QI tools in wound infection care

Rachel Duffy

Phomolo Madome

Eva van Swaaij

Fishbone-diagram

Wound infections

Prevention

MaterialsProcedures

People

Nurses Knowledge nurses

Hand washing

Education material

Dressings

Assistants Lifestyle

Time

Teach - back

• Asking patients to repeat in their own

words what they need to know or do.

• Provides a chance to check for

understanding and, if necessary, re-teach the information.

Teach - back

Project Planning Form

• Useful tool for planning an entire improvement project

• Includes:

o List of changes the team is testing

o All the PDSA cycles for each change

o Assigning individuals responsibility for each change

Project planning form

Project:

Aim:

Measure(s)/goals:

Cycle No: Change Tested Person(s) responsible

Week1 2 3 4 5 6 7 8,...

Microsystems and Infection Control-The Five P model

• Purpose

• Patients

• Professionals

• Processes

• ƒPatterns

• Purpose: Why does your practice exist?

• Culture, values, attitudes, beliefs and aspirations of the people who comprise the microsystem

• ƒ Patients: Who are your patients? What are their characteristics and demographics? What resources do they use? How do your patients view their care experience? How can you involve patients in your improvement work?

• Professionals: Who are the people on your team and when do they work? Who does what and when? Are roles optimized? How satisfied are members of your care team?

• Processes: What are the processes that your team uses every day? How long do these processes take? Where do delays occur? Where are you wasting time? Are these processes effective? What are your appointment types?

• Patterns: What are your typical interruptions? Do patients often call with similar concerns or questions? When do you meet as a team? What are your outcomes?

References

• ASHP foundation. (2010). Clinical Microsystems-Transformational Framework for Lean Thinking. Retrieved from http://www.ashpfoundation.org/lean/CMS9.html

• Meister, S (2011). QI tools root cause analysis. Iowa department of Public Health. Retrieved from: http://www.idph.state.ia.us/mphi/common/pdf/root_cause_analysis.pdf

• Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, DaherC, Leong-Grotz K, Castro C, Bindman A. Closing the Loop Physician Communication With Diabetic Patients Who Have Low Health Literacy. Arch Intern Med/Vol 163, Jan 13, 2003

Search strategies

• Eva: I looked the fishbone diagram up on Google and read through various sources. With the information I’d gathered, I created the fishbone diagram of our problem.

• Phomolo: searched in Google scholar and Pub med using key words PDSA tools and wound care

• Rachel: used the same search strategy as every week- typed ‘5Ps of microsystems’ in to google scholar.

collaboration

• We divided our selves according to the modelswe looked at on the previous presentation. Each of us did their part and we met an hourbefore claas to finalize our presentation. Wechoose who presents to the class looking at the number of presentations each did.