Heroes of APIC: Combining Patient Safety with Advocacy & Influence
Heroes of APIC: Combining Patient Safety with Advocacy & Influence is organized by Association for Professionals in Infection Control and Epidemiology (APIC).
Recorded On: 02/13/2019
Available through: 12/31/2021
Presentation #1: Engaging Multi-Disciplinary Expertise to Generate Sustained Improvements
By fully leveraging expertise from multiple departments, the infection prevention team at Excela Health effectively tackled rising Clostridium difficile (C. diff) rates at their three-hospital system.
When a steadily rising C. diff infection (CDI) rate led Excela Health leadership to establish an internal target for reducing or eliminating the infection, the infection prevention team welcomed the creation of an interprofessional team to help improve patient safety. The system’s continuous improvement team leveraged LEAN methodology to bring everyone together and achieve their goals. “We knew we needed a broad range of expertise to achieve our goals and the LEAN facilitator really helped us stay on track,” Deborah Schotting said.
Excela Health’s CDI LEAN team created a comprehensive campaign focused on early identification and prevention of C. diff infections through appropriate testing, physician education, isolation/safety zone precautions, antibiotic stewardship, environmental cleaning, and staff and patient awareness. In addition to participation from nursing, pharmacy, laboratory, and environmental services departments, the Excela Health marketing and communications department created instrumental tools, team members educated nurses about documentation and process, and the system librarian identified key evidence-based resources. In just over two years, the system achieved a 43.8 percent reduction in healthcare-associated C. diff infections.
Presentation #2: Collaboration and Creativity Generate Dramatic CAUTI Reduction
The Infection Prevention and Control Team at University of Louisville Hospital developed a program emphasizing continual education, awareness, collaboration, and fun to reduce catheter-associated urinary tract infections (CAUTI) at their facility.
The team had made some progress in CAUTI prevention, but “we really wanted to hit a tipping point that would enable us to sustain progress,” Sarah Bishop said. This desire led to a facility-wide 2017 CAUTI-reduction goal. The team created a multi-dimensional campaign comprising quality improvement, education initiatives, and creativity to promote reduction of indwelling urinary catheter usage and increase adherence to a nurse-driven removal protocol.
Throughout the campaign, the team emphasized collaboration and relationship-building across departments. Ultimately, the team’s creativity and passion generated a 34 percent decrease in CAUTI. Continual education, including through nursing orientation and preceptorships, is helping to ensure they’ve reached their “tipping point.”
Additional details will be posted as soon as information is available.
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