CLINICAL MANAGERS

From Kathy Duncan to All Participants (12:18:12 PM):"You measure what you value, you value what you measure" Dr. Brent James, IHC

From MOHAMMAD HAMDAN to All Participants (12:21:50 PM):pain

From Laura Morgan to All Participants (12:21:59 PM):Attitudes of employees and culture within the organization

From JINGGAY MANUEL to All Participants (12:22:14 PM):language barrier

From Asha Samuel to All Participants (12:22:16 PM):Communication & team collabration

From April Jones to All Participants (12:22:22 PM):getting patients admitted quickly from the ER to the units

From WINDY NDHLOVU to All Participants (12:22:23 PM):communication

From Alaa Ahmad to All Participants (12:22:34 PM):patient engagment

From JAYA VARGHESE to All Participants (12:22:36 PM):communication

From Elizabeth Johnston to All Participants (12:22:36 PM):Standardization across the board, organization-wide, and addressing overcrowding

From julie thorpe to All Participants (12:22:39 PM):Mislabeled specimens received into the lab.

From Elizabeth yerby to All Participants (12:22:39 PM):Improving communication with patient's and care givers

From lubna abdulrazzak to All Participants (12:22:57 PM):wait time

From Clara Cabanis to All Participants (12:23:03 PM):Communication and cultural differences

From Tammy Phillips to All Participants (12:23:08 PM):team work and communication

From JINGGAY MANUEL to All Participants (12:23:14 PM):

patient adherence to care management

From Anita Schambach to All Participants (12:23:21 PM):Link patients effectively to a medical home

From terry sievers to All Participants (12:23:29 PM):Documentation

From Rebecca Beckman to All Participants (12:23:32 PM):discharge process is cumbersome and lengthy

From MOHAMMAD HAMDAN to All Participants (12:23:48 PM):communications with patients and the team

From terry sievers to All Participants (12:23:52 PM):Emergency Department hold time

From terry sievers to All Participants (12:23:56 PM):Communication

From Kathy Duncan to All Participants (12:27:15 PM):"Learning to See" workbook regarding value stream mapping

From Jennifer Maralit to All Participants (12:31:19 PM):I think value stream mapping is about providing materials that can resolve any defined problem or question, I'm not sure..

From Laura Morgan to All Participants (12:31:56 PM):universal precautions, starting with hjand hygiene

From Elizabeth Johnston to All Participants (12:32:09 PM):Isolation, empiric precautions as soon as possible

From Asha Samuel to All Participants (12:32:10 PM):Use of appropriate PPE's

From Elizabeth yerby to All Participants (12:32:36 PM):Consistant communication on Hand Washing

From WINDY NDHLOVU to All Participants (12:32:37 PM):Use of universal precautions and isolation starting from emergrncy room

From April Jones to All Participants (12:32:39 PM):holding each other accountable for good hand hygiene

From JINGGAY MANUEL to All Participants (12:32:40 PM):yes isolation precaution

From Faith Infante to All Participants (12:32:41 PM):Pathways

From JAYA VARGHESE to All Participants (12:32:44 PM):hand hygine

From MOHAMMAD HAMDAN to All Participants (12:32:46 PM):preventive measures by educations and universl precautions

From Laura Morgan to All Participants (12:32:47 PM):Education of staff regarding disease transmission

From Asha Samuel to All Participants (12:32:48 PM):Policies & procedures

From Olivia Masilang to All Participants (12:32:49 PM):risk assessment

From Rebecca Beckman to All Participants (12:32:57 PM):early recognition and identification

From Charmaine Van Heerden to All Participants (12:32:57 PM):Communication from the earliest point of entry

From julie thorpe to All Participants (12:32:57 PM):Treat each patient as if they hare highly contagious until you learn otherwise

From Asha Samuel to All Participants (12:32:58 PM):Risk assessments

From Tammy Phillips to All Participants (12:33:09 PM):communication to all involved

From maria garces to All Participants (12:33:12 PM):map best practice

From Asha Samuel to All Participants (12:33:13 PM):Staff education

From Ardo Hassan to All Participants (12:33:13 PM):family educatino about isolations and PPE

From Rebecca Beckman to All Participants (12:33:18 PM):early identification

From Faith Infante to All Participants (12:33:26 PM):CD protocols

From Elizabeth Johnston to All Participants (12:33:29 PM):Central line bundle and other HAI prevention strategies

From Laura Morgan to All Participants (12:33:29 PM):Oh yes; educate the family!

