Combined SSI Bundles and ERAS in Colorectal Surgeries
|
|
- Milton Lane
- 5 years ago
- Views:
Transcription
1 Combined SSI Bundles and ERAS in Colorectal Surgeries Joy Lanfranchi BSN, RN, CNOR, CMLSO Richard Bollin Jr. M.D. Kevin Kinzinger M.D. MBA, FACS, FASCRS Joanne Bonnot MSN, RN, BBA, NE-BC Claudia Skinner DNP, RN, CIC, CCRN-K Rita Thompson MSN, RN, CNOR, RN-BC Marysol Cacciata PhD(c), MSN, RN, CCRN-K Sil Kim Mishreki BSN, RN, CNOR, RNFA Amanda McCoy BSN, RN, CNOR Betty Petty BSN, RN, CNOR, CRNFA 1
2 Why an SSI Bundle + ERAS? In FY 16, St. Jude was experiencing an uptick in Colorectal SSI, higher than the National Health and Safety Network (NHSN) Top 25% Standardized Infection Ratio (SIR) of Infection Prevention Department involved Concurrently, the Anesthesia Department had been working to implement an Enhanced Recovery after Surgery (ERAS) for colorectal surgery Improve outcomes 2
3 Colorectal Infections Reviewed Cases Reviewed with Surgeons Multiple organisms, ASA and CDC Wound Class scores, across specialty Caused by anastomotic leak, perforations (existing or postoperative), or unknown All approaches including Robotic, open, and laparoscopic 3
4 Bundle Elements Decision to combine elements of a Universal bundle and modified NYSPFP Colorectal Bundles with ERAS Modified Duke/UVA University version of ERAS Decision team included surgeons, anesthesiologists, nursing, infection prevention, leadership, and other disciplines Initial implementation Perioperative phase higher level of control 4
5 Universal Bundle Supported by several articles including AORN Journal and other research/peer reviewed publications Translatable to all specialties - Universal Piloted in Colorectal surgeries in preparation for rollout to other surgical specialties 5
6 Universal Elements Skin prep with CHG/Alcohol (Chloraprep) or Povidone Iodine/Alcohol Nasal decolonization with 5% povidone iodine Better tolerated, higher compliance, and lower cost than mupirocin Use of antimicrobial-impregnated sutures as available Double gloving by all surgical team members 6
7 Universal Elements Changing sterile outer gloves at specific times Improved post-operative dressing products Antimicrobial-impregnated postoperative dressings if dressing is used, or Negative-pressure wound therapy (NPWT) for incisions/patients that meet specific criteria 7
8 Universal Elements Intraoperative removal of bioburden on surgical instrumentation by surgical scrub assistant using sterile water Discontinue use of triple antibiotic solution for irrigation in colorectal surgeries 8
9 NYSPFP Bundle Elements Modified version of NYS Colorectal Bundle Wound Management- Standardize wound management strategy for all types of colorectal surgeries Standardized Fascia Close Normothermia - maintain core temperature 36 C during the perioperative period 9
10 NYSPFP Bundle Elements Glucose control - maintain blood glucose level between mg/dl Antimicrobial prophylaxis Ertapenem Cipro/Flagyl (if allergic) Increased perioperative oxygenation 10
11 ERAS Elements Lung/Ventilation IV Fluid management Water and Gatorade, PO up to 4 hours prior to scheduled surgical time Use and reversal of neuromuscular agent for all colorectal surgery patients Anesthetic management Sevoflurane or combination with Propofol infusion or TIVA Minimize long-acting narcotics 11
12 ERAS Elements Multimodal analgesia PO or IV Tylenol 1000mg, PO Celebrex 200mg, PO Neurontin 400 (may give 600mg PO for younger more robust patients). 4 Quadrant TAP block/rectus Sheath Block (Ropivicaine) Intrathecal morphine as alternative mg Consider optional: 0.5mg/kg Ketamine 12
13 Implementation Crosswalk determining compatibility Share supporting evidence Requires ownership Staff and physician trust Proactive facilitation Visual management tools Reinforce compliance through audits Monitor and report data 13
14 Order sets in EMR Implementation Hospital and office based Education Office staff patient brochure/surgical instructions Hospital staff Champions Physician- surgeon & anesthesia Nursing Leadership 14
15 Visual Management Tool Property of St. Jude Medical Center, Fullerton, CA 15
16 Visual Management Tool Adapted from Duke University/University of Virginia 16
17 Visual Management Tool ERAS SSI NYSPFP-COLO 17
18 Results 18
