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Frontline Staff: A Force for Excellence in Reducing Hospital Acquired Infections. Karen Peters MSN, RN-BC Clinical Nurse Specialist. Learning Objectives. Identify pearls for choosing team members Utilize performance improvement (PI) tools to make changes
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Frontline Staff: A Force for Excellence in Reducing Hospital Acquired Infections Karen Peters MSN, RN-BC Clinical Nurse Specialist
Learning Objectives • Identify pearls for choosing team members • Utilize performance improvement (PI) tools to make changes • Recognize some challenges of frontline staff
Getting Started Create a team Develop the aim Make an action plan
Baseline Data: HH December 2009: Hand Hygiene Compliance 45%
Learning the Performance Improvement (PI) Process Fishbone FMEA Flow Chart Affinity Diagram
Affinity Diagram Barriers to Using Correct PPE/ HH External Factors Resources Time Supplies hard to find Time Time No PPE available Supplies are empty Lack of equipment StaffIssues Knowledge Attitudes Unaware ofproper way Don’t care attitudes Not aware Lazy Misinformed Just not remembering No one else is doing it, why should I? Forgetful Fishbone
Flow Chart Failure Mode and Effects Analysis
Increased locations of supplies
Improved signage
Unit Hand Hygiene Trends Our Progress
MDRO/CDiff: Infection Rate Trends (ppd): Our Progress
Challenges • Difficult conversations • Team momentum • Buy-in
Summation • Team members should be true frontline staff. • Utilize performance improvement (PI) tools to make changes to guide and validate changes…even for beginners! • Challenges must be worked on continuously in order to be overcome.
Learning Objectives: • Identify pearls for choosing team members • Utilize performance improvement (PI) tools to make changes • Recognize some challenges of frontline staff