2/2/2010. Page 1. Page 2
|
|
|
- Lorin Fleming
- 6 years ago
- Views:
Transcription
1 Chlorhexidine Gluconate Bath and Reduction of Hospital Associated Infections Emory University Hospital Carolyn Holder RN, MN, CCRN, APRN-BC Mary Zellinger RN, MN, CCRN-CSC, CSC, APRN-BC Clinical Nurse Specialists Page 1 80,000 ICU Patients develop CLBSI Page 2 1
2 Name Role Name Role CVICU & M ICU Team Carolyn Holder Micah Fisher Clinical Nurse Specialist MICU Medical Director, MICU Patti Berdini Ashley Snyder Lilly Anickat Amy Hanik Alexis MacKenzie Staff Nurse, MICU Mary Zellinger Clinical Nurse Specialist CVICU Toni Ash Caroline Durkee Staff Nurse, CVICU Christine Lallos Medical Director CVICU Connie Bryant Regina Howard Infection Control Nurse Page 3 Aim Statement Decrease hospital associated bloodstream infections by using daily chlorhexidine gluconate baths in ICU patients : By 50% Six months after intervention is implemented: 9/2008 In all CVICU and MICU patients Cost of Bloodstream Infection - $40,000/ea Annual Cost of BSI s /yr X $40,000/ea = $ /yr Page 4 2
3 Page 5 Plan Test of change : Institute chlorhexidine gluconate (CHG ) bath cloths for daily bathing in the cardiovascular and medical ICU s at Emory University Hospital Staff educated March 2008 Start Date: April 1, 2008 Measure: Bloodstream infection rates from central venous catheters and with VRE and MRSA for 6 months prior to the study and for 6 months after the CHG baths implemented. Compliance with daily bath random monitors Page 6 3
4 Chlorhexidine Bath Flow Chart Page 7 Chlorhexidine Bath Fishbone Diagram Page 8 4
5 How did we promote staff awareness and participation in this project? Page 9 Page 10 5
6 Page 11 Page 12 6
7 Change Changes Tested Change: Staff educated on daily bath procedure using CHG bath cloths March 2008 Appropriate warmers provided by manufacturer to provide warm CHG cloths for patient bath Procedure revised with products that are compatible and those that are not compatible with CHG April 2008 Worked with Hospital Purchasing to identify skin products that are compatible with CHG ie lotion Clinical rounds and huddles with staff to discuss challenges with CHG baths Check for documentation of CHG bath in electronic documentation Page 13 Page 14 7
8 Incompatible Products Any other brand name lotion/bath products (ex: Bath and Body Works, Suave, etc) Dial Soap All deodorants Tap Water Page 15 Compatible Products Proshield Ointment Xenaderm Comfort Shield Incontinence Wipes & White Baths Keri Lotion Aquaphor Original Formula Ointment Lubriderm Dry Skin Care Lotion Eucerin Original Lotion Vaseline 100% Pure Petroleum Jelly Alcohol foams or rubs Keri Oil Sween 24 cream Page 16 8
9 Page 17 Daily Bathing with an Antiseptic In an effort to reduce a chance for infection we will be bathing your loved one daily with chlorhexidine which helps to provide a barrier to bacteria. Evidence shows that this is more effective than soap and water! Page 18 9
10 Results: BSI rates decreased from 3.6/1000 patient days to 1/1000 patient days 6 months after implementation of the chlorhexidine bath procedure. The rate of MRSA/VRE colonization was 3.6/1000 patient days prior to the implementation of the chlorhexidine daily baths and was reduced to 1/1000 patient days following implementation. Page 19 Catheter Related Associated Blood Stream Infections After CHG Bath 4A/5A/5G/6G ICU CLABSI Rates Procedure developed group effort Staff huddles CHG daily baths in ICU Rates 4.00 Mean Upper Control Limit Months Page 20 10
11 CVICU & MICU VRE/MRSA Rates A/5A/5GS/6GS VRE/MRSA Rates Combined CHG bath s Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Rate/1000 Pt Days Mean Rate/1000 Pt Days Page 21 Keys to Success & Lessons Learned Compatibility issues with chlorhexidine were extremely challenging for staff and all involved Staff Nurse & Tech/PCA champions are essential to changing a basic procedure ie. daily bathing Sharing data with staff re: costs of bloodstream infections, potential bad outcomes for patient re: LOS and mortality rate extremely helpful for staff buy-in and with staff engagement CMS changes in October 2008 re: non payment for hospital acquired infections was important to share with staff Page 22 11
