PHC = FOCUS BundleF - FocusedO - Opportunities ofC - CareU - UtilizingS - Standards

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.PHC SSI Prevention Bundles

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Example: Pre-op Antibiotics

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.PHC approach based on best practiceRisk AssessmentCreation of key preventative strategiesAdherence to key strategiesActive surveillance

= REDUCTION IN RATESmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.PHC SSI Prevention BundleAreas for Education OpportunitiesPre-Admission ClinicPre-OPSPH ORMSJ OR PAR Wards means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.Appropriate OR Dress Attire

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.PHC SSI Prevention Bundle

I pity da foolwhodresses like mein da ORIntra Operative FOCUSmeans that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.How are we doing now?S

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.SPH

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.MSJ

means that:

a. We provide the right care to the right patient every time.

b. We ensure that our patients experience no needless harm.We will continuously improve the safety and quality of care provided so that patients achieve the best possible health outcomes.

NSQIP