Download - NACS Wave 3, Learning Session 3
New Approach to Controlling SuperbugsVirtual Learning Session 3
Data – Measuring Progress
Interacting in WebEx
Apr 9, 2023 2
Be prepared to use:
•Pointer
•Raise your hand
Agenda:
1. Welcome and Introductions
2. Quick poll
3. Why Measure
4. Types of Measures
5. The NACS Measurement Buffet
6. Getting started with the SHN! measures
Positive Deviance-the 6 D’sPositive Deviance-the 6 D’s
1. Define: the problem and a successful outcome
2. Determine: if there are any “positive deviants”
3.3. Discover: uncommon practices/behavioursDiscover: uncommon practices/behaviours
4. Design: activities enabling others to access and practice new behaviours
5. Discern: effectiveness of activities or project through ongoing monitoring and evaluation
6. Disseminate
Why Measure?
• To establish benchmarks• To monitor compliance with policies and
procedures• To understand the impact/efficacy of your
interventions• Motivation
Measure what the front line thinks is important
What to Measure
• Measure the things that provide value for your setting
Ask yourself?• Is the information relevant? Will gathering data add
value?• Can this process or outcome be measured?• Can the data be fed back to frontline staff in a way
that makes sense to them?
Whatever is being measured, it is important to use the information gathered. Continually review the data and develop action plans to address any issues
Types of Measures
Process:• Measure how people do things• Most done by auditing or observation• Purpose is to verify that health care providers
are following procedures• E.g. donning and doffing PPE, environmental
cleaning
Outcome:• Measure the impact of what people do
• For example: number of surgical site infections, number of residents acquiring an antibiotic resistant organism
The Measurement Buffet
Process Measures
• Volume of ABHR used• Volume of soap used• Number of gowns, boxes of gloves used
Process Measures
• % of eligible admissions screened for MRSA• % of eligible admissions screened for VRE• Hand hygiene compliance
Process Measures Continued…• % of bed spaces where ABHR is readily
available, full, easy to activate
• % high touch areas in patient environment where there was appropriate cleaning as demonstrated by using a fluorescent marker
Process Measures Continued…
• Reduction in mean time to placement on contact precautions (for known patients and from time of lab notification)
Outcome Measures• Surveillance for new healthcare
associated MRSA clinical isolates
• Surveillance for new healthcare associated VRE clinical isolates
• Surveillance for new cases of healthcare associated C. difficile infection
Getting Started• Take a critical look at your setting
• Identify the data you need to collect
• Get help
• Choose a time period
• Review data/analyze information
• Share data with the frontline
Combined nosocomial MRSA, C.diff and VRE rate, 8A, 2005-2010
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8A Glove and Sanitizer Use with Overall HH Compliance
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08/09 Q1 09/10 Q2 09/10 Q3 09/10 Q4 09/10 Q1 10/11 Q2 10/11
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8A Glove use 8A Sanitizer use 8A HH Compliance
Safety Cross
Safety Calendar: AKA Bug Tracker
Hand Hygiene Compliance
Quinte Health Care
Social Network Mapping
25
Legend
RN
External
Clinical Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer ResourcesWard Clerk
Patient Education
Manager Today, who do you talk to about the prevention of superbugs?
Who do you talk to about the prevention of superbugs?
26
Legend
RN
External
Clinical Educator
Allied Health
Director
ICP
Admin
Housekeeping
MD
Executive
Volunteer ResourcesWard Clerk
Patient Education
Manager With whom would you like to work with in the future that you haven’t in past superbug prevention work
Who do you want to work with in the future?
• Next Learning Session: Monday March 7th 1 pm EST
• Next Coaching Call: Monday February 14th 1pm EST
www.stopsuperbugs.com