1 / 14

Harnessing Positive Deviance to Reduce MRSA Infections at the Billings Clinic

Harnessing Positive Deviance to Reduce MRSA Infections at the Billings Clinic. Nancy Iversen, RN, BSN, CIC Director, Patient Safety & Infection Control Billings Clinic. Not-for-profit, community owned and governed Integrated Delivery System 3400 employees

rahim-velazquez
Download Presentation

Harnessing Positive Deviance to Reduce MRSA Infections at the Billings Clinic

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Harnessing Positive Deviance to Reduce MRSA Infections at the Billings Clinic Nancy Iversen, RN, BSN, CIC Director, Patient Safety & Infection Control Billings Clinic

  2. Not-for-profit, community owned and governed • Integrated Delivery System • 3400 employees • 230+ employed physicians representing 35 specialty departments • 272-bed hospital, 90-bed nursing home • 7 regional branch clinic locations • Multi-state management affiliations and support services

  3. POSITIVE DEVIANCE A Different PROCESS Better RESULTS

  4. Our Experience: MRSA Incidence Rates Incidence Rate = # cases / patient days x 1,000

  5. Positive Deviance - MRSA Chaotic Waiting out a storm Far from Complex Raising a teenager Agreement Among Participants Complicated Sending a rocket to the moon Lean - Six Sigma Simple Close to Following a recipe Far from Certainty Clear Evidence Close to

  6. What is Positive Deviance? • An approach used to solve problems requiring social and behavioral change • Achieves sustainable results by changing cultural norms

  7. Positive Deviance (PD) Key Principles • Community Ownership • Self-Discovery • The people are “the experts” • Immediacy of action • Emphasis on practice • On-going measurement reinforcing change

  8. Key Interventions ~ The “Science” Bundle • Hand hygiene • Decontamination of the environment and equipment • Contact precautions for infected and colonized patients • Active surveillance cultures (ASCs)

  9. Measurements • Prevalence Study • Active Surveillance – nares culture on admission, discharge, transfer or death • MRSA Infections • Adherence to hand hygiene and contact isolation

  10. The “Cultural” Bundle Make the invisible, visible ~ chocolate pudding to simulate contamination ~ Reinforce with Feedback Solutions that are co-created and owned ~ ownership vs. buy-in ~ discovery & action dialogues ~ Act your way to a new way of thinking ~ create experiences that allow self-discovery ~

  11. Theatre In the Round A diverse audience, from many units across the clinic, assembles in the conference room… now an inpatient medical room. For the next 60 minutes, no one knows what to expect.

  12. Gown UseJune 2003 – December 2008

  13. The Power of “Improv” Experiential Allows self-discovery Creating sustainable behavior change Enjoyable and highly effective learning experience

  14. Questions ?

More Related