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

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 CHOSE TO WORK ON REDUCING SURGICAL SITE INFECTIONS • Patient Safety • Reputation • Reimbursement • Readmissions • Prevent infections • Improve communication • Improve collaboration Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 1

Chasing Zero Infections November 16, 2017 Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention GAP ANALYSIS • Pre-operative • Intra-operative • Post-operative • Antibiotic administration not consistent • Blood Glucose Monitoring • Skin prep not standardized WHAT DID WE IMPLEMENT/CHANGE • 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 outcomes • Monitor glucose pre and post • Strict adherence to SSI guidelines • SSI meetings and discuss fall outs and action plans Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 2

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

Chasing Zero Infections November 16, 2017 Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention BHIP SSI COMMITTEE Quality Director Management of OR Physician Specialist Manager of Champion Epidemiology Manager of Chief of SDS/IVR/Cath Lab Anesthesia Manager Director of Clinical of PACU Quality Services RESULTS: SUSTAINING OUR GAINS Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 4

Chasing Zero Infections November 16, 2017 Connecting the Dots to Reduce Patient Harm: Hot Topics in Infection Prevention WHO WORLD HEALTH ORGANIZATION https://www.youtube.com/watch?v=wf6MYI5IKP g Mission to Care | Florida Hospital Association Hospital Improvement Innovation Network 5