From Mariamma Varghese to All Participants (12:33:48 PM):public awareness

From WINDY NDHLOVU to All Participants (12:33:55 PM):Patient famiy education

From Olivia Masilang to All Participants (12:34:03 PM):keeping abreast with the CDC updates and communicate to everyone

From Elizabeth yerby to All Participants (12:34:11 PM):every department as well as visitors

From Elizabeth Johnston to All Participants (12:34:15 PM):Prompt identification of other affected patients

From Asha Samuel to All Participants (12:34:15 PM):Training of staff, family, all disciplines/care givers

From JINGGAY MANUEL to All Participants (12:34:17 PM):all areas

From Rebecca Beckman to All Participants (12:34:20 PM):protocols

From Elizabeth Johnston to All Participants (12:34:20 PM):Adherence to PPE

From Laura Morgan to All Participants (12:34:27 PM):Families and visitors often do not adhere to the precautions; must be enforced with all.

From Asha Samuel to All Participants (12:34:29 PM):All patient care areas

From JAYA VARGHESE to All Participants (12:34:40 PM):c.d.c protocols

From MOHAMMAD HAMDAN to All Participants (12:34:43 PM):all of the hospital departments and teams

From Olivia Masilang to All Participants (12:34:48 PM):ensure compliance

From Jihan Elhadad to All Participants (12:34:48 PM):all patients and visitors

From Elizabeth Johnston to All Participants (12:34:50 PM):Handoff communication

From WINDY NDHLOVU to All Participants (12:34:54 PM):use of door signs to alert visitors and staff

From sheelu joy to All Participants (12:34:55 PM):educate hospital staffsas well as who ever come across the patient about importance of contact precaution.

From Jennifer Maralit to All Participants (12:34:58 PM):Set standard protocol that apply to everybody including patients, families, visitors, medical staff etc, like hand hygiene, adherance to isolation wheterher contact, droplet, special organism, protective or standard

From Elizabeth Johnston to All Participants (12:35:03 PM):start with Admitting

From JINGGAY MANUEL to All Participants (12:35:06 PM):all entry point area of the hospital (outpatient and in patient)

From Asha Samuel to All Participants (12:35:19 PM):not only education, but following up with complaince is very important

From julie thorpe to All Participants (12:35:22 PM):yes! standardization is crucial

From Elizabeth Johnston to All Participants (12:35:41 PM):Antibiotic Stewardship

From Charmaine Van Heerden to All Participants (12:35:49 PM):Admin staff, cleaners, etc. Not only medical staff but everyone who might come into contact with patient and his environment

From Elizabeth Johnston to All Participants (12:36:08 PM):Empiric coverage until additional culture results available

From Ardo Hassan to All Participants (12:36:11 PM):yes! compliance is important.

From Asha Samuel to All Participants (12:36:13 PM):Cohorting of patients with similar bacteremia

From Olivia Masilang to All Participants (12:36:14 PM):Asha we have the same ideas :D

From Mariamma Varghese to All Participants (12:36:28 PM):avoid misuse of antibiotics

From MOHAMMAD HAMDAN to All Participants (12:36:39 PM):social workers

From Elizabeth Johnston to All Participants (12:36:50 PM):Environmental Services

From Rebecca Beckman to All Participants (12:36:53 PM):clergy

From Olivia Masilang to All Participants (12:36:58 PM):Ambulance Crew

From Asha Samuel to All Participants (12:37:15 PM):every single disciplines as care givers

From Tammy Phillips to All Participants (12:37:28 PM):anyone who comes into contact with this patient, look at nursing home where she came from to

From Laura Morgan to All Participants (12:38:52 PM):Experience helps to know what MIGHT happen, so proactive response can be made (not just reactive)

From JINGGAY MANUEL to All Participants (12:38:59 PM):emergent isolation and call infection control team

From Rebecca Beckman to All Participants (12:39:17 PM):learn from past mistakes

From Faith Infante to All Participants (12:39:17 PM):Surveillance of all exposed

From MOHAMMAD HAMDAN to All Participants (12:39:19 PM):by increasing the awareness among the staff and keep the infection control nurse involve with it

