U i preventing utis post surgical units at surrey memorial hospital orthopedics and general surgery
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Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka - PowerPoint PPT Presentation


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U & I Preventing UTIs Post-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery). Team Members:. Susann Camus Filda Grado Jas Sidhu Melanie Skidmore Leah Tennant Angela Wilson. Alana Cohen Margaret Dyka Dareena Malli Pawan Sindhar Brenda Smith Lorraine Prysunka.

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U i preventing utis post surgical units at surrey memorial hospital orthopedics and general surgery

U & I Preventing UTIsPost-surgical Units at Surrey Memorial Hospital (Orthopedics and General Surgery)

Team Members:

Susann Camus

Filda Grado

Jas Sidhu

Melanie Skidmore

Leah Tennant

Angela Wilson

Alana Cohen

Margaret Dyka

Dareena Malli

Pawan Sindhar

Brenda Smith

Lorraine Prysunka

SQAN Presentation: November 16, 2012


Team goal
Team Goal

Apply National Surgical Quality Improvement

Program (NSQIP) data and methods to reduce

Urinary Tract Infection rates in SMH

Postsurgical Patients from 1.6% on

February 29, 2012 to 0.8% by June 30, 2012


Improvement strategies
Improvement Strategies

  • Use NSQIP risk and non-risk adjusted data to drive improvement

  • Apply NSQIP best practices


Quality improvement strategies team goals
Quality Improvement Strategies Team Goals

  • Use Positive Deviance and TRIZ

  • Carry out Plan-Do-Study-Act (PDSA) cycles to test improvements and small changes

  • Staff and patient education

  • Regular facilitated meetings


What we have done to date
What we have done to date

  • Developed Foley plan of care sticker for Kardexes

  • PDSA Cycles performed on positioning of catheter bag, integrity of loops, catheter care and documentation of Foley plan of care on Kardex

  • Chart reviews


What we have done to date con t
What we have done to date con’t

  • Pioneered use of physician reminder sticker

  • Staff huddles and contests

  • Posters, factoids and

    spot checks

  • Patient education




  • Lessons learned
    Lessons learned

    • No quick fixes

    • Important to master the basics

    • Essential to remind people and to ensure new staff and casual staff are included in education

    • Key challenge: getting the word out and getting people to change practice

    • Be persistent


    Hints for new teams
    Hints for new teams

    • 6-8 staff members is optimal

    • Every team member is actively involved

    • Facilitated meetings keep us on track

    • Build in time during meetings to do PDSA cycles

    • Have fun

    • Celebrate successes



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