draft – final pending ahrq approval perform an ssi investigation deb hobson, rn bsn march 10 &...
TRANSCRIPT
DRAFT – final pending AHRQ approval1
Perform an SSI Investigation
Deb Hobson, RN BSN
March 10 & 12, 2014
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Objectives
Distinguish between process and outcome data.
Describe how the SSI Investigation Tool can guide improvement work even when SSI rates are low.
Adapt an SSI Investigation Tool to reflect the care processes in your SSI Prevention Bundle.
Questions? Contact the SUSP helpdesk at [email protected].
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SUSP Readiness Bridge
Are your frontline SUSP team members aware of the SUSP project?
Have you completed a safety culture survey (e.g. HSOPS) and debriefed your frontline SUSP team members?
Has your staff received the Science of Safety Training?
Have you collated Perioperative Staff Safety Assessment responses from your staff?
Have you held your Executive Safety Rounds Kickoff meeting?
Questions? Contact the SUSP helpdesk at [email protected].
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Assess Your Performance
Collect process and outcome data to assess current performance and progress towards improving patient care.
Process Data Outcome Data
What we do to patients What happens to patients
Depends on your local SSI Prevention Bundle
Every hospital in SUSP is tracking the same outcome data
e.g. Percentage of patients receiving appropriate antibiotic re-dosing
e.g. SSI Rate
Questions? Contact the SUSP helpdesk at [email protected].
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Get SSI Data from the SUSP Website
Log onto the SUSP Website
Locate the SSI Data Registry
Access your SSI Data Report
Questions? Contact the SUSP helpdesk at [email protected].
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Log onto the SUSP Website
Questions? Contact the SUSP helpdesk at [email protected].
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Locate the SSI Data Registry
Questions? Contact the SUSP helpdesk at [email protected].
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Access your SSI Data Report
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Sample SSI Data Report
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Always room for improvement
Questions? Contact the SUSP helpdesk at [email protected].
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1 Organ Space SSI means…• 4.9% mortality rate• $14,448 additional cost of care• 24 additional length of stay
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Because a multitude of factors influence outcome, it is not possible to know for certain, even after extensive adjustments for differences in case mix are made, the extent to which an observed outcome is attributable to an antecedent process of care. Confirmation is needed by a direct assessment of the process itself…”
Avedis Donabedian (1998)
Questions? Contact the SUSP helpdesk at [email protected].
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Uncover Defects with SSI Investigation Tool
Identify lapses in infection prevention processes that may have contributed to your SSI case.
Assess adherence to your local SSI Prevention Bundle.
Questions? Contact the SUSP helpdesk at [email protected].
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Patient or Provider Factors
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Normothermia Maintenance
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Glucose Control
Questions? Contact the SUSP helpdesk at [email protected].
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Antibiotic Redosing
DRAFT – final pending AHRQ approvalQuestions? Contact the SUSP helpdesk at [email protected].
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Adapt the SSI Investigation Tool
Johns Hopkins Hospital clinicians designed this tool to assess adherence to their local SSI Prevention Bundle. – Your team may want to investigate care processes that are not
included in this tool. – This tool may include processes that your team does not use.
Please modify this tool to best fit your team’s needs.
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What Your Team Can Do
Abstract this information from the patient’s chart.
Use SSI Audit tools to dig deeper into your care delivery system.
Present process data to the team at a routine SUSP meeting.
Share investigation results monthly or quarterly with your frontline staff and OR leadership.
Questions? Contact the SUSP helpdesk at [email protected].
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Next Steps
Complete an SSI investigation of your most recent SSIs.
Share your findings on a March coaching call.
Questions? Contact the SUSP helpdesk at [email protected].
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What questions do you have?
Remember you have a support network– You can ask questions any time on MedConcert – You can ask questions during coaching calls– You can contact the SUSP helpdesk
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Questions? Contact the SUSP helpdesk at [email protected].
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Content Call Evaluation
We want to ensure that the content calls provide useful and pertinent information for the SUSP teams. For this reason we request that you complete a brief evaluation following each call. The evaluation may be found at the following link:
https://www.surveymonkey.com/s/SUSP_Cohort4