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Alaris Pump Compliance

Alaris Pump Compliance. Julie L. Kindsfater (Puotinen) October 2013. Aurora Health Care. Private, non-profit 15 hospitals 159 clinic sites 30,000 caregivers 1.2 million patients. AHC compliance – IPI chart January – August 2013. AHC compliance by profile August 2013.

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Alaris Pump Compliance

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  1. Alaris Pump Compliance Julie L. Kindsfater (Puotinen) October 2013

  2. Aurora Health Care • Private, non-profit • 15 hospitals • 159 clinic sites • 30,000 caregivers • 1.2 million patients

  3. AHC compliance – IPI chartJanuary – August 2013

  4. AHC compliance by profileAugust 2013

  5. Achieving high compliance – set high expectations Set an objective goal and incorporate into your institution's safety goals • E.g. compliance at least 90% in all profiles • Supported by hospital, nursing, and safety leadership • Communicated to and understood by staff • Achievable with your data set

  6. Achieving high compliance - accountability Define accountable parties and process to respond to compliance data • System Alaris analytics team • Nurse representative from each site, drug policy, risk management • Review system data, share lessons learned, review library change requests, discuss system-level issues • Site-based Alaris analytics teams • Nurse (from system committee), pharmacy, quality, risk • Review site data, create and implement site action plan for performance improvement, identify issues to forward to system team • Compliance data sent to team members and site Chief Nurse Officer

  7. Achieving high compliance – data set • Standard concentrations • Drug names match eMAR entry • Entries accommodate clinical practice and order sets • Provide additional tools as needed • Solicit feedback • E.g. Alaris email for library questions/issues

  8. Dashboard – v.1February 2011

  9. Dasboard – v.2February 2012

  10. Dashboard v.4Q2 2013

  11. Addressing low compliance • Investigate • Identify root causes/contributing factors • Solicit feedback • Compliance rounds • Engage accountable parties • Re-educate • What and why

  12. AHC compliance by profileAugust 2013

  13. AHC – pediatricprofile • Discussed with nursing practice council and pediatric nursing groups • Clarified profile name and moved to 1st screen • Revised fluid build • Re-educated nurses on rationale for using library entries and age definitions • Monitored and reinforced

  14. Improving compliance – optimization AHC - minor changes should eliminate 17% of all Guardrail alerts (white noise)

  15. Concerns and lessons learned at other organizations?

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