a culture of safety in the neonatal icu: an improvement story

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Creating a Culture of Safety Sparrow NICU CLABSI Analysis based on 12 month intervals Kathleen Marble MSN, RNC-NIC Sparrow Hospital REFERENCES • www.ahrq.gov/cusptoolkit/ A Culture of Safety in the Neonatal ICU: An Improvement Story Reduce BSI Reduce Transmission Reduce Catheter Contamination Promote Culture of Safety • Hand Hygiene • Environmental Cleaning • Staff & Family Education • Insertion Bundle • Maintenance Bundle • Timely Removal • Team Training & Communication • Monitor & Feedback • Root Cause Analysis Karna, P. 2012 Team Engagement Educate staff/all disciplines Safety assessment of the Neonatal ICU Assemble safety team Include Executive partnership & engagement in the project Learn from a defect tool Teamwork & communication tools Checklist Consistency in practice-monitor 1. Multidisciplinary involvement 2. Engagement on Rounds: Nurse/Physician 3. Personal accountability 4. Problem solving 5. Ownership 6. Staff looking for opportunities 7. Looking for system failures

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Page 1: A Culture of Safety in the Neonatal ICU: An Improvement Story

Creating a Culture of Safety H

E

A

G Sparrow NICU CLABSI Analysis based on

12 month intervals

Kathleen Marble MSN, RNC-NIC

Sparrow Hospital

REFERENCES • www.ahrq.gov/cusptoolkit/

A Culture of Safety in the Neonatal ICU: An Improvement Story

Reduce

BSI

Reduce

Transmission

Reduce

Catheter

Contamination

Promote

Culture of

Safety

• Hand Hygiene

• Environmental

Cleaning

• Staff & Family

Education

• Insertion Bundle

• Maintenance

Bundle

• Timely Removal

• Team Training &

Communication

• Monitor & Feedback

• Root Cause Analysis

Karna, P. 2012

Team Engagement

Educate staff/all disciplines

Safety assessment of the Neonatal

ICU

Assemble safety team

Include Executive partnership &

engagement in the project

Learn from a defect tool

Teamwork & communication

tools

Checklist

Consistency in practice-monitor

1. Multidisciplinary involvement

2. Engagement on Rounds:

Nurse/Physician

3. Personal accountability

4. Problem solving

5. Ownership

6. Staff looking for opportunities

7. Looking for system failures

http://www.ahrq.gov/cusptoolkit/

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