From Asha Samuel to All Participants (12:39:24 PM):Following up with staff who took care of the particular case along with EHSMS

From Ardo Hassan to All Participants (12:39:28 PM):keep all staff up to date about the infection preventions protocols for this patient

From sheelu joy to All Participants (12:39:31 PM):follow infection controll policies

From Elizabeth yerby to All Participants (12:39:32 PM):Contact local health department

From Elizabeth Johnston to All Participants (12:39:33 PM):Shows leadership committment

From Elizabeth Johnston to All Participants (12:39:44 PM):Brief the staff to reinforce hand hygiene

From Olivia Masilang to All Participants (12:39:44 PM):contact tracing

From MOHAMMAD HAMDAN to All Participants (12:39:59 PM):infection control nurse

From Tammy Phillips to All Participants (12:40:08 PM):infection control

From Mariamma Varghese to All Participants (12:40:13 PM):prepreparation of the staff and the unit, notification to infection controll

From Asha Samuel to All Participants (12:40:14 PM):iNDIVIDUAL FOLLOW UP of staff with clinical expertise staff

From Anas Raja to All Participants (12:40:16 PM):experience often allows someone to be able to react appropriately almost instinctively rather than having to delay to figure out what to do.

From JAYA VARGHESE to All Participants (12:40:16 PM):proactive response can be made

From Laura Morgan to All Participants (12:40:20 PM):Yes; use your Infection Control Nurse and other resources like the CDC

From JINGGAY MANUEL to All Participants (12:40:40 PM):inform doctors so that he can provide the right antbiotic coverage

From JAYA VARGHESE to All Participants (12:40:43 PM):proactive response can be made

From JAYA VARGHESE to All Participants (12:41:34 PM):use your Infection Control Nurse and other resources like the CDC

From April Jones to All Participants (12:41:38 PM):Review course of patient's stay for where there were opportunities for improvement in hand hygiene, earlier isolation. Use this as an education opportunity for staff for future patients

From Ardo Hassan to All Participants (12:42:11 PM):involve the discharge as well

From Asha Samuel to All Participants (12:42:13 PM):NEED to follow up with Infection Control Nurse

From Kathy Duncan to All Participants (12:42:51 PM):What tools might be helpful to this nurse manager?

From JINGGAY MANUEL to All Participants (12:42:53 PM):RCA

From Alaa Ahmad to All Participants (12:42:55 PM):FMEA

From Laura Morgan to All Participants (12:42:57 PM):RCA is needed for sure

From Asha Samuel to All Participants (12:42:58 PM):Affinity Diagram, Root cause analysis, Fish bone

From WINDY NDHLOVU to All Participants (12:43:00 PM):rca

From Elizabeth yerby to All Participants (12:43:04 PM):Fish bone

From Jihan Elhadad to All Participants (12:43:05 PM):follow policy and procedures and the help of infection controle nurses

From Elizabeth Johnston to All Participants (12:43:08 PM):Communicate with the DPH for organism typing

From MOHAMMAD HAMDAN to All Participants (12:43:13 PM):actually we are using huddles and ithnk rca

From Tammy Phillips to All Participants (12:43:16 PM):root cause analysis

From Olivia Masilang to All Participants (12:43:19 PM):5 whys, RCA

From Jihan Elhadad to All Participants (12:43:22 PM):fish bone

From Elizabeth Johnston to All Participants (12:43:25 PM):causation mapping

From terry sievers to All Participants (12:43:26 PM):hospital policy for implementing isolation precautions without MD order needed

From Alaa Ahmad to All Participants (12:43:28 PM):Flowchart

From Laura Morgan to All Participants (12:43:30 PM):get input from multiple sources

From Mariamma Varghese to All Participants (12:43:36 PM):fish bone diagram

From MOHAMMAD HAMDAN to All Participants (12:43:40 PM):huddles

From Ardo Hassan to All Participants (12:43:41 PM):RCA

From Elizabeth Johnston to All Participants (12:43:49 PM):A3 approach

From sheelu joy to All Participants (12:43:50 PM):any infectious patient in the hospital to be notified to the Infection controll team and follow up with them

