OUR JOURNEY TO ZERO SURGICAL SITE INFECTIONS Presented by: Phyllis - - PDF document

▶
our journey to zero surgical site infections
SMART_READER_LITE
LIVE PREVIEW

OUR JOURNEY TO ZERO SURGICAL SITE INFECTIONS Presented by: Phyllis - - PDF document

Feb 26, 2023 165 likes •237 views

Chasing Zero Infections November 16, 2017 Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention OUR JOURNEY TO ZERO SURGICAL SITE INFECTIONS Presented by: Phyllis C. Ahern, MSN, RN Danny Lucerna, MSN, RN WHY WE

slide-1
SLIDE 1

Chasing Zero Infections Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention November 16, 2017 Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 1

OUR JOURNEY TO ZERO SURGICAL SITE INFECTIONS

Presented by: Phyllis C. Ahern, MSN, RN Danny Lucerna, MSN, RN

  • Patient Safety
  • Reputation
  • Reimbursement
  • Readmissions
  • Prevent infections
  • Improve communication
  • Improve collaboration

WHY WE CHOSE TO WORK ON REDUCING SURGICAL SITE INFECTIONS

slide-2
SLIDE 2

Chasing Zero Infections Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention November 16, 2017 Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 2

  • Pre-operative
  • Intra-operative
  • Post-operative
  • Antibiotic administration

not consistent

  • Blood Glucose Monitoring
  • Skin prep not

standardized

GAP ANALYSIS

  • Utilize HIIN resources (change package,

top 10 checklist, webinars, etc.)

  • Unit Based Council recommendations for

implementation

  • Standardized skin prep using 2%

Chlorhexidine gluconate body wipes

  • Standardized surgical prep in OR
  • Weight based antibiotics
  • Evidence based practice for positive
  • utcomes
  • Monitor glucose pre and post
  • Strict adherence to SSI guidelines
  • SSI meetings and discuss fall outs and

action plans

WHAT DID WE IMPLEMENT/CHANGE

slide-3
SLIDE 3

Chasing Zero Infections Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention November 16, 2017 Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 3

HRET HIIN SSI CHANGE PACKAGE TIMELINE OF IMPLEMENTATION

AUG 2015:

  • Developed and followed standardized order sets for each surgical

procedure to include antibiotic name, timing of administration, weight based dose, re dosing and discontinuation. JAN 2016:

  • Develop and implemented protocol to optimize glucose control in ALL

surgical patients. Perioperative Glucose Control, monitor all surgical patients for hyperglycemia both pre-operative and post-operative. MAR 2016:

  • Ensured pre-operative skin antisepsis. All patients using 2% chlorhexidine

gluconate body wipes. JAN 2017:

  • Use of the XENEX robot for infra-red cleaning and black light spot checks

after cleaning in the OR. January 2017

slide-4
SLIDE 4

Chasing Zero Infections Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention November 16, 2017 Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 4

BHIP SSI COMMITTEE

Chief of Anesthesia Director of Clinical Quality Services Manager

  • f PACU

Manager of SDS/IVR/Cath Lab Physician Champion Director

  • f OR

Quality Management Specialist Manager of Epidemiology

RESULTS: SUSTAINING OUR GAINS

slide-5
SLIDE 5

Chasing Zero Infections Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention November 16, 2017 Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 5

WHO WORLD HEALTH ORGANIZATION

https://www.youtube.com/watch?v=wf6MYI5IKP g