12 Next Steps We are monitoring compliance with the CHG daily baths by reviewing 30 charts per month to check for documentation of CHG bath: Goal is 90% compliance with daily CHG bath. Expand use of CHG baths at Emory Healthcare: Developed a research proposal to evaluate the effectiveness of using CHG daily baths on BSI rates for general units. Page 23 Thank you!!!!! Page 24 12
New Strategies to Reduce MRSA in ICUs
New Strategies to Reduce MRSA in ICUs Susan Huang, MD MPH Associate Professor, UC Irvine Health Medical Director, Epidemiology & Infection Prevention Division of Infectious Diseases & Health Policy Research
Improvement Initiative for Patient Falls Susan Moffatt-Bruce, B.Sc. (Hon), M.D., Ph.D., FRCS(C), FACS, MBOE, Chief Quality and Patient Safety Officer
Improvement Initiative for Patient Falls Susan Moffatt-Bruce, B.Sc. (Hon), M.D., Ph.D., FRCS(C), FACS, MBOE, Chief Quality and Patient Safety Officer Amy M. Knupp MSN, RN, CNS, CPPS, Director of Nursing
Implementation of an Interprofessional Team to Prevent Inpatient Hypoglycemic Events. September 13, 2016
Implementation of an Interprofessional Team to Prevent Inpatient Hypoglycemic Events September 13, 2016 St Joseph s Health Fast Facts Founded 1869 by Sisters of St. Francis Patient Volumes (2014) Inpatient
An Updated Approach to Colon Cancer Screening and Prevention
An Updated Approach to Colon Cancer Screening and Prevention Kevin Liebovich, MD Director for Quality for Gastrointestinal diseases Advocate Condell Medical Center Colon Cancer Screening and Prevention
Implementing Rapid Response Teams (RRT) National Call September 13, 2007
Implementing Rapid Response Teams (RRT) National Call September 13, 2007 Purpose By the end of this call, participants will have: Heard successes and learnings from Improvement Teams Updated information
The Impact of Clinical Decision Support (CDS) Tools on Catheter Associated Urinary Tract Infections (CAUTI) January 22, 2010.
4 th Annual NDNQI Conference The Impact of Clinical Decision Support (CDS) Tools on Catheter Associated Urinary Tract Infections (CAUTI) January 22, 2010 UPMC St Margaret Bonnie B. Anton, MN RN antonbb@upmc.edu
Quality & Safety Committee Date: 22 June 2016 Agenda item: 4.4
SUMMARY REPORT ABM University Health Board Quality & Safety Committee Date: 22 June 20 Agenda item: 4.4 Subject Prepared by Approved by Infection Prevention & Control Delyth Davies, Head of Nursing, Infection
Pat Quigley,PhD,MPH,ARNP,CRRN,FAAN,FAANP. Associate Director, VISN 8 Patient Safety Center Associate Chief for Nursing Service/Research
Pat Quigley,PhD,MPH,ARNP,CRRN,FAAN,FAANP Associate Director, VISN 8 Patient Safety Center Associate Chief for Nursing Service/Research E-Mail: patricia.quigley@med.va.gov 1 Overview Formulate measurable
End Stage Renal Disease (ESRD) Network Learning and Action Network (LAN) Series: Bloodstream Infection (BSI) Quality Improvement Activity
End Stage Renal Disease (ESRD) Network Learning and Action Network (LAN) Series: Bloodstream Infection (BSI) Quality Improvement Activity October 2, 2018 Note: Computer speakers or headphones are necessary
Dry Needling (DN) Registration
Dry Needling (DN) Registration To register for any of our programs, please complete the enclosed registration form (next page) and mail of fax the form to us. Fees Cost of the DN 1-3 courses is US $895
Epilepsy Care Plan. Name. Date of Birth. Address. Telephone. Example Epilepsy Management Plan. Epilepsy Care Plan date