From MOHAMMAD HAMDAN to All Participants (12:43:56 PM):RCA

From Elizabeth yerby to All Participants (12:44:00 PM):Debriefing

From Alaa Ahmad to All Participants (12:44:01 PM):focus group

From MOHAMMAD HAMDAN to All Participants (12:44:57 PM):do you tkink huddles is helping

From Jennifer Maralit to All Participants (12:45:09 PM):review of current protocols, maybe there's need assess the root cause and analyze may somethings fall from the standard of practice that might need to address as soon as possible

From malak eid to All Participants (12:45:12 PM):isolation precaution ,hand hygiene and continues asessement and education education education for patient and family about isolation precation and hand washing

From JAYA VARGHESE to All Participants (12:45:27 PM):any infectious patient in the hospital to be notified to the Infection controll team and follow up with them

From Alaa Ahmad to All Participants (12:45:43 PM):Fact sheet

From sheelu joy to All Participants (12:45:48 PM):yes huddle is very helpfull in our ward

From Kathy Duncan to All Participants (12:45:49 PM):What tools have you used? Been helpful?

From MOHAMMAD HAMDAN to All Participants (12:45:50 PM):huddles

From JAYA VARGHESE to All Participants (12:46:13 PM):team work

From Ardo Hassan to All Participants (12:46:15 PM):the importance of proper handover beteen staff

From Asha Samuel to All Participants (12:46:23 PM):Huddles are great!

From Alaa Ahmad to All Participants (12:46:24 PM):Fact Sheet about that Infection

From Jennifer Maralit to All Participants (12:46:34 PM):Gap analysis

From Anas Raja to All Participants (12:46:40 PM):Regular feedback/communication sessions, just asking what we can do better from the front line workers

From MOHAMMAD HAMDAN to All Participants (12:46:41 PM):actually that tht what we are having in skmc d0 icu

From Tammy Phillips to All Participants (12:46:43 PM):good communication to all who are involved with the patient

From Elizabeth Johnston to All Participants (12:46:59 PM):Gap analysis for reviewing CDC guidelines or other recommendations

From Olivia Masilang to All Participants (12:47:09 PM):SBAR

From Kathy Duncan to All Participants (12:47:13 PM):COmmunication Tools- most helpful?

From Asha Samuel to All Participants (12:47:13 PM):HUDDLES

From JAYA VARGHESE to All Participants (12:47:17 PM):

analysis

From MOHAMMAD HAMDAN to All Participants (12:47:20 PM):huddles and sbar

From WINDY NDHLOVU to All Participants (12:47:23 PM):SBAR

From Elizabeth Johnston to All Participants (12:47:28 PM):Huddles, 1:1, staff meetings

From Mariamma Varghese to All Participants (12:47:30 PM):SBAR

From Alaa Ahmad to All Participants (12:47:30 PM):BRIEFING AND DEBRIEFING

From Tammy Phillips to All Participants (12:47:33 PM):huddles, hand offs, SBAR

From Elizabeth Johnston to All Participants (12:47:33 PM):posters, shift briefing

From sheelu joy to All Participants (12:47:34 PM):SBAR

From Jihan Elhadad to All Participants (12:48:05 PM):SBAR and hand over

From JINGGAY MANUEL to All Participants (12:48:10 PM):sbar , we are using during endorsement or handover

From Asha Samuel to All Participants (12:48:14 PM):multidisciplinary standing meeting which actually focuses and promotes CUSP

From Mariamma Varghese to All Participants (12:48:24 PM):Shift goals, unit meetings, hourly rounding

From Anas Raja to All Participants (12:48:25 PM):lessons learned/lessons identified questionaires

From Elizabeth Johnston to All Participants (12:48:26 PM):cue cards

From malak eid to All Participants (12:48:36 PM):SBAR

From Charmaine Van Heerden to All Participants (12:48:36 PM):

Order entries on EMR which informs other departments about isolation status during ordering services before they even enter the unit

From Elizabeth Johnston to All Participants (12:48:38 PM):screen savers

From Elizabeth Johnston to All Participants (12:48:43 PM):rolling marquis in the cafeteria

From Asha Samuel to All Participants (12:48:51 PM):CUSP!