19 Lessons Learned Input from stakeholders Provide education before implementation Pilot Flexibility Evaluate compliance by all team members, including the patient Persistence Barriers 19
20 Questions? 20
21 References See attached reference list. 21
Oscar Guillamondegui, MD, MPH, FACS Associate Professor of Surgery Tennessee Surgical Quality Collaborative
Oscar Guillamondegui, MD, MPH, FACS Associate Professor of Surgery Tennessee Surgical Quality Collaborative NSQIP 2014 A Collaborative that has Reduced Surgical Site Infections Tennessee Surgical Quality
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationActionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI)
Actionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI) Executive Summary Checklist In order to establish a program to reduce surgical site infections (SSIs) the following implementation
More informationUsing Evidence to Improve Outcomes for the Surgical Patient: Post-Operative Interventions
Using Evidence to Improve Outcomes for the Surgical Patient: Post-Operative Interventions January 16, 2014 1 A partnership of the Healthcare Association of New York State and the Greater New York Hospital
More informationEnhanced Recovery After Surgery in OB/GYN
Enhanced Recovery After Surgery in OB/GYN Audra Williams, MD Ashley Wright, MD University of Alabama at Birmingham Department of OB/GYN Women s Reproductive Healthcare Division Outline Brief background
More information9/29/2017. Enhanced Recovery After Surgery at the University of Virginia Medical Center. Disclosures. Objectives. None
Enhanced Recovery After Surgery at the University of Virginia Medical Center Bethany Sarosiek, RN, MSN, MPH, CNL University of Virginia Health System Charlottesville, VA ErasRN@virginia.edu Disclosures
More informationEffect of Colon Bundle Implementation in a Community Hospital. Michael Barringer, MD, FACS CHS Cleveland
Effect of Colon Bundle Implementation in a Community Hospital Michael Barringer, MD, FACS CHS Cleveland Doug Hobson, MD, Surgeon Champion Mike Barringer, MD, Surgeon Champion No Disclosures Except for
More informationColorectal Pathway: A Template for the Georgia Surgical Quality Collaborative
Colorectal Pathway: A Template for the Georgia Surgical Quality Collaborative Disclosure Bryant Wilson, MD Relevant Financial Relationships: I have no actual or potential conflict of interest in relation
More informationOnline Education Modules & Courses Facility Order Form
FACILITY INFORMATION Facility Name: Business Address 1: Business Address 2: City: State/Province: Postal Code: Country: Phone: Health Care System: ADMINISTRATOR/CONTACT INFORMATION First Name: Last Name:
More informationWhich Elements in a Wound Infection Prevention Process are Important? Aaron Chen, BS, Sebastian Perez, MSPH, John Sweeney, MD, Joe Sharma, MD
Which Elements in a Wound Infection Prevention Process are Important? Aaron Chen, BS, Sebastian Perez, MSPH, John Sweeney, MD, Joe Sharma, MD Disclosure Slide No COI and no disclosures. SSI Surgical Site
More informationFEATURE. Back to. A Fresh Look at Asepsis BASICS. Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION
FEATURE Back to A Fresh Look at Asepsis BASICS Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION PATIENT SAFETY A Back to Basics series should start with the principles of asepsis. What does asepsis
More informationWelcome to Baylor Scott & White Hillcrest. A Perioperative Services Orientation
Welcome to Baylor Scott & White Hillcrest A Perioperative Services Orientation What does "Perioperative" mean? When a patient is cared for in the Perioperative setting, they receive care preoperatively,
More information2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction
2014 Partnership in Prevention Award November 21, 2014 12:00-1:00PM EST Introduction Don Wright, MD, MPH Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion) U.S. Department
More informationAHRQ Safety Program for Improving Surgical Care and Recovery. ACS Quality and Safety Conference New York City July 21, 2017
AHRQ Safety Program for Improving Surgical Care and Recovery ACS Quality and Safety Conference New York City July 21, 2017 1 Project goals To measurably improve patient outcomes in five surgical areas
More informationInfection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!
Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent
More informationPerioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery
CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):
More informationWelcome to Scott & White Memorial Hospital. Perioperative Services
Welcome to Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care of patients
More informationOnline Education Modules & Courses Facility Order Form
Online Education Modules & Courses Facility Order Form FACILITY INFORMATION Facility Name: Business Address 1: Business Address 2: City: State/Province: Postal Code: Country: Phone: Health Care System:
More informationTranslating recommendations into practice for surgical site infection prevention. Claire Kilpatrick IPC Global Unit SDS, HIS, WHO HQ
Translating recommendations into practice for surgical site infection prevention Claire Kilpatrick IPC Global Unit SDS, HIS, WHO HQ XXVIII e Congrès National de la Société Française d Hygiène Hospitalière
More informationCanadian Surgical Site Infection Prevention Audit Month
Canadian Surgical Site Infection Prevention Audit Month February 2016 CONTENTS KEY FACTS...3 SSI PREVENTION AUDIT RESULTS...3 BACKGROUND...4 METHODOLOGY...4 Data Scores... 5 How to Interpret the Indicator
More informationEnhancing Recovery After Surgery: Better Teamwork for Better Outcomes 2017
MAYO SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT Enhancing Recovery After Surgery: Better Teamwork for Better Outcomes 2017 Juanita Kious Waugh Auditorium Mayo Clinic Education Center Phoenix, Arizona
More informationTeamwork, Communication, O.R. Safety & SSI Reduction
2011 Infection Prevention Leadership Teamwork, Communication, O.R. Safety & SSI Reduction Teamwork, Communication, O.R. Safety & SSI Reduction 2 Presented by: E. Patchen Dellinger, MD, FACS Professor of
More informationPSI 12 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate Opportunity
MAY 2018 A MESSAGE FROM THE SAINT LUKE S CARE CMO Table of Contents PSI 12 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate Opportunity 1,2 NEW Order Sets & Documents 3 Saint Luke s Care
More informationClinical Standardization
Clinical Standardization Joe Sharma, MD, FACS, FACE Associate Professor of Surgery Director, of Endocrine Surgery Chief Quality Officer Emory University School of Medicine Disclosures Engineer US Navy
More informationHRET HIIN Surgical Site Infection (SSI) Guidance to Prevent Surgical Site Infections in the Era of Unresolved Issues June 29, 2017
HRET HIIN Surgical Site Infection (SSI) Guidance to Prevent Surgical Site Infections in the Era of Unresolved Issues June 29, 2017 1 WELCOME AND INTRODUCTIONS Elizabeth Ross, MPH, Program Manager HRET
More informationPeer Sharing: Strategies for Reducing Surgical Site Infections Related to Colon Procedures June 21, 2018
Peer Sharing: Strategies for Reducing Surgical Site Infections Related to Colon Procedures June 21, 2018 Agenda Welcome & FHA Mission to Care HIIN Overview, Trends and Progress: Surgical Site Infections
More informationSurgical Care Improvement Project
Safer Surgeries: Surgical Care Improvement Project Leslie N. Ray Ph.D., RN Oregon Patient Safety Commission Ruth Medak, MD Acumentra Health What is SCIP? National effort to decrease preventable surgical
More informationEnhanced Recovery After Surgery (ERAS) for Elective Colon Resection Surgery at Vancouver General Hospital. What is Possible?