Appendix 2 Example Epilepsy Management Plan Epilepsy Care Plan Name Date of Birth Address Telephone Epilepsy Care Plan date This care plan is intended to be used as a complete document: non-relevant pages
Statit pimd Client Panel. Guy March, Product Lead, Midas+ Statit
Statit pimd Client Panel Guy March, Product Lead, Midas+ Statit Statit pimd/ppr Statit Software Started ~25 years ago Currently serving 650 hospitals Guy March Working with Statit QC products for over
Dementia Content Report May Produced By The NHS Choices Reporting Team
Dementia Content Report May 2013 Produced By The NHS Choices Reporting Team CH.NHSChoices-Reporting@nhs.net 35.0M 30.0M 25.0M 20.0M 15.0M 10.0M 5.0M 0.0 15.9M Overall Choices Site Visits NHS Choices Policy
Best Products for Skin Antisepsis
Best Products for Skin Antisepsis John M. Boyce, MD J.M. Boyce Consulting, LLC Middletown, CT Disclosures: JMB is a consultant to Diversey, Global Life Technologies Corp and GOJO Industries 1 Antiseptic
Can We Ever Get To Never? Reducing Infec8ons in a Surgical ICU. Wendy L. Wahl, MD, FACS, FCCM October 12, 2010 Michigan TQIP
Can We Ever Get To Never? Reducing Infec8ons in a Surgical ICU Wendy L. Wahl, MD, FACS, FCCM October 12, 2010 Michigan TQIP The Unit 10 ICU beds, 6 floor status beds Trauma, Burns, Emergent General Surgery
Seasonality of influenza activity in Hong Kong and its association with meteorological variations
Seasonality of influenza activity in Hong Kong and its association with meteorological variations Prof. Paul Chan Department of Microbiology The Chinese University of Hong Kong Mr. HY Mok Senior Scientific
Measure Up/Pressure Down Medical Group Success
Measure Up/Pressure Down Medical Group Success Deborah A. Molina, MPA, MBA Manager, Quality Jamie L. Reedy, MD, MPH Medical Director, Population Health Laura Balsamini, Pharm D, BCPS Director, Pharmacy
Reducing CAUTI Rates in MSICU by implementing a CAUTI Bundle
Reducing CAUTI Rates in MSICU by implementing a CAUTI Bundle Organization Name: St. Joseph Medical Center Type: Acute Care Hospital Contact Person: Jackie Galluzzo RN BSN Title: ICP E-Mail: JacquelineGalluzzo@catholichealth.net
The Clinical Significance of Blood Cultures. Presented BY; Cindy Winfrey, MSN, RN, CIC, DON- LTC TM, VA- BC TM
The Clinical Significance of Blood Cultures Presented BY; Cindy Winfrey, MSN, RN, CIC, DON- LTC TM, VA- BC TM OVERVIEW Blood cultures are considered an important laboratory tool used to diagnose serious
Successful Falls Prevention in Aged Persons Mental Health. Reducing the risk and decreasing severity of outcome
Successful Falls Prevention in Aged Persons Mental Health Reducing the risk and decreasing severity of outcome Vahitha Koshy Seema Dua Elda Kimberlee Introduction Unit 3- Acute Aged Mental Health inpatient
Monitoring of Voriconazole levels at University Hospital. Jason Bowling, MD Rachel Rivera, MD
Monitoring of Voriconazole levels at University Hospital Jason Bowling, MD Rachel Rivera, MD Background Voriconazole is a second-generation azole antifungal drug. It is the preferred agent for treatment
Surgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries)
Surgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries) Where we started and where we re going Anjum Khan MBBS MSc CIC Infection Control Professional Department
H A N D H YGIE. The Electronic Hand Hygiene Compliance System You Can Trust to Drive Clinical Outcomes
H THCARE EAL MA NE ER D A E L RKET H A N D H YGIE The Electronic Hand Hygiene Compliance System You Can Trust to Drive Clinical Outcomes Healthcare-Associated Infections GET THE UPPER HAND on MRSA, C.
18 Week 92% Open Pathway Recovery Plan and Backlog Clearance
18 Week 92% Open Pathway Recovery Plan and Backlog Clearance Page 1 of 6 17.05.2012 1.0 Background 18-Week 92% Open Pathway RECOVERY PLAN The Trust has achieved compliance against the admitted and non-admitted
Blood Pressure Management: A Journey in Quality Improvement Phil E. Yphantides, M.D.
