QuIPS 2012 Program - QuIPS Conference | UT IHI Open School ...

Recommendations

Info

The 2 nd Annual Quality Improvement & Patient Safety (QuIPS) Conference May 5, 2012 ihiconference.ca improvement cycles consisting of 2-‐3 strategies to reduce the number of reported incidences. METHODOLOGY: To complete the objectives of this project: • The incident report data generated by the Microbiology Laboratory was analyzed; • Interviews were conducted with the nurses and other staff on the unit; • Sample collection was observed A list of possible improvements was compiled. After being reviewed by the staff, three of the proposed improvements were approved. These include: • Color coding the sample drop box; • Pre-‐printing of patient specimen labels; • Creating a checklist of common errors to raise awareness. The second improvement cycle will include changes that will reflect the results of the above strategies. CONCLUSIONS: Our team hopes to reduce the number of specimen collection incidents occurring at the surgical oncology ward in order to decrease the number of adverse events. Upon successful implementation, we would like to scale-‐up such improvements to other wards. 3. “I Took a Pledge”: An innovative, multi-‐modal approach to improving hand hygiene compliance in general internal medicine at Toronto General Hospital Authors: Victoria Leung, Erica Merman Supervisors: Christine Plaza, Leslie Beard, Dante Morra INTRODUCTION: Healthcare Acquired Infections (HAIs) are the fourth leading cause of death in the United States. 1 In Canada, 220,000 HAIs occur annually, resulting in excess of 8000 deaths. 1 HAIs constitute a direct threat to patient safety. Recent hospital efforts have focused on improving infection control practices, beginning with hand hygiene. This research explores the opportunities, barriers, and outcomes associated with the “I Took a Pledge” project, an innovative intervention designed to improve hand hygiene at Toronto General Hospital (TGH). OBJECTIVES: To increase hand hygiene compliance on general internal medicine (GIM) at TGH through a multimodal intervention focused on increasing team accountability and role modeling. METHODS: After careful analysis of the GIM environment, we created five strategies to improve hand hygiene: engaging practitioners in a discussion of barriers to hand hygiene, introducing a pledge, holding individuals accountable to their pledge through visible positive recognition, generating heightened awareness, and providing real-‐time, team-‐based feedback of compliance rates. RESULTS: The “I Took a Pledge Project” achieved great success. GIM compliance rates improved from a baseline of 52% to 81% following the intervention. All teams (4 medicine teams including allied health and 2 nursing teams) improved tremendously. Following the intervention, 3 medicine teams and 1 nursing team achieved compliance rates of 100%. CONCLUSIONS: The “I Took a Pledge Project” was a project in transforming individual and organizational behaviour. Careful reflection reveals five key lessons: More frequent auditing and focused feedback promotes urgency; Improvements in hand hygiene are a necessary first step to heightened infection control practices; Workplace reminders are appreciated when they address front-‐line workers’ identified needs; Individual bias contributes to assigning blame without reflecting on personal practices; and finally, team-‐based accountability is a powerful motivator for improving practices in team-‐based environments including GIM. Findings from this study can guide future initiatives in behaviour change. 6
The 2 nd Annual Quality Improvement & Patient Safety (QuIPS) Conference May 5, 2012 ihiconference.ca Presenter Biographies Michael M. Rachlis MD MSc FRCPC LLD (Honoris Causa) Health Policy Analysis Dr. Michael Rachlis was born in Winnipeg, Manitoba in 1951 and graduated from the University of Manitoba medical school in 1975. He interned at McMaster University and then practiced family medicine at the South Riverdale Community Health Centre in Toronto for eight years. He completed specialty training in Community Medicine at McMaster and was made a fellow of the Canadian Royal College of Physicians in 1988. Dr. Rachlis practices as a private consultant in health policy analysis. He has consulted to the federal government, all ten provincial governments, and two royal commissions. He is also an associate professor (status only) with the University of Toronto, Dalla Lana School of Public Health. Dr. Rachlis has lectured widely on health care issues. He has been invited to make presentations to committees of the Canadian House of Commons and the Canadian Senate as well as the United States House of Representatives and Senate. He is a frequent media commentator on health policy issues and the author of three national bestsellers about Canada's health care system. In his spare time, Dr. Rachlis enjoys cycling and duplicate bridge. Jessica Perlo, MPH Community Manager, IHI Open School for Health Professions Jessica Perlo is the Community Manager of the Institute for Healthcare Improvement Open School for Health Professions, an interprofessional education program that provides health professions students with the skills to become change agents in health care. Jessica holds a Bachelor’s in Science from the University of Vermont and a Masters in Public Health from Boston University School of Public Health. For over seven years she’s worked in health professional program development: first for a health systems research agency in New York and later for Partners Healthcare and Brigham and Women’s Hospital, teaching affiliates of Harvard Medical School in Boston. Henry Mann, PharmD Dean, Leslie Dan Faculty of Pharmacy Dean Henry J. Mann, PharmD received his BSc and PharmD degrees from the University of Kentucky where he completed a concurrent ASHP Residency Program. Dr. Mann joined the University of Minnesota College of Pharmacy in 1980 where he developed clinical pharmacy services in surgery and critical care. He served the College of Pharmacy as Associate Department Head for Pharmacy Practice, Associate Dean for Professional and External Relations and Associate Dean for Clinical Affairs. Dr. Mann was the founding director of the University of Minnesota’s interdisciplinary Center for Excellence in Critical Care and the Partnership for Excellence in Critical Care – which is a national network focused on the translation of critical care research into practice. In July 2009 he was appointed as the Dean of the Leslie Dan Faculty of Pharmacy at the University of Toronto. In this capacity he directs the largest research intensive pharmacy faculty in Canada. 7
Page 1 and 2: University of Toronto Chapter Insti
Page 3 and 4: Message from the Conference Lead, Q
Page 5: The 2 nd Annual Quality Improvement
Page 9 and 10: The 2 nd Annual Quality Improvement
Page 11 and 12: The 2 nd Annual Quality Improvement
Page 13: Sponsors Gold Silver Bronze Partner

QuIPS 2012 Program - QuIPS Conference | UT IHI Open School ...

Create successful ePaper yourself

Delete template?

Save as template?