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On the CUSP: STOP BSI Two More E’s

On the CUSP: STOP BSI Two More E’s. Learning Objectives. To think ahead about ways to make your investment of time and improvements in BSI rates last forever To make sure all patients in your institution have access to the same level of safety in their care. Implementation Framework.

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On the CUSP: STOP BSI Two More E’s

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  1. On the CUSP: STOP BSITwo More E’s

  2. Learning Objectives • To think ahead about ways to make your investment of time and improvements in BSI rates last forever • To make sure all patients in your institution have access to the same level of safety in their care

  3. Implementation Framework

  4. Implementation Framework

  5. Endure—Plan for Sustainability • Why worry about the distant future? • What you can anticipate: • Turnover of staff • New projects/ distractions • Complacency • Emergencies and complex cases (someone will call for exceptions to be made)

  6. Endure—Plan for Sustainability • Things you can do now to support long term viability of the BSI reduction • Write it into policy • Include in training for all new members • Check to be sure it is routine practice • Set up reliable supply chain (borrowing protocol; alert system) • Quarterly review by executive partner • Set up a Learning Network of peers • Have regular meetings with your HEIC dept

  7. Expand—Spread the Intervention • Why think about expanding to other units? • Requires self study • Solidifies own understanding • Equal protection for all patients (lines are placed elsewhere) • Unique challenges of other units may offer new ideas and methods/ May change your perceptions of your own implementation

  8. Expand—Spread to New Projects • Why think about your next project? • Quality can always improve • Use new capacity to change to make care better • Maintain engagement of staff/ interest and attention of management • Permits some control over what the next initiative will be • More rewarding environment

  9. Action Items • Start planning now for sustaining the intervention for years to come • Work with your executive partner and unit heads to expand the intervention into other units • Engage staff in thinking about the next mountain they would like to climb, while maintaining low BSI rates

  10. Reference List • Buchanan D, Fitzgerald L, Ketley D, Gollop R, Jones JL, Saint Lamont S, Neath A and Whitby E. No going back: A review of the literature on sustaining organizational change. International Journal of Management Reviews 2005; 7(3):189-205. • Evashwick C, Ory M. Organizational characteristics of successful innovative health care programs sustained over time. Fam Community Health. 2003 Jul-Sep;26(3):177-93. • Greenhalgh T, Robert G, Macfarlane F, Bate P and Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004;82(4):581-629.

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