Blood Pressure Management: A Journey in Quality Improvement Phil E. Yphantides, M.D. Medical Director, Urgent Care Hypertension and Diabetes Physician Champion Sharp Rees-Stealy Medical Group San Diego,
CCHHSQualityDashboard-DRAFT
CCHHSQualityDashboard-DRAFT9..8 Falswith Injury Pressure Injury(Stage I&IV) Aug-7 Nov-7 Feb-8 May-8 Aug-8 Aug-7 Nov-7 Feb-8 May-8 Aug-8 0 4 9 8 5 5 6 5 HospitalAcquiredConditions 07Q 07Q4 08Q 08Q 0.00
Fall Reduction in the Christus Santa Rosa ACE Unit
Clinical Safety & Effectiveness Cohort # 7 Fall Reduction in the Christus Santa Rosa ACE Unit Educating for Quality Improvement & Patient Safety Project Milestones Milestone Date Team created January 2011
FALL RISK REDUCTION AT THE OTTAWA HOSPITAL WORKING TOGETHER TOWARDS BEST PRACTICE
FALL RISK REDUCTION AT THE OTTAWA HOSPITAL WORKING TOGETHER TOWARDS BEST PRACTICE SENIOR FRIENDLY HOSPITAL SYMPOSIUM TARYN MACKENZIE - ADVANCED PRACTICE NURSE - GMAS & DAY HOSPITAL RGPEO KINDELL TOLMIE
Date : September Permit/License or Registration Application. Permit/License/ Notification/ Registration Description. Remark
Number 1. s 29 Jul 13 N/A Environmental Permit to construct the Passenger Clearance and associated works of the Hong Kong Zhuhai and Macao Bridge Boundary Crossing Facilities EP-353/2009/G 06 Aug 13 N/A
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS.
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS. Acknowledgements This project was fully funded by Center For Disease Control
McLean ebasis plus TM
McLean ebasis plus TM Sample Hospital (0000) Report For Qtr HBIPS Core Measures McLean Hospital 115 Mill Street Belmont, MA 02478 1 2012 Department of Mental Health Services Evaluation Tel: 617-855-3797
Overview of the Radiation Exposure Doses of the Workers at Fukushima Daiichi Nuclear Power Station
Click here for the corrections made < Reference > December 3, 212 Tokyo Electric Power Company Overview of the Radiation Exposure Doses of the Workers at Fukushima Daiichi Nuclear Power Station * As of
INFECTION PREVENTION NEWSLETTER
ST. JAMES HEALTHCARE JULY INFECTION PREVENTION NEWSLETTER Hospital-acquired infections linked to higher readmission rates INSIDE THIS Hospital acquired infections linked to higher readmission rates Key
Palliative Care and Hospice in an Accountable Care Model. Key Strategies to a Successful Integrated Delivery System
Palliative Care and Hospice in an Accountable Care Model Key Strategies to a Successful Integrated Delivery System Monique Reese DNP, ARNP, FNP-C, ACHPN Lori Bishop RN, CHPN Objectives Describe the formation
Dementia Content Report January Produced By The NHS Choices Reporting Team
Dementia Content Report January 2014 Produced By The NHS Choices Reporting Team CH.NHSChoices-Reporting@nhs.net Dementia Dashboard Page 1 Overall Choices Site Visits Tag cloud showing top dental related
Antisepsis Bath and Oral.. Should We Change Practice? DR AZMIN HUDA ABDUL RAHIM
Antisepsis Bath and Oral.. Should We Change Practice? DR AZMIN HUDA ABDUL RAHIM Chlorhexidine Exposure in ICU Chlorhexidine gluconate Long acting topical antiseptic In use since 1954 Water soluble Remains
FGSZ Zrt. from 28 February 2019 till 29 February 2020 AUCTION CALENDAR: YEARLY YEARLY BUNDLED AT CROSS BORDER POINTS
AUCTION CALENDAR: YEARLY YEARLY BUNDLED AT CROSS BORDER POINTS FIRM CAPACITY - First Monday of July 01.06.2019* 01.07.2019 07:00 01.10.2019 04:00 01.10.2020 04:00 2019/2020 01.10.2020 04:00 01.10.2021
Collaborating to Implement Evidence-Based Medicine Tools. The St. John Sepsis Agent and the Interdisciplinary Sepsis Advisor
Collaborating to Implement Evidence-Based Medicine Tools The St. John Sepsis Agent and the Interdisciplinary Sepsis Advisor Learning Objectives Describe an effective implementation strategy for clinical
Insulin Administration Errors in Adult Community Nursing. Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing
