on the cusp: stop bsi
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On the CUSP: Stop BSI. On the CUSP: Stop BSI. What the data tell us… Face to Face Meeting Massachusetts November 16, 2010. Learning Objective. - PowerPoint PPT PresentationTRANSCRIPT
On the CUSP: Stop BSI
What the data tell us…
Face to Face MeetingMassachusetts
November 16, 2010
On the CUSP: Stop BSI
Learning Objective
To understand state-level progress towards reducing the rate of central line associated blood stream infections (CLABSI) and implementing the Comprehensive Unit-based Safety Program (CUSP)
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Data In – Information Out: CLABSI
Enter 2 data points Access to state and national comparisons
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Data In – Information Out: MTCT
Answer 18 questions Access activity and barrier reports
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Data Completeness
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CLABSI: Mean Rate
Goal: <1 BSI per 1,000 line-days
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CLABSI: Estimated Impact
BSIsAttributable
deaths Excess CostAdditional
hospital daysQ3-2009 21 2.583 $1,113,000 168
Q4-2009 17 2.091 $901,000 136
Q1-2010 7 0.861 $371,000 56
Q2-2010 3 0.369 $159,000 24
Q3-2010 7 0.861 $371,000 56State Total 55 6.765 $2,915,000 440
Assumptions: 12.3% case fatality rate $53,000 per BSI; 8 days per BSI
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MTCT: General Activities (Q2&Q3 2010)
• Teams met average of 1.2 times per month– Reviewed data: 1.4– Shared data with unit: 1.6
• Data presented to– Senior leadership: 79%– Board: 65%
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*Total number of responses: 34/108 (31%)
MTCT: CUSP Activities (Q2&Q3 2010)
1. Science of Safety Training- All/most staff viewed video: 56%- Video in orientation: 18%
2. Staff Identify Defects- Prioritized safety issues: 18%
3. Senior Executive Partnership- Met with senior executive: 0.9/month
4. Learning from Defects- Learned from defects: 24%- Shared results: 18%
5. Teamwork Tools
10 *Total number of responses: 34/108 (31%)
MTCT: CLABSI Practices
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ALL
MOST
SOME
FEW
Central Line Checklist Compliance
MTCT: Top Barriers (Q2&Q3-2010)
1. Not enough time: 65% (tie)
1. Physician buy-in: 65% (tie)
2. Nursing buy-in: 53% (tie)
2. Physician leadership support: 53% (tie)
3. Autonomy/authority: 41%12
Take Home Points
• BSI data completeness – Very Good!
• MTCT data completeness – Needs Improvement!
• Mean BSI rates – Improved since beginning of project, but need to maintain focus
• Activities and barriers – Many opportunities to learn from together
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Learning Objective
To understand state-level progress towards reducing the rate of central line associated blood stream infections (CLABSI) and implementing the Comprehensive Unit-based Safety Program (CUSP)
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