quality improvement hit and infecting a patient safety culture lecture a this material...
TRANSCRIPT
![Page 1: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/1.jpg)
Quality Improvement
HIT and Infecting a Patient Safety Culture
Lecture a
This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013.
![Page 2: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/2.jpg)
HIT and Infecting a Patient Safety Culture
Learning Objective─Lecture a
• Apply QI tools to the analysis of HIT errors.
2Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 3: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/3.jpg)
Dr. Peter Pronovost
3Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 4: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/4.jpg)
Dr. Peter Pronovost
4Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 5: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/5.jpg)
Key Topics
5Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 6: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/6.jpg)
Apollo Mission
6Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 7: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/7.jpg)
Apollo Mission
7Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 8: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/8.jpg)
HIT
8Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 9: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/9.jpg)
National Health Care Quality
9Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 10: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/10.jpg)
BSI Checklist
• Wash your hands.• Clean your skin with Chlorhexidine.• Avoid placing catheters in the groin.• Use full barrier precautions.• Ask every day if you still need the catheter.
10Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 11: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/11.jpg)
Science of SafetyStandardize Care
11Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 12: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/12.jpg)
Science of SafetyIndependent Checks
12Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 13: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/13.jpg)
Science of Safety
13Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 14: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/14.jpg)
At Hopkins
14Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 15: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/15.jpg)
Science of SafetyLearn from Every Defect
15Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 16: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/16.jpg)
Checklist
16Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 17: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/17.jpg)
Rates
17Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 18: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/18.jpg)
The BSI Story
18Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 19: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/19.jpg)
Michigan
19Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 20: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/20.jpg)
The Model
20Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 21: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/21.jpg)
Toyota
21Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 22: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/22.jpg)
HIT and Infecting a Patient Safety Culture Summary─Lecture a
• Despite massive efforts, quality & safety have not significantly improved.
• It takes teamwork and cooperation.
• National efforts to improve central line BSI rates have been hugely successful.
• Standardization, independent checks, and learning from every defect are keys to success.
22Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 23: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/23.jpg)
HIT Infecting a Patient Safety Culture References─Lecture a
References• ABC News. Toyota CEO Apologizes to His Customers: 'I Am Deeply Sorry.’ Brian Ross. Available from:
http://abcnews.go.com/Blotter/toyota-ceo-apologizes-deeply/story?id=9700622#.Tt0C9tVArCY• Pronovost, P. (October, 2010). Speech presented at the Legg Mason Capital Management Thought Leader Forum.• Quality Matters. A Conversation with Peter Pronovost About Patient Safety Available from:
http://www.commonwealthfund.org/Newsletters/Quality-Matters/2010/April-May-2010/Q--A.aspxImages
Slide 3: Dr. Peter Pronovost Listens to a Patient’s Heart. The photo was taken during filming for Program One - "Silent Killer" at Johns Hopkins University's Hospital and Children's Center for the RAM Campaign. Available from: http://www.ramcampaign.org/pages/campaign_photos.htm
Slide 4: Dr. Peter Pronovost. The photo was taken during filming for Program One - "Silent Killer" at Johns Hopkins University's Hospital and Children's Center for the RAM Campaign. Available from: http://www.ramcampaign.org/pages/campaign_photos.htm
Slide 5: Key Topics. Courtesy Dr. Anna Maria Izquierdo-Porrera
Slide 6: Earthrise Over the Lunar horizon.(NASA photo ID AS11-44-6552). Available from: http://nssdc.gsfc.nasa.gov/planetary/lunar/apollo11.html
Slide 7: Planet Earth from the Moon. (NASA photo ID AS11-36-5355). Available from: http://nssdc.gsfc.nasa.gov/planetary/lunar/apollo11.html
Slide 8: A Collage of Association Logos for Agencies Involved in HIT. Image Sources: AHRQ. http://www.ahrq.gov/; Parent Safety. http://www.patientsafety.gov/ World Health Organization; www.who.int; Joint Commission. http://www.jointcommission.org/;Institute for Safe Medication Practice. http://www.ismp.org;Patient Safety. http://www.patientsafety.org; Nursing World. http://www.nursingworld.org; ECRI. https://www.ecri.org;
AMA. http://www.ama-assn.org/
23Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a
![Page 24: Quality Improvement HIT and Infecting a Patient Safety Culture Lecture a This material (Comp12_Unit8a) was developed by Johns Hopkins University, funded](https://reader036.vdocuments.site/reader036/viewer/2022081519/56649ec55503460f94bcf3d5/html5/thumbnails/24.jpg)
HIT Infecting a Patient Safety Culture References─Lecture a
Images
Slide 9: National Healthcare Disparities Reports and National Healthcare Quality Report. Available from: http://www.ahrq.gov/qual/qrdr09.htm
Slide 11: A Clinician Prepares a Syringe While a Patient Looks On. American Health Information Management Association (AHIMA). Available from: http://informaticsnursing.net/?page_id=119
Slide 12: Automotive Seatbelt. Wikimedia Commons Gerdbrendel. Available from: http://en.wikipedia.org/wiki/User:Gerdbrendel
Slide 13: David H. Berger, M.D.,Houston VA. Available from: http://www.houston.va.gov/pressreleases/news_20050207.asp
Slide 14: Nurse. CDC. Available from: http://www.cdc.gov/ncbddd/fasd/training.html
Slide 15: Surgery Dept. of Defense. Available from: http://www.defense.gov/photos/newsphoto.aspx?newsphotoid=6052
Slide 16: Blood Infection Checklist at Johns Hopkins. Available from: http://www.hopkinsmedicine.org
Slide 17: Swan-Ganz- Heparin Coated Catheter. FDA. Available from http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/medsun/news/newsletter.cfm?news=48
Slide 18: Safety Score Card. The BSI Report Card – Dr. Peter Pronovost. Available from: http://www.mhaonline.org/File%20Library/Quality/CLABSI/1-Leading-Change-Who-Are-We-Where-Are-We-Going.pdf
Slide 19: Overview of STOP-BSI Program. Peter Pronovost, MD, PhD Available from: http://www.mhaonline.org/File%20Library/Quality/CLABSI/1-Leading-Change-Who-Are-We-Where-Are-We-Going.pdf
Slide 20: The Model. Available from: http://www.hopkinsmedicine.orgSlide 21: Dr. Peter Pronovost. Available from: http://www.ramcampaign.org/pages/images/Dr_Pronovost_large.jpg
24Health IT Workforce Curriculum Version 3.0/Spring 2012
Quality Improvement HIT and Infecting a Patient Safety Culture
Lecture a