Insulin Administration Errors in Adult Community Nursing Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing Organisational Background, Changes and Context Prior to April
Potential disruption from private exchanges and narrow networks. In 2011, less than 10% of companies used High Performing Networks (narrow networks)
1 3 2 Potential disruption from private exchanges and narrow networks. In 2011, less than 10% of companies used High Performing Networks (narrow networks) and in 2014 estimated to be 40%. By 2018, that
Running head: REDUCING HOSPITAL- ACQUIRED INFECTIONS 1
Running head: REDUCING HOSPITAL- ACQUIRED INFECTIONS 1 Reducing Hospital-Acquired Infections Corinne Showalter University of South Florida REDUCING HOSPITAL- ACQUIRED INFECTIONS 2 Abstract Clinical Problem:
Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes
Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes Organisation Name: Ko Awatea, Counties Manukau Health Presenter: Bob Diepeveen HRT 1520 Innovations
Lauren DiBiase, MS, CIC Associate Director Public Health Epidemiologist Hospital Epidemiology UNC Hospitals
Lauren DiBiase, MS, CIC Associate Director Public Health Epidemiologist Hospital Epidemiology UNC Hospitals Statistics Numbers that describe the health of the population The science used to interpret these
Flu Watch. MMWR Week 3: January 14 to January 20, and Deaths. Virologic Surveillance. Influenza-Like Illness Surveillance
Flu Watch MMWR Week 3: January 14 to January 2, 218 All data are provisional and subject to change as more reports are received. Geographic Spread South Carolina reported widespread activity this week.
Cork Integrated Falls Service: New ways of working in specialist, community and continuing care
Cork Integrated Falls Service: New ways of working in specialist, community and continuing care Dr Kieran O Connor & Dr Sheena McHugh, O n b e h a l f o f t h e C o r k I n tegrate d Fa l l s S e r v i
SYSTEMATIC REVIEW. Wensen Chen 1*, Songqin Li 1, Lianhong Li 2*, Xin Wu 3, Weihong Zhang 1. Introduction
SYSTEMATIC REVIEW Effects of daily with chlorhexidine and acquired infection of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: a meta-analysis Wensen Chen 1*, Songqin
Clinical Safety & Effectiveness Cohort 18 Team #8 South Texas Veterans Health Care System Medical Intensive Care Unit Vancomycin De-escalation Project
Clinical Safety & Effectiveness Cohort 18 Team #8 South Texas Veterans Health Care System Medical Intensive Care Unit Vancomycin De-escalation Project DATE 1 The Team Team champion: Marcos I. Restrepo,
CLINICAL SAFETY & EFFECTIVENESS COHORT # 18. Patient/Family Meetings in the ICU with in 48hrs of Admission
CLINICAL SAFETY & EFFECTIVENESS COHORT # 18 Patient/Family Meetings in the ICU with in 48hrs of Admission 1 THE TEAM Division Julieanne Wisloff, BSE, RN, CHPN- Director, Palliative Care Service Shelby
Sustained CAUTI and CLABSI Improvements Using a Bundled Approach
Sustained CAUTI and CLABSI Improvements Using a Bundled Approach Experiences of a Level 1 Trauma Center Angela Booth-Jones, PHD, MS, CIC Director, Infection Prevention 1 2 3 Miami Valley Hospital MVH has
The Geisinger ProvenCare Experience. Heal Teach Discover Serve
The Geisinger ProvenCare Experience Division of Clinical Effectiveness A strong business case for quality Not all appropriate care is rendered Unnecessary care is being provided Compliance with evidence-based
Kansas EMS Naloxone (Narcan) Administration
Kansas EMS Naloxone (Narcan) Administration Executive Summary Kansas Board of Emergency Medical Services August 217 The following pages denote an ongoing trending of naloxone administration by Kansas Emergency
Flu Watch. MMWR Week 4: January 21 to January 27, and Deaths. Virologic Surveillance. Influenza-Like Illness Surveillance
Flu Watch MMWR Week 4: January 21 to January 27, 218 All data are provisional and subject to change as more reports are received. Geographic Spread South Carolina reported widespread activity this week.