From Jennifer Maralit to All Participants (12:49:00 PM):CUSP ( Comprehensive Unir Based Program) meeting which must be done routine at least weekly

From JAYA VARGHESE to All Participants (12:49:34 PM):Shift goals, unit meetings, cue cards

From Asha Samuel to All Participants (12:49:40 PM):CUSP is done very religiously every week with all disciplnes/caregivers in ICU

From Ardo Hassan to All Participants (12:49:40 PM):yes! about the order entries.

From Olivia Masilang to All Participants (12:49:49 PM):FMEA

From Elizabeth Johnston to All Participants (12:49:52 PM):Fireside chats

From sheelu joy to All Participants (12:50:03 PM):NEW ORDERS ,YES

From Kathy Duncan to All Participants (12:50:20 PM):Fireside chats?

From Elizabeth Johnston to All Participants (12:50:45 PM):Admin level communication meetings

From Kathy Duncan to All Participants (12:51:03 PM):Thanks- Elizabeth

From Asha Samuel to All Participants (12:51:37 PM):Huddles at Senior Management level is very effective to solve daily problems of differnt departments in organization

From Kathy Duncan to All Participants (12:51:40 PM):

"Deploy yourself"

From JINGGAY MANUEL to All Participants (12:52:14 PM):just like in wound care, we should'nt see the hole itself but the whole, meaning the status of the entire system of patient to be more effective in our plan

From Charmaine Van Heerden to All Participants (12:52:48 PM):Great example Jinggay

From Janice McClintic to All Participants (12:52:57 PM):huddles, what went right, what went wrong

From Olivia Masilang to All Participants (12:53:00 PM):Failure Mode Effects Analysis

From JINGGAY MANUEL to All Participants (12:53:07 PM):thanks charmaine

From Elizabeth yerby to All Participants (12:53:11 PM):Let staff know admitting mistakes is not punitve but an opportunity to learn

QUALITY IMPROVEMENT MANAGERS

From Kenny Woods to All Participants (01:18:34 PM):Door to doc

From Tammy Phillips to All Participants (01:19:09 PM):reduce patient falls

From Kenny Woods to All Participants (01:19:14 PM):Communication

From Matt Hoffmann to All Participants (01:19:16 PM):Providing better service to the patient

From Elizabeth Johnston to All Participants (01:19:20 PM):Clinical Education

From Kenny Woods to All Participants (01:19:21 PM):Customer Service

From Michael Angers to All Participants (01:19:25 PM):TAT for Cancer Diagnosis

From Kelly Rowe to All Participants (01:19:25 PM):Communication

From Janet Mifflin to All Participants (01:19:26 PM):Active listening to patient concerns

From Kenny Woods to All Participants (01:19:29 PM):Patient Education

From Kenny Woods to All Participants (01:19:38 PM):Follow up calls

From Sherry Rogers to All Participants (01:19:39 PM):Excellence in service and patient satisfaction

From Elizabeth Johnston to All Participants (01:19:39 PM):Communication - getting the word to every staff member.

From Margaret McDonald to All Participants (01:19:39 PM):Care Coordination on discharge from the hospital to home

From Jessica Coyne-Lowe to All Participants (01:19:47 PM):Preventative Care

From Letitia Goodjoint to All Participants (01:19:55 PM):consistent compassionate service in the least amount of time spent waiting

From Thom Pastor to All Participants (01:20:01 PM):Follow up health plans/guides with coaching and support

From Helge Springhorn to All Participants (01:20:02 PM):Understand and meet the expectations of the customer

From Kenny Woods to All Participants (01:20:02 PM):Readmissions

From Sherry Rogers to All Participants (01:20:03 PM):Transitions of care

From Cody Kendall to All Participants (01:20:03 PM):Mean time to pain managemnet for long bone fractures

From Kenny Woods to All Participants (01:20:09 PM):Sepsis

From Sherry Rogers to All Participants (01:20:11 PM):Access to timely care

From Kenny Woods to All Participants (01:20:15 PM):Pressure Ulcers

From Neil Drimer to All Participants (01:20:15 PM):Communication across the system

From Erin Quigley to All Participants (01:20:17 PM):Sepsis Issues

From Melissa Ermitano to All Participants (01:20:18 PM):effective communication across all hosptial departments

From Sandy Hames to All Participants (01:20:27 PM):Communications. Amount of time it takes for a patient to be seen by provider.

