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Team Tasks
• Assemble a multidisciplinary team− Include frontline unit staff− How will you select your MD and senior executive?− Document your journey− Submit team rosters NOW
• Listen to on-boarding webinars• Participate in monthly content and coaching calls
− Thursdays at 2p• Regularly meet as a team & delegate responsibility
− Accept the Kick-off Challenge √ Complete the Pre-mortem activity by November 21√ Develop a unit plan of action by November 21
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http://www.hopkinsmedicine.org/quality_safety_research_group/our_projects/ventilator_associated_pheumonias/index.html Armstrong Institute for Patient Safety and Quality
Next Steps Towards Implementing
Technical Work: VAP Prevention
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Next Steps: Technical Work
• Review evidence with CUSP team• Think about how best to educate staff
– Use the knowledge assessment – coming soon– Use the ‘ Eliminate VAP Unit Resource Binder’– Create your own educational resources, be
creative and share with us!• Make sure staff know who to contact in your unit
with questions or concerns• Review unit level policies and protocols and work
toward alignment with recommendations
Next Steps Towards Implementing CUSP:
Science of Safety &
Staff Safety Assessment
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Strategies for Educating Personnel on the Science of Safety
• Unit level staff meetings
• Medical staff grand rounds
• Hospital/unit orientation
• Continuous access via in-house TV / computer based training
• Posting on intranets or other training sites
• Develop a strategy to track attendance and ensure all staff are educated
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Ask Staff “How Will the Next Patient be Harmed?”
Staff Safety Assessment:
– How is the next patient likely to be harmed on our unit?
– What do you think we could do to prevent that harm?
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AHRQ: Using a Comprehensive Unit-based Safety Program to Prevent Healthcare-Associated Infections• Understand the Science of Safety:
– http://www.ahrq.gov/cusptoolkit/understand.htm• Updated Science of Safety Video:
– http://www.ahrq.gov/cusptoolkit/videos/04a_scisafety/index.html
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AHRQ: Identifying Defects Through Sensemaking
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• Staff Safety Assessment Tool:– http://www.ahrq.gov/cusptoolkit/identify.htm
What Data Will Teams Need to Collect?
• Semi-annual structural assessment– Administer to all unit staff via CECity- when available – Use the information to add to your unit action plan
• Daily process measure data– Identify 2-3 team members to begin this task
• Monthly VAE data using new CDC NHSN definitions– Infection Preventionist will complete, but have a
backup!• Quarterly implementation assessment via interview• Annual teamwork/culture data using the AHRQ
Hospital Survey of Patient Safety (HSOPS)
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Next Steps for Project Team Leads:
Armstrong Institute
Maryland Hospital Association
The Hospital & Healthsystem Association of Pennsylvania
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