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On the CUSP: Stop CAUTI

Review and analysis of South Carolina's progress in reducing CAUTI rates and implementing CUSP program. Data submission, rates trends, lessons learned, and improvement steps discussed.

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On the CUSP: Stop CAUTI

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  1. On the CUSP: Stop CAUTI South Carolina Data Review South Carolina CAUTI Midcourse Meeting August 22, 2012

  2. Context: South Carolina and the National Collaborative • South Carolina’s units enrolled in Cohort 3: Intervention date: April 2012 • Other states enrolled in Cohort 3: Arkansas, California, Connecticut, Kansas, Maryland, New Jersey

  3. South Carolina Enrollment (as of 8/2/2012):

  4. South Carolina: DATA LEARNING OBJECTIVES To understand your progress toward: • Reducing the rate of catheter associated urinary tract infections (CAUTI’s) AND • Implementing the Comprehensive Unit-based Safety Program (CUSP)

  5. SC CAUTI Outcome Data Submission:(Note: May uptick due to 6 units dropping out of denominator)

  6. SC CAUTI Process Data Submission:Baseline Period (15 days, March 2012)

  7. SC CAUTI Process Data Submission:Implementation Period (16 days Apr-May)(note: uptick due to 6 units dropping out of denominator)

  8. SC CAUTI RATES By Catheter Days:Increasing over Time (Unfavorable)

  9. SC CAUTI RATES By Patient Days:Increasing over Time (Unfavorable)

  10. SC Catheter Prevalence (from outcome data)Steady at 29%; comparable to peers

  11. SC Catheter AppropriatenessDecreasing slightly; comparable to peers

  12. South Carolina: Lessons from the TCT CAUTI Technical Work Adoption of CUSP Strategies Caveat: Findings are based on very few TCT’s due to low data submission

  13. SC TCT Submission: Very Low

  14. CAUTI Reduction Work: Qtr 1 2012SC vs. Cohort 3

  15. CAUTI Reduction Work: Qtr 1 2012SC vs. Cohort 3

  16. CUSP Activities Qtr 1 2012SC vs. Cohort 3

  17. CUSP Activities Qtr 1 2012SC vs. Cohort 3

  18. Top Initial Barriers Qtr 1 2012for South Carolina

  19. South Carolina Take Home Points • Data Submission -- Outcome and Process data: very good --- TCT: minimal submission

  20. South Carolina: Take Home Points • CAUTI Rates -- Increasing over time (unfavorable) • Prevalence (from outcome data) -- No change in utilization of catheters • Catheter appropriateness -- Decreasing slightly over time (unfavorable)

  21. South Carolina: Take Home Points CAUTI Reduction Steps • Bright spots: --- adherence to sterile catheter insertion technique • Areas needing attention: --- review of catheter need BEFORE insertion --- proper catheter maintenance --- prompt catheter removal

  22. South Carolina: Take Home Points • CUSP Activities • Science of Safety Video: not shared yet • Senior Executive rounds, Identifying Defects, and Learning from Defects: only half of teams are using Note: based on low TCT data submission

  23. South Carolina: Take Home Points • Barriers, Qtr1 2012 Top initial issues --- Insufficient Team Member Participation --- Staff Distraction due to other events/priorities --- Time --- Staff Turnover Note: based on low TCT data submission

  24. South Carolina Take Home Points The work continues to follow the catheter recommendations for EVERY patient, EVERY time, to help reduce the risk of CAUTI’s. Thank you for all that you do to make care safer for our patients.

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