TACKLING COPD READMISSIONS. Wendy Presley RN
TACKLING COPD READMISSIONS Wendy Presley RN WHY START WITH COPD? HIGH VOLUME PROBLEM PRONE COSTLY And you just can t resist a challenge Chronic Obstructive Pulmonary Disease (COPD) is a preventable and
Palliative Care and IPOST Hospital Engagement Network June 5, Palliative Care
Palliative Care and IPOST Hospital Engagement Network June 5, 2012 Jim Bell, MD Medical Director St. Luke s Palliative Care and Hospice Palliative Care The interdisciplinary specialty that focuses on improving
Staph Infection Fact Sheet
What is Staphylococcus aureus (staph)? Staphylococcus aureus, often referred to simply as staph, are bacteria commonly carried on the skin or in the nose of healthy people. Approximately 25% to 30% of
Global Fund Approach to Health System Strengthening
Global Fund Approach to Health System Strengthening WHO Expert consultation on positive synergies between health systems and Global Health Initiatives Geneva, 29-30 May 2008 Dr Stefano Lazzari, Director
JOHN GEORGE PAVILION
JOHN GEORGE PAVILION PSYCHIATRIC EMERGENCY SERVICES (PES) CAPACITY ISSUES: Causes and Potential Solutions SYSTEM UPDATE Board of Supervisors Health Committee September 26, 2016 Rebecca Gebhart, Interim
University of Pittsburgh Critical Care Medicine
University of Pittsburgh Critical Care Medicine www.ccm.pitt.edu Intensivist-led Donor Care in the Intensive Care Unit Raghavan Murugan MD, MS, FRCP Assistant Professor Dept. of Critical Care Medicine
Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center
Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center Kaela Momtselidze Health Systems Manager Primary Care Systems American Cancer Society Sheri Frank Director of Corporate
Enhanced Recovery after Surgery
Enhanced Recovery after Surgery AKA ERAS What is Enhanced Recovery (ER)? Paradigm shift in surgery and surgical care of the patient Philosophy of care Perioperative continuum Multidisciplinary Patient
th Medical Group Report Card
2015 366th Medical Group Report Card What is Quality Healthcare? Quality healthcare can be defined as the extent to which patients get the care they need in a manner that most effectively protects or restores
William Osler Health System
William Osler Health System Implementation of a Standardized approach to Delirium Assessment, Prevention & Management Cohort 1: Stephanie Jarvis, CNS, Seniors Health System Kuldeep Chahal, ELS, Hospital
Monitoring Protocol for Clozapine-induced Myocarditis. Copyright 2017, CAMH
1 Monitoring Protocol for Clozapine-induced Myocarditis 1 Agenda Problem Identification / Identification Importance / Importance Baseline Workflow Baseline Workflow Baseline Data Baseline Data Objectives
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE Site C Youth clinic HIV care pathway DAY 1 Test HIV + PIMA point of care CD4 count in in 3-5 days initiation + in session 3 session 4 1 month Youth Club
Stroke Benchmark Presentations
Stroke Benchmark Presentations Lori Merner, Alexandra Marine & General Hospital Bonita Thompson, Huron Perth Healthcare Alliance Linda Dykes & Angela Small Sekeris, Bluewater Health Denise St. Louis, Windsor
March 2012: Next Review September 2012
9.13 Falls Falls, falls related injuries and fear of falling are crucial public health issues for older people. Falls are the most common cause of accidental injury in older people and the most common
North Dakota Board of Pharmacy
North Dakota Board of Pharmacy Updates on Drug Abuse Trends, the PDMP and Medical Marijuana Mark J. Hardy, Pharm D Executive Director Disclosure Statement I have no conflict of interests to report Objectives
Chasing Zero Infections Coaching Call No Catheter = No CAUTI: Reducing Catheter Utilization Feb. 13, 2018
Chasing Zero Infections Coaching Call No Catheter = No CAUTI: Reducing Catheter Utilization Feb. 13, 2018 Agenda Welcome & FHA Mission to Care HIIN Trends and Progress: CAUTI and Device Utilization Cheryl
An Overview of Outbreak Investigations
An Overview of Outbreak Investigations CDR Arjun Srinivasan, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention Is This the Anatomy of an Outbreak? 1 Is This the Anatomy
Quality improvement efforts in Nigerian public health facilities
Quality improvement efforts in Nigerian public health facilities A presentation of FHI Nigeria at the maiden conference of the Society for Quality Healthcare in Nigeria 7 July, 2009 Dr Christoph Hamelmann
Healthcare Associated Infection Report February 2016 data
Healthcare Associated Infection Report February 2016 data Section 1 Board Wide Issues Section 1 of the HAIRT covers Board wide infection prevention and control activity and actions. For reports on individual
