Transcript PowerPoint presentation

On the CUSP: STOP BSI
Two More E’s
© 2009
Learning Objectives
• To think ahead about ways to make your investment
of time and improvements in BSI rates last forever
• To make sure all patients in your institution have
access to the same level of safety in their care
© 2009
Implementation Framework
© 2009
Implementation Framework
© 2009
Endure—Plan for Sustainability
• Why worry about the distant future?
• What you can anticipate:
− Turnover of staff
− New projects/ distractions
− Complacency
− Emergencies and complex cases (someone will call for
exceptions to be made)
© 2009
Endure—Plan for Sustainability
• Things you can do now to support long term viability
of the BSI reduction
− Write it into policy
− Include in training for all new members
− Check to be sure it is routine practice
− Set up reliable supply chain (borrowing protocol; alert system)
− Quarterly review by executive partner
− Set up a Learning Network of peers
− Have regular meetings with your HEIC dept
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Expand—Spread the Intervention
• Why think about expanding to other units?
– Requires self study
– Solidifies own understanding
– Equal protection for all patients (lines are placed elsewhere)
– Unique challenges of other units may offer new ideas and
methods/ May change your perceptions of your own
implementation
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Expand—Spread to New Projects
• Why think about your next project?
– Quality can always improve
– Use new capacity to change to make care better
– Maintain engagement of staff/ interest and attention of
management
– Permits some control over what the next initiative will be
– More rewarding environment
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Action Items
• Start planning now for sustaining the intervention for
years to come
• Work with your executive partner and unit heads to
expand the intervention into other units
• Engage staff in thinking about the next mountain they
would like to climb, while maintaining low BSI rates
© 2009
Reference List
•
Buchanan D, Fitzgerald L, Ketley D, Gollop R, Jones JL, Saint Lamont S, Neath
A and Whitby E. No going back: A review of the literature on sustaining
organizational change. International Journal of Management Reviews 2005;
7(3):189-205.
•
Evashwick C, Ory M. Organizational characteristics of successful innovative
health care programs sustained over time. Fam Community Health. 2003 JulSep;26(3):177-93.
•
Greenhalgh T, Robert G, Macfarlane F, Bate P and Kyriakidou O. Diffusion of
innovations in service organizations: systematic review and recommendations.
Milbank Q 2004;82(4):581-629.
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