Cohort 1 coaching call
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Cohort 1 Coaching Call. March 5 2014 Facilitators: Lisa Carhuff Kathy McGowan Joyce Reid. WELCOME and Introductions. Sense of Urgency. Some is not a number; soon is not a time. Don Berwick – 100Klives Campaign. Key Concepts. Culture of Safety Promoted from the Top

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Cohort 1 Coaching Call

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Cohort 1 coaching call

Cohort 1 Coaching Call

March 5 2014

Facilitators:

Lisa Carhuff

Kathy McGowan

Joyce Reid


Welcome and introductions

WELCOME and Introductions


Sense of urgency

Sense of Urgency

Some is not a number;

soon is not a time.

Don Berwick – 100Klives Campaign


Key concepts

Key Concepts

Culture of Safety Promoted from the Top

Ownership at Point of Care

Engaging patients in redesign


Model for improvement

Model for improvement


The cohort challenge march to the goal keeping the beat

The Cohort ChallengeMarch to the Goal – Keeping the Beat

  • Topics CAUTI and Falls without Injury

  • Rapid Cycle Improvement

  • Participation guidelines

  • Baseline Data


Best practices cauti

Best Practices: CAUTI

  • Insert catheters only for appropriate indications using evidence based criteria including in the OR and ED.

  • Daily assessment of catheter necessity and meeting criteria included in bedside report

  • Leave catheters in place only as long as needed. Use nurse driven protocols for catheter removal

  • Facilitation of nurse/patient/family communication during report, rounding and interactions

  • Increase communication with nurse and physicians related to catheter continuation

  • Automatic removal orders after surgery

  • Ensure that only properly trained persons insert and maintain catheters. Perform staff competency assessment related to urinary catheter insertion and maintenance

  • Insert catheters using aseptic technique and sterile equipment (acute care setting)

  • Maintain a closed drainage system

  • Maintain unobstructed urine flow

  • Perform proper hand hygiene and use Standard (or appropriate isolation) Precautions


Sharing best practices cauti

Sharing Best Practices: CAUTI

Jane Chesser, RN, CIC Infection Control Director

Memorial Hospital and Manor


Falls with injury definition clarification

Falls with Injury: Definition Clarification

Clarification NDNQI Falls definition

Injury Level        When the initial fall report is written by the nursing staff, the extent of injury may not yet be known. Hospitals have 24 hours to determine the injury level, e.g., when you are awaiting diagnostic test results or consultation reports.

This is a required data element and you should report Falls with Injury through NOVI monthly based on the following guidelines:

  • None—patient had no injuries (no signs or symptoms) resulting from the fall; if an x-ray, CT scan or other post fall evaluation results in a finding of no injury

  • Minor—resulted in application of a dressing, ice, cleaning of a wound, limb elevation, topical medication, pain, bruise or abrasion

  • Moderate—resulted in suturing, application of steri-strips/skin glue, splinting, or muscle/joint strain

  • Major—resulted in surgery, casting, traction, required consultation for neurological (basilar skull fracture, small subdural hematoma) or internal injury (rib fracture, small liver laceration) or patients with any type of fracture regardless of treatment or patients who have coagulopathy who receive blood products as a result of a fall

  • Death—the patient died as a result of injuries sustained from the fall (not from physiologic events causing the fall)


Sharing best practices fall prevention

Sharing Best Practices: Fall Prevention

Selina Baskins, RN

Quality Coordinator

Northridge Medical Center


Northridge medical center

Northridge Medical Center


Sharing best practices fall prevention1

Sharing Best Practices: Fall Prevention

Erica Fishell

Sylvan Grove


Team innovations in professional practice award 2014

Team Innovations in Professional Practice Award2014

Recognizing Excellence in Improving Patient Safety and Quality

Purpose: To recognize front line staff teams who have improved safe patient care and reduced harm through innovation and operationalization of practices, processes and through collaboration with multidisciplinary teams.

Goal: To promote front line staff engagement and leadership in patient safety and quality improvements to move to zero harm through collaboration with multidisciplinary teams in a rapid cycle.

Eligibility: Multidisciplinary hospital teams, led by front line staff, who has achieved an innovation in process/practice improvement that has led to significant reduction in Safety Across the Board or increased engagement of patients/family in care.  

Application due: April 21, 2014 by noon


Data submission march 15

Data Submission – March 15:

NOVI Survey

  • INR

  • Falls with injury

  • Glycemic Control

  • Opioids NEW!!

  • EED if applicable

  • Infection (if not submitting via NHSN)


Evaluation

EVALUATION

Remember

Complete the evaluation for today’s Cohort 1 Coaching Call!

Link posted on Agenda


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