From Muayyad Hussein to All Participants (01:20:29 PM):communication

From Cody Kendall to All Participants (01:20:33 PM):sepsis- decrease mortality

From Deborah Stevens to All Participants (01:20:35 PM):

I have a problem with ED not documenting in EMR the necessary data required for capture by the Trauma Registry Officer (nurse assigned). Tried thanking, kind reminders, harsher reminders to document necessary info into EMR but all to no avail - not sure how to get compliance?

From Michael Angers to All Participants (01:21:08 PM):A3

From Isaac Brown to All Participants (01:21:11 PM):FMEA

From Kenny Woods to All Participants (01:21:14 PM):Control Charts

From Kenny Woods to All Participants (01:21:15 PM):audits

From Sherry Rogers to All Participants (01:21:16 PM):Patient interviews and survey

From Maddie Colcord to All Participants (01:21:18 PM):A3

From Kenny Woods to All Participants (01:21:19 PM):Reports

From Cara Biddlecom to All Participants (01:21:20 PM):Surveys

From Maddie Colcord to All Participants (01:21:22 PM):Fishbone Diagram

From Neil Drimer to All Participants (01:21:24 PM):incident reporting

From Erica Helmick to All Participants (01:21:24 PM):Audits

From Sandy Hames to All Participants (01:21:25 PM):Previous hospital we used A3

From Matt Hoffmann to All Participants (01:21:28 PM):A3, Flowcharts, Patient Surveys

From kate hostetler to All Participants (01:21:29 PM):tracking forms/audits

From Sherry Rogers to All Participants (01:21:30 PM):Time studies

From Neil Drimer to All Participants (01:21:32 PM):fishbone diagram

From Margaret McDonald to All Participants (01:21:33 PM):Chart Audits

From Elizabeth Johnston to All Participants (01:21:36 PM):RCAs, Fishbone, Causation mapping,

From Elizabeth Johnston to All Participants (01:21:42 PM):Run charts

From Tammy Phillips to All Participants (01:21:51 PM):RCA, huddle, incident reporting and tracking

From Deborah Stevens to All Participants (01:21:56 PM):we use tools to solve like Lean, PDSA, RCA/Process Reviews/Fishbone

From Erica Helmick to All Participants (01:23:26 PM):Teamwork Boards (aka Turtle Boards)

From Kathy Duncan to All Participants (01:23:35 PM):"Learning to See" -value streams

From Helge Springhorn to All Participants (01:25:29 PM):flowcharting is very helpful

From Deborah Stevens to All Participants (01:27:34 PM):i think it isnt just staff and patients anymore, I think electronic medical record charting plays a big part in successful or non successful outcomes

From Kenny Woods to All Participants (01:30:44 PM):Hand Washing

From Kenny Woods to All Participants (01:30:53 PM):PPE

From Kenny Woods to All Participants (01:31:00 PM):Infection Prevention

From Tammy Phillips to All Participants (01:31:10 PM):infection control guidelines and handwashing

From Erica Helmick to All Participants (01:31:25 PM):Proper isolation

From Erin Quigley to All Participants (01:31:28 PM):

Interdepartmental communication

From Jessica Coyne-Lowe to All Participants (01:31:31 PM):Ensuring quality patient handoff/communication standards are in place.

From Cara Biddlecom to All Participants (01:31:31 PM):Use checklists and assign set responsibilities to each team

From Dimple Pajwani to All Participants (01:31:45 PM):development standard processes with checks and guidelines

From Elizabeth Johnston to All Participants (01:31:56 PM):Look at processes throughout the hospital, continuum of care, who's touching the patient

From Kelly Rowe to All Participants (01:32:01 PM):standard clinical protocols

From kate hostetler to All Participants (01:32:07 PM):Identifying high risk pts and screen, early implementation and communication of proper precautions

From Helge Springhorn to All Participants (01:32:11 PM):Build a safety culture where people do the right things for the right reasons; e.g. they was hands because they know and believe it is the right thing to do.