Enhanced Recovery After Surgery (ERAS) for Elective Colon Resection Surgery at Vancouver General Hospital What is Possible? BC Provincial Collaborative November 25, 2014 Disclosure Statement I do not have
More informationStrategy/Driver Prevention Strategies Action Strategies
I. Hospital executive leadership commitment to prevention of surgical site infections 1. Establish Surgical Site Infection prevention as a strategic priority 2. Develop and implement business/strategic
More informationIntroduction to Perioperative Nursing
C H A P T E R 1 Introduction to Perioperative Nursing LEARNER OBJECTIVES 1. Define the three phases of the surgical experience. 2. Describe the scope of perioperative nursing practice. 3. Discuss application
More informationSSI bundle reduces post-cesarean sections infections by 84% Infection Control Weekly Monitor, May 5, 2010
USE OF BUNDLE TO PREVENT SURGICAL SITE INFECTIONS IN COLORECTAL SURGERY: THE MODEL OF PIEMONTE HOSPITALS Massimiliano Caccetta, Pier Angelo Argentero*, Enzo Carlo Farina**, Silvia Romagnoli, Carla Maria
More informationPerioperative Surgical Home
None Disclosures Debnath Chatterjee, M.D. Associate Professor of Anesthesiology CRASH 2015 - Vail, Colorado 2 Learning Objectives What is the PSH model? Describe the concept of the Perioperative Surgical
More informationImplementing an Enhanced Recovery Program for Surgery. Michael F. McGee, MD, FACS, FASCRS September 21, 2017
Implementing an Enhanced Recovery Program for Surgery Michael F. McGee, MD, FACS, FASCRS September 21, 2017 Continuing Education Disclosures Commercial Support or Sponsorship None Speaker or planner relationships
More information2018 BSI QIA. Kick off Part 1. Annabelle Perez Quality Improvement Director
2018 BSI QIA Kick off Part 1 Annabelle Perez Quality Improvement Director Outline 2018 BSI QIA Overview What does it really mean to follow the CDC Core Interventions Next Steps 2018 BSI QIA Overview BSI
More informationEnhanced Recovery in NSQIP (ERIN): an update on the collaborative. Julie Thacker, LianeFeldman, and Julia Berian ACS NSQIP National Conference 2015
Enhanced Recovery in NSQIP (ERIN): an update on the collaborative Julie Thacker, LianeFeldman, and Julia Berian ACS NSQIP National Conference 2015 No disclosures ERIN, ERAS, and ERP ERIN-Enhanced Recovery
More informationActionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI)
Actionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI) Endorsed by: The trademarks listed above are used with permission of the respective owners. Executive Summary Checklist Postoperative
More informationPennsylvania Hospital Engagement Network Achieving More Together
Pennsylvania Hospital Engagement Network Achieving More Together The analyses upon which this publication is based were in part funded and performed under contract number HHSM-500-2012-00022C, entitled
More informationREGISTERED NURSE FIRST ASSISTANT PROGRAM
March 5-11, 2017 (Sunday - Saturday) REGISTERED NURSE FIRST ASSISTANT PROGRAM An Expanded Practice Course for Operating Room Nurses, Nurse Midwives, and Nurse Practitioners 6 This course offers six semester
More informationQuality Improvement Initiative (QII): 2018 Options
Quality Improvement Implementation, Option A: Increase Surgeon Engagement Outcome Measure: SSI Summary: Surgeon Engagement is essential for the success of quality improvement programs within hospitals.
More informationPost-operative "Fast-Track" pathways for lung resection. Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic
Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic
More informationAlthough surgical site infections (SSIs) occur infrequently. Implementation of a Pediatric Orthopaedic Bundle to Reduce Surgical Site Infections
Implementation of a Pediatric Orthopaedic Bundle to Reduce Surgical Site Infections 1.5 Contact Hours Jan Schriefer James Sanders Julie Michels Kori Wolcott Connor Ruddy Jenna Hanson Surgical site infections
More informationEP20EO Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level.
Exemplary Professional Practice CULTURE OF SAFETY EP20EO Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level. Example B: Provide one example,
More informationTroubleshooting Audio
Welcome Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
More informationJOB DESCRIPTION: SURGICAL TECHNOLOGIST
1507.00. JOB DESCRIPTION: SURGICAL TECHNOLOGIST 1507.01. The Standards & Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 02/01/2014 05/31/2014 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS
ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS 610 X 6.01 610 X 6.02 610 X 6.03 610 X 6.04 610 X 6.05 610 X 6.06 610 X 6.07 610 X 6.08 610
More informationJune 23, Sincerely, Dana Holland Camenae Group, Inc
EXHIBIT OPPORTUNITY Please response no later than September 23, 2017. *To maximize the number of materials in which your organization is included, return this form as soon as possible. June 23, 2017 Dear
More information2/13/2018. Enhanced Recovery after Surgery (ERAS) in Gynecology
Enhanced Recovery after Surgery (ERAS) in Gynecology J. Michael Straughn, Jr., MD Professor, Gynecologic Oncology University of Alabama at Birmingham Outline What is Enhanced Recovery after Surgery (ERAS)?
