Human Variables Designing and Positive Abnormality.


66 views
Uploaded on:
Category: Home / Real Estate
Description
Human Elements Designing and Positive Aberrance. to Stop Doctor's facility Obtained Contaminations (HAI) Will Sawyer MD APIC SW Ohio May 13, 2008. Group of onlookers support amid this presentation.
Transcripts
Slide 1

Human Factors Engineering and Positive Deviance to Stop Hospital Acquired Infections (HAI) Will Sawyer MD APIC SW Ohio May 13, 2008

Slide 2

Audience interest amid this presentation Identify 2-3 different HCWs in this room and note how often they “touch” their bodily fluid layers amid this presentation. (Positive Deviance conduct). Conceivable “colonizer” of MRSA.

Slide 3

Objectives 1.Convert you to the act of “Hand Awareness” (Hand cleanliness and Respiratory Etiquette and cross sullying). 2. You comprehend the need for setting up a “culture of safety” in the medicinal services environment. 3. You acknowledge that the extraordinary circumstance of HAI obliges uncommon measures to roll out the improvement to shield both the patient and HCW from irresistible malady (persistent wellbeing shield). 4. To comprehend that is transmission of HAI that is most critical to decreasing HAIs. 5. To comprehend that the Champion Handwasher Hospital Campaign will help your healing center achieve the initial 4 targets.

Slide 4

Who is “Dr.Will” conventional therapeutic part Solo practice Family Medicine, 1986 to show, Cincinnati, Ohio Trihealth Hospital System Patient Safety Committee, 2004-present. Bethesda North Hospital Med. Official Committee, 2000-07. Scaffolds to Excellence: Pay for Performance Program, establishing part, 2003-2005(NCQA, CMMS, GE, Humana et al). Clean Hands Coalition, establishing part and accomplice of CDC, 2003 to display. Henry the Hand Foundation, originator 1999. Henry the Hand Champion Handwasher, creator,1996. Flu Sentinel Network for CDC,member, 2003 to introduce. Ohio Carrier Advisory Committee for Medicare Co-seat, 1994 to introduce. Ohio Medicaid Advisory Committee part 1995-2004. Patient’s Choice, author and President/CEO, 1993-2003, 450 doctor IPA AMA OMSS, delegate, 1999 to 2007.

Slide 5

Who is “Dr.Will” Positive Deviance Strategist Solo practice Family Medicine, 1986 to introduce, Cincinnati, Ohio Bridges to Excellence: Pay for Performance Program, establishing part, 2003-2005(NCQA, CMMS, GE, Humana et al). Clean Hands Coalition, establishing part (organization of CDC, USDA, ASM, SDA, industry and colleges) 2003 to show. Flu Sentinel Network for CDC, one of 100 sites,member, 2003 to exhibit. Hand Awareness presentations: Non Pharmaceutical Approach to Prevent Human Illness and Transmission of Emerging Pathogens; NEHA 2006, NAHEC 2006 and USDA Food Safety Conference, 2006. Human Factors Engineering: Stopping Hospital Acquired Infections, TapRoot(Root Cause Analysis) Conference 2007 Champion Handwasher Hospital Campaign presentations: John Muir Health System 2006 Thompson Health System 2006

Slide 6

A Hospital System can radically lessen HAI by looking in the mirror. Of the 98,000 preventable passings every year 90,000 are because of irresistible illness, as indicated by IOM.

Slide 7

This Tool Kit will help meet the Elements of Performance for JCAHO IC.4.10 1. Mediations are intended to fuse pertinent rules for contamination anticipation and control exercises. Intercessions are executed which incorporate the accompanying (EPs 2 and 3): 2. A clinic wide hand cleanliness program that conforms to current CDC hand cleanliness rules (National Patient Safety Goal 7, necessity 7a.) 3. Systems to decrease the dangers connected with techniques, therapeutic gear, and medicinal gadgets, including the accompanying: Appropriate stockpiling, cleaning, cleansing, sanitization, and/or transfer of supplies and hardware.

Slide 8

The Tool Kit meets the National Patient Safety Goal 7 Reduce the danger of human services related contaminations. Necessity 7A: Comply with current CDC hand cleanliness rules. note: This prerequisite is scored at standard at IC.4.10,EP 2. Necessity 7B: Manage as sentinel occasions every single distinguished cas of unexpected demise or real changeless loss of capacity connected with a social insurance related contamination.

Slide 9

The Power of Positive Deviance Solutions right in front of us The Premise: In each group there are sure people whose exceptional practices/practices empower them to discover preferable answers for issues over their neighbors who have entry to the same assets

Slide 10

Let’s admit to the Public that HCWs need to roll out improvements to keep the spread of HAI. As HCWs, we are occupied with a “culture of safety” in the healing center to accomplish a “zero denominator” for HAI.