National Data Analysis
National Data Analysis Dr Maeve Skelly QI Programme Working Group Member 30 th November 2017 National Data Reporting 2 nd National Data Report released today Data set covers the full training year from
One Palliative Care Annual Report
One 203 Palliative Care Annual Report One In 202, ASCO released a provisional clinical opinion stating that concurrent palliative care should be considered early in the course of advanced or metastatic
5. BIOCHEMICAL COMPOSITION AND FOOD VALUE OF RIBBON FISH L. SAVALA
5. BIOCHEMICAL COMPOSITION AND FOOD VALUE OF RIBBON FISH L. SAVALA During present study, sixty specimens of fresh L. savala ranging from 200 to 600 mm of total length were collected from Baithkol, Majali
The Art of Communicating Geriatric Vital Signs (An Age Friendly Health System Approach)
The Art of Communicating Geriatric Vital Signs (An Age Friendly Health System Approach) Michelle Moccia DNP, ANP-BC, CCRN Program Director, Senior ER St. Mary Mercy Hospital Livonia, MI michelle.moccia@stjoeshealth.org
Influenza A (H1N1)pdm09 in Minnesota Epidemiology
Influenza A (H1N1)pdm09 in Minnesota Epidemiology Infectious Disease Epidemiology, Prevention and Control Division PO Box 64975 St. Paul, MN 55164-0975 Number of Influenza Hospitalizations by Influenza
Alignment Strategies at the JPS Health Network
Improving the Patient Experience Alignment Strategies at the JPS Health Network JPS HEALTH NETWORK 537 bed hospital, Level 1 Trauma Center Tarrant County s Safety Net Hospital 15 primary care clinics 20
FAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)?
FAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)? A: We send letters and/or profiles to PCPs with female members
Winter Holiday Suicide Myth Continues to be Reinforced in Press Annenberg Public Policy Center Study Finds
FOR IMMEDIATE RELEASE DATE: 8 December 2010 CONTACT: Dan Romer, 215-898-6776 (office); 610-202-7315 (cell) Winter Holiday Suicide Myth Continues to be Reinforced in Press Annenberg Public Policy Center
Tri-County Opioid Safety Coalition Data Brief December 2017 Clackamas, Multnomah, and Washington Counties
Medicaid-Funded Alternative Treatment for Back Pain in the Tri-County Region Key Findings The percentage of members with a back pain diagnosis who received an alternative treatment increased from 29% in
South Plains Emergency Medical Services, Inc. P.O. Box Lubbock, Texas 79453
South Plains Emergency Medical Services, Inc. P.O. Box 53597 Lubbock, Texas 79453 June 28, 2017 TO: SPEMS EMS Services SUBJECT: SPEMS PARAMEDIC PROTOCOL VARIANCE With the ongoing medication shortages,
IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE. A Clinical Quality Improvement Program
IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE A Clinical Quality Improvement Program Today: National completion rates for OTP s hover between 11 14% Retention
IHN-CCO DST Final Report and Evaluation
IHN-CCO DST Final Report and Evaluation Breastfeeding Support Services July 2016 to September 2018 Summary: This pilot reduced the barriers new mothers have in being able to successfully breastfeed their
TENA SKINCARE & CLEANSING VERY SPECIAL CARE FOR VERY SPECIAL SKIN
TENA SKINCARE & CLEANSING VERY SPECIAL CARE FOR VERY SPECIAL SKIN 3-in-1 personal skincare saves time for caregivers and promotes patient skin health Mousse combine three personal skincare products in
The Pain of a Fractured Neck of Femur. Ms Fiona Nielsen- Project Lead
The Pain of a Fractured Neck of Femur - Project Lead Our health service 75,000 in-patients 165,000 out-patients 900 beds 6,200 staff 70,000 emergency attendances #NOF Presentations 2010-2011- 262 2011-2012-
From Analytics to Action
From Analytics to Action Overview So, what are we talking about here? How to make incremental changes to your digital content that will result in positive user actions Overview Rooted in the hard sciences
GREENWOOD PUBLIC SCHOOL DISTRICT PHYSICAL EDUCATION
Week 1 2 3 Days Comp/Obj. Aug. 07 11 Introduction Aug. 14 18 Aug. 21 2 C4a. 4 Aug. 29-Sept.1 Sept. -8 (Labor Day Sept.4) 4 6 Sept. 11-1 7 Sept. 18 22 8 Sept. 2 29 9 Oct. 2-6 with Hands FIRST NINE WEEKS
TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY
TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY LUCY GROTHIER Director South London Cardiac and Stroke Network lucy.grothier@slcsn.nhs.uk 27 th May 2011 Gaps in London stroke care GAPS
Stroke Coordinator: ROI. Author: Debbie Roper, RN, MSN (d.r. Stroke) Vice President of Roper Resources, Inc.
