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Safe Critical Care Project: Testing Improvement Strategies
A Tool Kit Site in collaboration with Partnerships for Implementing Patient Safety (PIPS) -- A Project funded by the Agency for Healthcare Research and Quality
HCA and Project Aims
Team HCA: Hayley Burgess, PharmD, Director of Medication Safety and Use Jane Englebright, PhD, RN, Vice President, Quality Susan Littleton, Project Manager Mark Williams, MD, Professfor of Medicine, Executive Medical Director, EHCA, Emory Healthcare Jonathan Perlin, MD, PhD, MSHA, FACP, HCA Chief Medical Officer and Senior Vice President, Quality, Safety and Performance Improvement Patsy McFadden, RN, CIC, Infection Control, Centennial Medical Center Joan Reischel, RN, ICU Manager, Medical Center of Aurora Sherri Tejedor, MD, Cartersville Medical Center Laurie Brewer, RN, Supply Chain Director Steve Mok, PharmD, Clinical Pharmacist, Centennial Medical Center Steve Horner, RN, AVP, Outcomes Measurement Vanderbilt: Ted Speroff, PhD, Director of the VA Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior Robert Dittus, MD MPH, Director of the Vanderbilt Center for Health Services Research Jay Deshpande, MD MPH, Professor of Anesthesiology and Pediatrics Wes Ely, MD MPH , Associate Professor of Medicine Tom Talbot, MD MPH, Assistant Professor of Medicine and Preventive Medicine, Associate Hospital Epidemiologist Matt Weinger, MD, Director of the Vanderbilt Center for Patient Safety Dan France, PhD, MPH, Assistant Director for Improving Patient Safety Robert Alan Greevy, Jr, PhD, Assistant Professor, Department of Biostatistics University of Washington, Seattle, Washington Richard Wall, MD MPH, Senior Research Fellow in Pulmonary and Crirtical Care
Education: The following education programs were delivered across all HCA facilities as webcasts to watch live or to view later as a recording. Each program was or will be transferred to an on-line learning program on HealthStream.com and available nationally. The PowerPoint presentations are available for viewing. Prevention of Catheter-Related Bloodstream Infections (November 2005) Prevention of Ventilator-Associated Pneumonia - Part 1 (March 2006) Prevention of Ventilator-Associated Pneumonia - Part 2 (May 2006) Sedation and Delirium: Monitoring and Management (October 2006)
Inventories (Surveys): ICU Overview Survey: Distributed July 2005 to all HCA facilities to provide a description of current critical care practices in HCA hospitals and ICU involvement in quality improvement. Infection Control Surveillance Survey: Distributed December 2005 to all HCA facilities to collect information about hospital ICU infection control measurement, reporting and practices. Safety Attitude Survey: Distributed May 2006 to the participants of the Safe Critical Care Project to assess the perceived patient safety climate within intensive care units. The SAQ and Safety Climate Scale by Sexton, Thomas, Provonost et al. are published instruments validated for the ICU. Sedation and Delirium Survey: Distributed October 2006 to all HCA facilities to assess current practices that will help the field of critical care identify steps for improving ICU sedation and delirium care.
Paper Checklists:
To ensure our staff is equipped with the essential evidenced based medicine process, we provided paper checklists as an intervention tool and to assist teams in monitoring IHI bundled processes of care. Spreadsheet templates are provided to collect and display process and outcomes data for central-line catheter related blood stream infections and ventilator associated pneumonia. These templates are pre-programmed for easy minimal data entry and charting of control charts for quality improvement. The shared documents include the Excel files and the power point tutorial. Tools: How to Collect and Monitor Bloodstream Infection Rates
How to Collect and Monitor Ventilator-Associated Pneumonia Rates
Quality Improvement
These worksheets are templates for initiating a Quality Improvement Team and maintaining the continuous action plans of a Quality Improvement Team. |
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HCA Patient Safety One Park Plaza Nashville, TN 37203 Telephone: 615-344-9551 |