The Comprehensive Unit-Based Safety Program: How Will This Work?

1. The Comprehensive Unit-Based Safety Program: How Will This Work? Chris George, R.N, M.S Sam Watson, M.S.A Pat Noga, R.N

2. The Michigan Experience

3. Workshop Learning Objectives • Describe the purpose and vision of the ICU Safe Care Initiative/Comprehensive Unit-Based Safety Program. • Describe the process used to identify and eliminate system defects. • List three tools or strategies used to improve teamworkand build a safety culture. • State research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.

4. Session Learning Objectives • Review the purpose and vision of the ICU Comprehensive Unit-Based Safety Program/CLABSI Initiative. Understand how your ICU and your hospital will benefit from participation. • Build the skills of physicians, nurses, and other care team members in identifying and eliminating system defects that can result in patient harm, and improve teamwork and build a safety culture. • Engage in discussion with national experts on research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.  Discuss how to apply in your hospital. • Identify opportunities to reduce central line infections and the impact it will have on costs and patient days. • Discuss steps and timeline in implementation of the initiative.

5. ICU Safety Culture 2004 - 2008

6. ICU Teamwork Culture2004-2008

7. Low Turnover 7.9% Mid Turnover 10.8% High Turnover 16.0% Teamwork Climate &Annual Nurse Turnover % reporting positive teamwork climate

9. Results • Lives Saved – 1,729* • Patient Days Saved – in excess of127,000* • Dollars Saved – 0ver $246 Million* • Culture of Safety improved 28% • Teamwork improved 15% * Based on the Johns Hopkins Opportunity Calculator

10. On the CUSP Data Collection *Due by the 15th of the Month following data collection. (Ex: January MTCT is due by February 15)

11. Workshop Learning Objectives • Describe the purpose and vision of the ICU Safe Care Initiative/Comprehensive Unit-Based Safety Program. • Describe the process used to identify and eliminate system defects. • List three tools or strategies used to improve teamworkand build a safety culture. • State research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.

12. Questions