From Matt Hoffmann to All Participants (01:32:15 PM):I would have a policy on how to handle contagious individuals, Next, I would makes sure there is signage on the outside of this room letting them know about the paitent illness. Also, I would let the other departments know about the illness before they go and treat the patient. A huddle would be nice when dealing with these individuals.

From Jennifer Maralit to All Participants (01:32:20 PM):Strict implementation of policies in infection control which includes everybody from the cleaner, to patiemts, families, visitors , medical team

From Neil Drimer to All Participants (01:32:45 PM):Have a measurement system that tracks MRSA

From Sherry Rogers to All Participants (01:33:01 PM):Identify this risk population with screening. signage on room door. Single patient room. Hand hygiene excellence.

From Neil Drimer to All Participants (01:33:35 PM):cleaners

From Kelly Rowe to All Participants (01:33:38 PM):everyone

From Kathy Duncan to All Participants (01:33:40 PM):

Who needs to be familiar with universal precautions?

From Neil Drimer to All Participants (01:33:43 PM):visitors

From Jessica Coyne-Lowe to All Participants (01:33:50 PM):everyone from dietary to physicians

From Dimple Pajwani to All Participants (01:33:58 PM):everyone

From Kim Buie to All Participants (01:33:58 PM):all staff dietary to MD

From Mindy Hawkins to All Participants (01:34:07 PM):Everyone who may come in contact with the patient

From Deborah Stevens to All Participants (01:34:14 PM):The hospital should have standardized protocols and org.wide training from IC and EHS&S Dept to all departments, i.e. all clinical and allied healthcare professionals.

From Matt Hoffmann to All Participants (01:34:15 PM):I agree with Mindy

From Jacqueline Cox to All Participants (01:34:17 PM):Allocating a dedicated, named carer to Rose to improve continuity of care and decrease exposure

From Tammy Phillips to All Participants (01:34:18 PM):anyone who will come into contact with the patient, staff, family, visitors, clergy plus the nursing home she came from

From Melissa Ermitano to All Participants (01:34:19 PM):everyone

From Sherry Rogers to All Participants (01:34:20 PM):All who work in patient care areas and visitors

From Jessica Coyne-Lowe to All Participants (01:34:22 PM):Volunteers!

From Erica Helmick to All Participants (01:34:26 PM):Anyone that would have the potential for spread or preventing spread.

From Elizabeth Johnston to All Participants (01:34:38 PM):Adherence to barriers, promptly placing door signage upon identification

From Sherry Rogers to All Participants (01:36:06 PM):Hand hygiene compliance observations.

From Elizabeth Johnston to All Participants (01:36:06 PM):No cases identified as a result of cross-transmission

From Alaa Ahmad to All Participants (01:36:11 PM):hand hygiene

From Kelly Rowe to All Participants (01:36:12 PM):direct staff monitoring

From Sherry Rogers to All Participants (01:36:17 PM):MDRO surveillance

From Mindy Hawkins to All Participants (01:36:30 PM):Hand hygeine auditing with in the moment coaching.

From Sherry Rogers to All Participants (01:36:32 PM):HAI

From Deborah Stevens to All Participants (01:36:34 PM):Visitors or external hospital customers are not included in training, so visual signage and unit staff are essential in enforcing protocols, overseeing entrants who are not part of org. healthcare team, e.g. subcontractors

From Alaa Ahmad to All Participants (01:36:34 PM):Hand Haygiene

From Erica Helmick to All Participants (01:36:44 PM):Leading measures: compliance with handwashing, presence of appropriate PPE and Signage

From Matt Hoffmann to All Participants (01:37:07 PM):Make sure there is a marker/signal on patient chart/ Id band. I would have an audit on people who go into the room. I would have PPE sitting outside the room and conduct observations to see if they use it.

From Deborah Stevens to All Participants (01:37:09 PM):RIF monitoring is still limited but sounds amazing

From Jennifer Maralit to All Participants (01:37:34 PM):We need to review protocols in regards to reliability, validity and responsiveness of implementations applied to current situation

From Tammy Phillips to All Participants (01:37:59 PM):isolation policy, infection control policy and surveillence for cross contamination.

