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Turning the corners across the border in eliminating C- difficle

Turning the corners across the border in eliminating C- difficle. The Toronto Western Hospital General Internal Medicine Story. Objectives. To share the general internal medicine and UHN C-diff story To discuss the multiple strategies for staff engagement

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Turning the corners across the border in eliminating C- difficle

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  1. Turning the corners across the border in eliminating C-difficle The Toronto Western Hospital General Internal Medicine Story

  2. Objectives • To share the general internal medicine and UHN C-diff story • To discuss the multiple strategies for staff engagement • To share our staffs innovations and changes • Share the data

  3. Who we are & How it all began • One of Canada’s largest academic hospitals • General Internal Medicine Program • 2006- multiple outbreaks with high mortality rates, increased length of stay and recurrent unit closures • Poor staff satisfaction, poor care reputation

  4. Something had to be done… • Traditional education • One on one meetings with the manager • Mandated e-learning modules • Incident reports of breeches • Staff meetings • Daily reminders • Disciplinary action

  5. There was NO change in outcomes… Time to take a different approach

  6. Ask those involved and they have the answer • It’s a team approach • Its about open listening, and trying the unexpected

  7. Its about taking chances • Loose stool Log • No sinks- install sanitizer everywhere

  8. And the answers will come • House keeping standards • Remodeled clean and dirty utility room

  9. Patient specific equipment • Patient Education

  10. Our IPAC Commitment

  11. Maintaining our commitments Today… • Commitment to transparency • Debriefing on nosocomial infections • Rewards (Individual pens, 30 day noso-free lunches) • Commitment to have open discussions • Commitment to hold all staff to the same standard

  12. SuccessNosocomial (acquired on the floor) CDAD rate, 8Acompared to TWH overall and UHN

  13. CDAD

  14. Nosocomial (acquired on the floor) MRSA rate, 8Acompared to TWH overall and UHN

  15. MRSA

  16. Nosocomial (acquired on the floor) VRE rate, 8A compared to TWH overall and UHN

  17. VRE

  18. Questions tracey.fletcher@uhn.on.ca

  19. Objectives • To share the general internal medicine and UHN C-diff story • To discuss the multiple strategies for staff engagement • To share our staffs innovations and changes • Share the data

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