Slide 11

Evidence-based pharmaceutical and disease anticipation measures can go no where without our capacity to impact chiefs to bolster our endeavors and to convince human services groups to receive safe practices . Denise Murphy RN, BSN, MPH, CIC, VP, Chief Patient Safety and Quality Officer Barnes-Jewish Hospital Washington University Medical Center

Slide 12

Culture of Safety It is just through “genuine communication” and responsibility for ones conduct in the healing center group, that we will cultivate a “culture of safety”, that will help keep the spread of irresistible malady, consequently HAI. A key segment to the Champion Handwasher Hospital Campaign achievement is based upon one’s individual mindfulness and individual responsibility not age, instructive achievements or level of power in the healing facility group.

Slide 13

Human Factors Engineering We have to apply the same proof based solution way to deal with enable HCWs that the Power of Infection Prevention is in their grasp! They basically require more Hand Awareness hone.

Slide 14

Hand Awareness Knowing where your hands are and what they are doing AT ALL TIMES . Deductively expressed it is the incorporation of Hand Hygiene, Respiratory Etiquette and cross-pollution mindfulness in a best practice model.

Slide 15

How New is Hand Awareness? John Snow MD(1854): Broad Street pump handle and Cholera scourge. Ignaz Semmelweis MD (1847): Perinatal mortality lessened by utilizing a weaken chlorine arrangement wash between the mortuary and L&D suite. In spite of the fact that it took 20 years for acknowledgment of both their revelations now portrayed as Positive Deviance. Will Sawyer MD(1999): The 4 Principles of Hand Awareness as essential disease aversion. Let’s not hold up 20 years to acknowledge and miss the chance to anticipate numerous HAIs.

Slide 16

Preventing transmission is a vital piece of MRSA control Entire social insurance related MRSA issue created by spread of a couple clones Preventing far reaching colonization minimizes circling pool of resistance qualities that can add to cycle of expanding multi-drug resistance (e.g. VRSA is likely a result of far reaching colonization with VRE and MRSA) Improving antibiograms assists ease with forcing for expansive range anti-microbial utilize and jelly adequacy of favored antimicrobial specialists Preventing colonization aides forestall diseases Including those that may happen post-release (recently colonized patients have up to 30% danger of contamination in the following year). *Prevention and Control of Healthcare-related MRSA, John Jernigan MD, Division of Healthcare Quality Promotion, CDC and Prevention April 29, 2008.

Slide 17

So what do we have to change today to anticipate HAI? Quit TRANSMITTING by OUR HANDS!!! 1. Rehearse the 4 Principles of Hand Awareness. 2. Stop console and RFID firearm cross sullying amid patient consideration. 3. Uproot neck ties that are bringing on cross defilement. 4. Quit utilizing mobile phones as a part of the middle of patient care that are adding to cross pollution. 5. There will be more recommendations to better architect the patient consideration process.

Slide 18

PD Focus on Practice Rather than Knowledge “It’s simpler to ACT your way into another mindset, than to THINK your way into another method for ACTING”

Slide 19

The 4 Principles of Hand Awareness 1. Wash your hands when they are filthy and before eating. 2. Try not to hack into your hands. 3. Try not to sniffle into your hands. 4. Most importantly, don\'t put your fingers at you, nose or mouth. *Endorsed by the AMA and the AAFP (2001) *referred to as individual thoughts for influenza aversion by CDC, yet not bundled as an incorporated idea.

Slide 20

The 4 Principles of Hand Awareness 1. Wash your hands when they are filthy and before eating. 2. Try not to hack into your hands. 3. Try not to sniffle into your hands. 4. Most importantly, don\'t put your fingers at you, nose or mouth. *Endorsed by the AMA and the AAFP (2001) *referred to as individual thoughts for influenza anticipation by CDC, however not bundled as an incorporated idea.

Slide 21

The 4 Principles of Hand Awareness 1. Wash your hands when they are filthy and before eating. 2. Try not to hack into your hands. 3. Try not to wheeze into your hands. 4. Most importantly, don\'t put your fingers at you, nose or mouth. *Endorsed by the AMA and the AAFP (2001) *referred to as individual thoughts for influenza avoidance by CDC, yet not bundled as an incorporated idea.

Slide 22

The 4 Principles of Hand Awareness 1. Wash your hands when they are grimy and before eating. 2. Try not to hack into your hands. 3. Try not to wheeze into your hands. 4. Most importantly, don\'t put your fingers at you, nose or mouth. *Endorsed by the AMA and the AAFP (2001) *referred to as individual thoughts for influenza counteractive action by CDC, yet not bundled as a coordinated idea.

Slide 23

We ALL know or have known about somebody who went into the

Recommended
View more...