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NSQIP Supports Pneumonia Prevention at Vancouver General Hospital

NSQIP Supports Pneumonia Prevention at Vancouver General Hospital. Irene Siu Spotlighting Surgical Improvement in BC November 16, 2012. Non-Risk Adjusted Pneumonia Rates May-Dec 2011. July 2012 SAR Risk Adjusted Pneumonia Outcomes. Pneumonia Working Group.

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NSQIP Supports Pneumonia Prevention at Vancouver General Hospital

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  1. NSQIP Supports Pneumonia Prevention at Vancouver General Hospital Irene Siu Spotlighting Surgical Improvement in BC November 16, 2012

  2. Non-Risk Adjusted Pneumonia Rates May-Dec 2011

  3. July 2012 SAR Risk Adjusted Pneumonia Outcomes

  4. Pneumonia Working Group • Engage manager of General Surgery, Vascular, ENT - units T8/9 • Audit of current practice • Improvement Charter/SBAR • Gather the team What to do?

  5. *Rosenkranz et al. (July 24 2011). “ICOUGH”: The Development of a Multidisciplinary Program to Address Postoperative Pulmonary Complications. Powerpoint lecture presented at ACS NSQIP National Conference in Westin Copley Place, Boston MA.

  6. PDSA, Improvement Charter… • Goal:

  7. Goal 50% reduction in post-op pneumonia rates in General Surgery, Vascular and Otolaryngology by June 2013

  8. Challenges • Engagement, Buy-In, Ownership • Details, details, details! • Care plans, education materials, staff education

  9. Overcoming Challenges • Enlist people with expertise and influence • TRIZ/TIPS • Don’t re-invent the wheel! • Best practice guidelines • Utilize PDSA, Improvement Charter, SBAR • Don’t give up!

  10. Going forward… • Prep T8/9 units December 2012: In-services, educational materials, care plan • GOLIVE January 2013 • Ongoing PR • Schedule ongoing audits • PDSA ongoing • Hospital-wide?

  11. Thank you!

  12. Contacts VCH NSQIP Team: VCHNSQIPCOORDINATORS@VCH.CA

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