Transcript Powerpoint template - NHS Education for Scotland

SABs
Impossible Task
Or Is It?
Chris Paterson
Infection Control Nurse
How it all began?
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HEAT Targets!
30% reduction!
Less contamination!
Greater emphasis!
Staff who care?
Could practice be better?
More required?
Where Were We?
SAB 2010-11 HEAT Target
140
120
100
80
60
40
20
0
Apr-10
May-10
Jun-10
2010-11 HEAT Target
Jul-10
Aug-10
HEAT Target Trajectory
Sep-10
Oct-10
Nov-10
Monthly HEAT Target
Dec-10
Jan-11
Monthly Actual
Feb-11
Mar-11
Monthly Cumulative
Get the evidence?
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Audit
Collate
Prepare
Report
Highlight
Action
Why?
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Adherence to policy
Devices mismanaged
Hand Hygiene
Equipment cleanliness
Ambiguous paperwork
Time
Morale
I wasn’t here!
What’s needed?
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Buy in
Start small (PDSA)
Promote perks
Identify goals
Set realistic time scales
Monitor
What changed?
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Attitudes
Perceptions
Accountability
Paperwork
Care bundles
Prompt posters
Processes
Education
SABS: Vascular Access
Primary Cause
Central Vascular Catheter
2011-12
11
2012-13
7
% Change
-36%
Blood Culture Contaminant
5
3
-40%
Peripheral Vascular Catheter
10
1
-90%
Renal Fistula
6
1
-83%
Total
32
12
-63%
Where Are We?
0.60
0.50
0.40
0.30
0.20
0.10
0.00
SA
MRSA
MSSA
HEAT Target
What’s next
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Audit compliance
RCA
SBARs
Mandatory Education
Spot audit
Ward weekly audit
Action
Conclusion
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Identify?
Market?
Evidence?
Improvement?
That’s not the hard bit?
SUSTAINABILITY
Any questions?