Stroke Coordinator: ROI Author: Debbie Roper, RN, MSN (d.r. Stroke) Vice President of Roper Resources, Inc. debbie@roper-resources.com 214-864-8993 Disclosure Debbie Roper is a speaker for: Genentech Activase
Beyond the Basics ImprovingYour Wound Care Knowledge. Berna Goldentyer RN, BSN, CWOCN Kathy Hugen RN, BSN, CWOCN
Beyond the Basics ImprovingYour Wound Care Knowledge Berna Goldentyer RN, BSN, CWOCN Kathy Hugen RN, BSN, CWOCN Projects and Posters These resources were developed by creative VA nurses who had no special
Quit Rates of New York State Smokers
Quit Rates of New York State Smokers Sara M. Abrams, MPH Data Manager NYS Smokers Quitline Sara.Abrams@roswellpark.org September 6, 20 Presentation Outline Basic Quitline Service How Quit Rates are defined
Published by the Pharmaceutical Services Division to provide information for British Columbia s health care providers
Published by the Pharmaceutical Services Division to provide information for British Columbia s health care providers QuickLinks Keeping the Lines Clear... 1 Newsletter Notification Service... 1 Special
Poster Session HRT1317 Innovation Awards November 2013 Brisbane
Poster Session HRT17 Innovation Awards November 20 Brisbane Presenter: Keren Harvey, Clinical Director Rehabilitation and Geriatric Medicine, TPCH Visibility enhancing the Geriatric & Rehabilitation Liaison
New Weapons in the Fight against CRBSI
CDC National and State Healthcare-Associated Infections Progress Report, published March 2014, available athttp://www.cdc.gov/hai/pdfs/progress-report/hai-progress-report.pdf 10/8/2017 Disclosures New
Inpatient Delirium Management: A Quality Improvement Project for Hospitalized Veterans. IIndiana Nursing Summit
Inpatient Delirium Management: A Quality Improvement Project for Hospitalized Veterans IIndiana Nursing Summit November 5, 2018 At the conclusion of this presentation, participants will be able to: Identify
Inpatient Delirium Management: A Quality Improvement Project for Hospitalized Veterans
Inpatient Delirium Management: A Quality Improvement Project for Hospitalized Veterans IIndiana Nursing Summit November 5, 2018 Veteran Health Indiana At the conclusion of this presentation, participants
Healthcare Associated Infection Report. April 2016 data
Healthcare Associated Infection Report Key Healthcare Associated Infection Headlines April 20 data Section 1 Board Wide Issues Section 1 of the HAIRT covers Board wide infection prevention and control
STATISTICAL RELEASE APRIL
Zanzibar Official Statistics Provider REVOLUTIONARY GOVERNMENT OF ZANZIBAR STATISTICAL RELEASE APRIL - 2016 No.44 P.O. Box 2321, Zanzibar Telephone +255 24 223 1869 Fax: +255 24 223 174 2 Email: zanstat@ocgs.go.tz
Salmonellosis Associated with Exposure to Live Animal Slaughter Markets
Salmonellosis Associated with Exposure to Live Animal Slaughter Markets Amy Saupe 1, Carlota Medus 1, Nicole Neeser 2, Ginette Short 1, Joni Scheftel 1, Kirk Smith 1 1 Minnesota Department of Health 2
Data Visualization - Basics
Data Visualization - Basics The Visualization Process ACQUIRE PARSE FILTER MINE REPRESENT REFINE INTERACT Sales Data (US $ in thousands) Region Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Domestic