More informationEnhanced Recovery Implementing Meaningful Change
Enhanced Recovery Implementing Meaningful Change Jeff Simmons MD Associate Professor UAB Department of Anesthesiology and Perioperative Medicine I have no relevant financial relationships to disclose.
More informationTHE AMERICAN BOARD OF ANESTHESIOLOGY
THE AMERICAN BOARD OF ANESTHESIOLOGY 4208 Six Forks Road, Suite 1500 Raleigh, NC 27609-5765 Phone: (866) 999-7501 Fax: (866) 999-7503 Website: www.theaba.org MOCA PART 4: IMPROVEMENT IN MEDICAL PRACTICE
More informationImproving Compliance
Improving Compliance * The following planners, speakers, moderators, and/or panelists of this CME activity have no relevant financial relationships with commercial interests to disclose: Mary B. Johnson
More informationNational Priorities for Improvement:
National Priorities for Improvement: Standardization of Performance Measures, Data Collection, and Analysis Dale W. Bratzler, DO, MPH Principal Clinical Coordinator Oklahoma Foundation Contracting for
More informationPerioperative Services
Welcome to Baylor Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care
More informationENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation
Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT
More informationRecommendation II. Recommendation I. Who s on Your Team? Recommendation III
Infection Prevention In the Surgical Suite Janie Kinsey, RN, CASC Administrator, St. Luke s South Surgery Center President, Kansas Association of Ambulatory Surgery Centers Objectives Recommendation I
More informationSurgical Site Infection Prevention: Guidelines, Recommendations and Best Practice
Surgical Site Infection Prevention: Guidelines, Recommendations and Best Practice Linda Goss BS, MSN, APN-BC, CIC, COHN-S Director, Infection Prevention and Control and Vascular Access Specialist Team
More informationSurgical Site Infection (SSI) Road Map
Surgical Site Infection (SSI) Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality
More informationThe dawn of hospital pay for quality has arrived. Hospitals have been reporting
Value-based purchasing SCIP measures to weigh in Medicare pay starting in 2013 The dawn of hospital pay for quality has arrived. Hospitals have been reporting Surgical Care Improvement Project (SCIP) measures
More informationPrinciples In developing these recommendations the Consensus Panel first established the following principles for anesthesia outcomes capture:
Outcomes of Anesthesia: Core Measures The following Core Measures are the consensus recommendations of the Anesthesia Quality Institute (AQI) and the Multicenter Perioperative Outcomes Group (MPOG). They
More informationChasing Zero Infections Coaching Call Strategies to Reduce Surgical Site Infections March 14, 2018
Chasing Zero Infections Coaching Call Strategies to Reduce Surgical Site Infections March 14, 2018 Agenda Welcome & FHA Mission to Care HIIN Trends and Progress: Surgical Site Infections Cheryl Love, RN,
More informationRN FIRST ASSISTANT (RNFA) CERTIFICATE PROGRAM STUDENT/PRECEPTOR/FACULTY GUIDE
RN FIRST ASSISTANT (RNFA) CERTIFICATE PROGRAM STUDENT/PRECEPTOR/FACULTY GUIDE 2017-2018 1 Table of Contents College of Nursing Mission Statement:... 4 To prepare exceptional nurse leaders to meet the health
More information1/10/2012. Objectives. Normothermia as a SSI Reduction Tool. Disclosure. Darin Prescott, MSN, MBA, RN,BC, CNOR, CASC
Normothermia as a SSI Reduction Tool Darin Prescott, MSN, MBA, RN,BC, CNOR, CASC Disclosure Arizant Healthcare Inc., a 3M company Objectives Describe the impact of hypothermia on perioperative patient
More informationEmpire BlueCross BlueShield Professional Commercial Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 10/01/2016 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed below.
More informationBeth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.
Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard
More informationTeamwork, Communication, Briefing, Checklists, & O.R. Safety
Teamwork, Communication, Briefing, Checklists, & O.R. Safety E. Patchen Dellinger, MD, FACS Professor of Surgery, Chief of General Surgery, Chief of Staff, University of Washington Medical Center (UWMC),
More informationColorectal SSI Reduction and Collaboration with the Center for Transforming Healthcare
Colorectal SSI Reduction and Collaboration with the Center for Transforming Healthcare Lessons I Learned Robert R. Cima, MD 2012 ACS NSQIP National Conference July 22-24, 2012 2011 MFMER slide-1 Mayo Clinic,
More informationCreating Clinical Pathways
Creating Clinical Pathways Michael Stifelman, MD Professor and Chairman of Urology Director, Urologic Oncology & Courtney DiBona, MSN, RN-BC Nurse Manager: Urology Why create clinical pathways? Institute
More informationQUALITY NET REPORTING
5/18/15% A webinar series that keeps you in the know Brought to you by Progressive QUALITY NET REPORTING Sarah Martin, MBA, RN, CASC Progressive Huddle May 18, 2015 ASCQR ASC Quality Reporting started
More informationPre-Procedure/Surgical Instructions for Adults
Pre-Procedure/Surgical Instructions for Adults Thank you for choosing Edward Hospital for your health care needs. Our goal is to be your partner to ensure that you will have a very good experience. Preparing
More informationGoals and Objectives University of Minnesota Department of Anesthesiology Senior Resident Supervising Rotation
UM Anesthesiology Page 1 June, 2007 Introduction Goals and Objectives University of Minnesota Department of Anesthesiology Senior Resident Supervising Rotation The ABA defines the attributes of consultant
More informationAnthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy
Subject: Global Surgery IN, KY, MO, OH, WI Policy: 0012 Effective: 01/01/2018 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationThe Joint Commission and Cleveland Clinic Reducing Colorectal Surgical Site Infections
The Joint Commission and Cleveland Clinic Reducing Colorectal Surgical Site Infections Cleveland Clinic Experience for NSQIP Conference Guido Bergomi 26 July, 2014 Mission Dr. Frank E. Bunts Dr. George
More informationImpact of Regional Anesthesia on Quality, Cost and Patient Satisfaction: Minor Changes, Immediate Impact. April 26, :15 p.m.
Impact of Regional Anesthesia on Quality, Cost and Patient Satisfaction: Minor Changes, Immediate Impact April 26, 2011 2:15 p.m. EST Hugh Morgan Director, Quality Assurance John LaFratta Corporate Training
More informationNON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM Accreditation Standards. Overnight Stay
NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM INTRODUCTION Overnight stay is considered a post-anesthesia level of
More informationUniversity of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the
More informationQUESTIONS PERTINENT TO PRODUCT SELECTION:
QUESTIONS PERTINENT TO PRODUCT SELECTION: Impact on patient outcomes Impact on patient/staff safety Economic considerations Use the following pages to help facilitate discussion with vendors, write your
More informationPerioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and
Perioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and training of team members in an effort to deliver safe, competent
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
More informationCLINICAL PATHWAY. Surgical Services. Recurring Ventral Hernia
CLINICAL PATHWAY Surgical Services Recurring Ventral Hernia Recurring Ventral Hernia Table of Contents (tap to jump to page) INTRODUCTION 1 Scope of this Pathway 1 Pathway Contacts 1 CLINICAL PATHWAY 3
More informationG: Surgical. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67
G: Surgical College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67 Major Competency Area: G Surgical Competency: G-1 Surgical Nursing Date: June 1, 2015 G-1-1 G-1-2 G-1-3
More informationThe Patient Protection and Affordable Care Act of 2010
INVITED COMMENTARY Laying a Foundation for Success in the Medicare Hospital Value-Based Purchasing Program Steve Lawler, Brian Floyd The Centers for Medicare & Medicaid Services (CMS) is seeking to transform
More informationOrganizational Culture Change Results in Improvement in Outcomes, Value and Experience. Elizabeth C. Wick, M.D.
