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Improving Care Using Frontline Action Teams: Reducing UTI at Langley Memorial Hospital

Improving Care Using Frontline Action Teams: Reducing UTI at Langley Memorial Hospital. Sherman Bastarache Amanda Bordt November 16, 2012. LMH and NSQIP Joined NSQIP in July 2011 NSQIP module: procedure targeted 33 surgical beds Team recruitment started in January 2012.

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Improving Care Using Frontline Action Teams: Reducing UTI at Langley Memorial Hospital

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  1. Improving Care Using Frontline Action Teams: Reducing UTI at Langley Memorial Hospital Sherman Bastarache Amanda Bordt November 16, 2012

  2. LMH and NSQIP • Joined NSQIP in July 2011 • NSQIP module: procedure targeted • 33 surgical beds • Team recruitment started in January 2012. • Team Action started April 2012

  3. Goal and the Stats Team Goal To reduce the catheter-associated urinary tract infection rate to 2% (from 3.4%) by October 1, 2012 in surgical patients at Langley Memorial Hospital

  4. Gyne perineal Prep

  5. Stopped Routine Catheterization of Total Joint Patients

  6. Total Joint Foley insertion Guideline • Criteria to insert Indwelling Foley Catheter in Total Joint Patients • Procedures expected to last longer than 5 hours • Total Hip replacements patients who meet 1 (one) of the following criteria: • -Over the age of 80 • -Obesity (BMI > 40) • -urinary incontinence or history of urological issues / medications • -Determined necessity by the surgeon • Total Knee replacement patients who meet 1 (one) of the following criteria • -Over the age of 75 • -ASA III or greater • -Obesity (BMI >40) • -Urinary incontinence or history of urological issues / medications • -Determined necessity by the surgeon

  7. Audits and Huddles

  8. New Catheter Kit

  9. Physician Reminder Sticker This patient has an indwelling urinary catheter • Remove indwelling urinary catheter • Maintain indwelling urinary catheter Signature: __________________

  10. Goal and the Stats Team Goal To reduce the catheter-associated urinary tract infection rate to 2% (from 3.4%) by October 1, 2012 in surgical patients at Langley Memorial Hospital A decrease of0.6% so far, which translates to 17 UTI’s prevented!!!!!

  11. Contact Information Sherman Bastarache sherman.bastarache@fraserhealth.ca Amanda Bordt amanda.bordt@fraserhealth.ca Veronica Mills veronicamills@fraserhealth.ca Mohammad Khaligh-Razavi mohammad.khaligh-razavi@fraserhealth.ca Amanda Crowe amanda.crowe@fraserhealth.ca SCR: Lila Gottenbos lila.gottenbos@fraserhealth.ca Denise Sherban denise.sherban@fraserhealth.ca QI: Michael Arget michael.arget@fraserhealth.ca Manager: Kendalll Korda: kendall.korda@fraserhealth.ca Surgeon Dr. Mitra Maharaj mitra.maharaj@fraserhealth.ca Champion FHA: ACS.NSQIP@fraserhealth.ca

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