From Alaa Ahmad to All Participants (01:38:10 PM):incidence of MRSA

From Margaret McDonald to All Participants (01:38:11 PM):

Hand Hygiene is an enterprise wide initiative. We have at least 40 observations a month in each area and the percentage is reported to all of our QAPI meetings as well as the enterpise board. People who are non compliant are given information from the IP nurse

From Alaa Ahmad to All Participants (01:38:15 PM):incidence of MRSA

From Helge Springhorn to All Participants (01:38:32 PM):Mystery shopping to monitor if practices are in line with strong policies

From Alaa Ahmad to All Participants (01:39:00 PM):policy and procedure are not outcome measure

From Neil Drimer to All Participants (01:39:04 PM):Patients and providers reminding other providers to wash hands

From Dimple Pajwani to All Participants (01:39:07 PM):making sure people are aware of the impact of what they do - what could happen if they dont wash hands

From Dimple Pajwani to All Participants (01:39:14 PM):people need to see their role in the bigger picture

From Margaret McDonald to All Participants (01:39:18 PM):Goal for the last year was 90% compliant and this year the overall goal was increased to 95%.

From Alaa Ahmad to All Participants (01:39:32 PM):policy and procedure are not outcome measure

From Deborah Stevens to All Participants (01:39:49 PM):its the 5% that will spread the infection!

From Alaa Ahmad to All Participants (01:40:40 PM):it is structure

From Margaret McDonald to All Participants (01:40:46 PM):Absolutley. That is the exact reason the persons who are observed not using hand hygiene are directly addressed.

From Dimple Pajwani to All Participants (01:40:48 PM):policy is a structure measure - process would be adherence to the policy - and outcome measure would be the health outcome that you see

From Alaa Ahmad to All Participants (01:41:24 PM):agree Dimple

From Helge Springhorn to All Participants (01:41:25 PM):

We do our hand hygiene validation in a mystery shopping fashion; it really works well. The only challenge is the opportunity for on the spot correction of behaviour is not possible.

From Kathy Duncan to All Participants (01:41:31 PM):What tools would be helpful in this case?

From Sherry Rogers to All Participants (01:41:48 PM):Fishbone

From Isaac Brown to All Participants (01:42:07 PM):FMEA

From Elizabeth Johnston to All Participants (01:42:24 PM):Dept. specific run charts for compliance with hand hygiene

From Dimple Pajwani to All Participants (01:43:11 PM):pareto chart

From Deborah Stevens to All Participants (01:44:01 PM):annual competancies are also useful tools

From Brenda Soper to All Participants (01:44:04 PM):Develop a case definition. This is the first step in an epidemiologic infestigation. May also use other testing to assure that what your assumptions are true.

From Tammy Phillips to All Participants (01:44:06 PM):we often do handwashing monitoring during our rounding and report outcomes in our infection control meetings.

From Alaa Ahmad to All Participants (01:45:30 PM):These Data need to be translated to action to fix our system

From Erica Helmick to All Participants (01:45:35 PM):Pinpoint leverage points for improvement - and stimulate sequential rapid-cycle improvment efforts.

From Tammy Phillips to All Participants (01:45:36 PM):identification of need for reducation or re-education of staff. fix the breakdown in process's.

From Alaa Ahmad to All Participants (01:46:47 PM):These Data need to be translated to action to fix our system

From Deborah Stevens to All Participants (01:47:14 PM):Observation is next to godliness!

From Kelly Rowe to All Participants (01:47:52 PM):publishing observation data

From Helge Springhorn to All Participants (01:48:43 PM):

One of the most helpful things is to actually sit down with the frontline staff to ask them what they think - they generally have amazing ideas. Also at the time share data/information with them.

From Jacqueline Cox to All Participants (01:48:50 PM):departmental changes - coaching and mentorship of providers with identified knowledge or practice deficits, updating policies and education

From Deborah Stevens to All Participants (01:49:24 PM):I agree Helge

From Alaa Ahmad to All Participants (01:49:31 PM):Totally agree With Helge

From Jacqueline Cox to All Participants (01:49:47 PM):Organizational changes - education, enhance communication around infection control best practices, ehance the culture of patient safety, plug any process gaps

From Erica Helmick to All Participants (01:52:02 PM):Education and auditing (data collection) is necessary, but not sufficient. Ask front-line staff what needs to change so that the practice is hardwired. System & Process change

From Kenny Woods to All Participants (01:52:47 PM):Can we have a copy of your A3?