Organizational Culture Change Results in Improvement in Outcomes, Value and Experience Elizabeth C. Wick, M.D. Objectives To describe the burden and complexity of surgical site infections To outline the
More informationSharps Injury Prevention in the Intraoperative Setting
Sharps Injury Prevention in the Intraoperative Setting Describe recommended safe practices for cleaning instrumentation. Objectives Describe methods to reduce sharps injury to the health care team. Describe
More informationInstitutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
More informationUniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Global Surgery Policy #: UniCare 0012 Adopted: 07/15/2008 Effective: 08/01/2017 Coverage is subject to the terms, conditions, and limitations of an individual
More informationLANCASTER GENERAL HEALTH
Lori Abel RN, M.Ed. NO DISCLOSURES Penn Medicine Lancaster General Health LANCASTER GENERAL HEALTH Integrated Health System serving Lancaster Pennsylvania with a regional population ~1 million 631 licensed
More informationEnhanced recovery after surgery: the role of the PACU & Pre-op
Enhanced recovery after surgery: the role of the PACU & Pre-op Magnus K. Teig BSc (Hons.) MBChB MRCP FRCA EDIC FFICM Assistant Professor Anesthesia & Neurosurgery Director UH PACU University of Michigan
More informationPreventing Surgical Site Infections: Implementing a Multidisciplinary Evidence-Based Strategy
Preventing Surgical Site Infections: Implementing a Multidisciplinary Evidence-Based Strategy Cindy Kildgore, RN, BSN, MSHA, CNOR Perioperative Services VOR Director Vanderbilt University Medical Center,
More informationCenters for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions
Centers for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions You have agreed to help the Network by doing a very important Hand Hygiene Audit. We thank you for
More informationManagement of Central Venous Access Devices. Institute for Healthcare Improvement (IHI)
Management of Central Venous Access Devices Institute for Healthcare Improvement (IHI) Purpose The purpose of this e-learning module is to help educate patient care providers on the Institute for Healthcare
More informationWillamette Valley Medical Center Carla Galbraith RN, BSN, CIC Manager Patient Safety/Infection Control November 1, 2013
Willamette Valley Medical Center Carla Galbraith RN, BSN, CIC Manager Patient Safety/Infection Control November 1, 2013 About Us Willamette Valley Medical Center McMinnville, Oregon Acute Care Facility
More informationNew Hampshire Healthcare-Associated Infections Program Annual NHSN Workshop: February 22, 2017 Using Quarterly/Annual Reports
New Hampshire Healthcare-Associated Infections Program Annual NHSN Workshop: February 22, 2017 Using Quarterly/Annual Reports Yvette Perron, MPH HAI Surveillance Coordinator Infectious Disease Surveillance
More informationImplementation of Surgical Safety Checklist
Implementation of Surgical Safety Checklist The World Health Organisation has identified through consultation with surgeons, anaesthetists and nurses a checklist of critical steps that are common to all
More informationSAMPLE Perioperative Self-Assessment Questionnaire
SAMPLE Perioperative Self-Assessment Questionnaire Hospital Name: Person Completing the Assessment: Date: I. Executive Leadership Yes No 1. Do executive leaders have a defined mode of regular communication
More informationYour facility is having a baby boom. The number of cesarean births is
Clinical management Ensuring a comparable standard of care for cesarean deliveries Your facility is having a baby boom. The number of cesarean births is exceeding the obstetrical unit s capacity. Administrators
More informationClass of 2016 DNP Projects. NorthShore University HealthSystem School of Nurse Anesthesia & DePaul University School of Nursing 2016 DNP Projects
NorthShore University HealthSystem School of Nurse Anesthesia & DePaul University School of Nursing 2016 DNP Projects 1 1. BETTY MESTOUSIS MSN, RN & MINNIE ZHOU BSN, RN Anesthesia Cost Awareness Project:
More informationStudent Protocol for the Operating Room. Vangie Dennis, RN, CNOR, CMLSO
Student Protocol for the Operating Room Vangie Dennis, RN, CNOR, CMLSO Objectives To observe and gain an understanding of the patient s surgical process experience. To have an understanding of the surgical
More informationEHR Enablement for Data Capture
EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy
More informationReducing Surgical Site Infections in Colon Surgery Patients
Reducing Surgical Site Infections in Colon Surgery Patients Mercy Health St. Elizabeth Boardman Hospital A Catholic healthcare ministry serving Ohio and Kentucky Mercy Health St. Elizabeth Boardman Hospital
More informationChinwe Nwosu, GE/NMF Scholar Supervisor: Dr. Stephen Ttendo, Senior Lecturer/ Head of Department of Anesthesia
Chinwe Nwosu, GE/NMF Scholar Supervisor: Dr. Stephen Ttendo, Senior Lecturer/ Head of Department of Anesthesia According to the Uganda Ministry of Health 2010 Clinical Guidelines Read the notes/ medical
More information