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Safer Healthcare Now!

Safer Healthcare Now!. Cape Breton Regional AMI Collaborative. Dawn Hollohan & Sharon MacLeod. Cape Breton Regional Hospital. The Beginnings. GOAL: Door to Thrombolytic within 30mins for 90% of patients presenting with AMI by March 30 th 2010. Change Ideas.

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Safer Healthcare Now!

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  1. Safer Healthcare Now! Cape Breton Regional AMI Collaborative Dawn Hollohan & Sharon MacLeod

  2. Cape Breton Regional Hospital

  3. The Beginnings GOAL: Door to Thrombolytic within 30mins for 90% of patients presenting with AMI by March 30th 2010

  4. Change Ideas • Education re AMI collaborative (posters, email, in-service) • Syncing of Clocks to EKG machine • Data collection FORM (staff engagement …FUN initiative) • Recommendations from industrial engineer re process improvement • We mapped the process.

  5. Change Ideas • Changed phone in triage room to a Speed dial & educated the nursing staff to use same • White board outside triage room Improving EKG Pt room identification. • Place and an EKG machine within the dept.

  6. Change Ideas Sharing the 10mins ER owns 4 mins EKG dept owns 6mins Change to Delegated Medical Function (DMF) Now EKG is 1st priority

  7. Data collection sheet

  8. Bonus…there was help with data collection!

  9. Analysis tab of the tally sheet…

  10. Why change it? • Why does 10 minutes pass so quickly? • Who was using up all the time? (Triage or ECG?) • How close are we to the goal? • Is the mean time to ECG helpful? • Would the median be better? • Does the time of day matter? • Was sampling the best method for the team?

  11. The data informs the team

  12. Changes are made based on the data

  13. In Conclusion • We cannot forget EHS !!! RESTORE Program • Our Stats • We may do hundreds of Normal EKGs but it is the ONE abnormal that we need to catch... This is our message...

  14. Thank you. Any questions? Contact information: Dawn Hollohan 902 567-8021 hollohand@cbdha.nshealth.ca Sharon MacLeod 902 577-0360 macleodshar@cbdha.nshealth.ca

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