2.50
Hdl Handle:
http://hdl.handle.net/10755/182151
Category:
Abstract
Type:
Presentation
Title:
A Magnet Center's Approach to Improving Cardiac Surgery Outcomes
Author(s):
Duffy, Susan
Author Details:
Susan Duffy, MBA/HCM, BSN, CPHQ, Quality Consultant for Heart and Vascular Services, Scottsdale Healthcare, Mesa, Arizona, USA, email: sduffy@shc.org
Abstract:
Podium presentation, ANCC National Magnet Conference: BACKGROUND: In 2005, a review of Society of Thoracic Surgery (STS) outcomes data noted 4% deep sternal wound infection (DSWI) rate. With over 570 facilities reporting, this equated to a 0.05 percentile ranking for DSWI. This created a priority to improve all Cardiac Surgery outcomes. METHODS: A group, titled STS Task Force, was created. Members included: Environmental Services, Pharmacy, Nursing, Leadership, Quality, Physicians, CVOR, Infection Control, Respiratory, Laboratory and SHC Endocrinology. Brainstorming and review of outliers was used to identify potential issues and gaps in care. Research was conducted regarding Evidence-Based Practice in both healthcare and in other industries. Multiple methods were used to standardized care from pre-admit to post discharge. Plan-Do-Study-Act was used to do quarterly evaluations of change. RESULTS: The identified issues were addressed and outcomes monitored quarterly. Improvements included Standardized order sets which start surgeon offices; standardized checklists for nursing, respiratory, EVS, and the CVOR; development of an Insulin Protocol that starts pre-op; agility in turn around to order set updates. The initial 4% CABG DSWI rate was decreased to approximately 1% over the following year. As the process continued to be refined we were able to take our DSWI to 0%. We also were given a state quality award for our process in care of the cardiac surgery patient. CONCLUSION: The STS Task Force concluded a standardized approach to patient care and improved glycemic control has resulted in zero DSWI for the past 30 months.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Magnet Center's Approach to Improving Cardiac Surgery Outcomesen_GB
dc.contributor.authorDuffy, Susanen_US
dc.author.detailsSusan Duffy, MBA/HCM, BSN, CPHQ, Quality Consultant for Heart and Vascular Services, Scottsdale Healthcare, Mesa, Arizona, USA, email: sduffy@shc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182151-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: BACKGROUND: In 2005, a review of Society of Thoracic Surgery (STS) outcomes data noted 4% deep sternal wound infection (DSWI) rate. With over 570 facilities reporting, this equated to a 0.05 percentile ranking for DSWI. This created a priority to improve all Cardiac Surgery outcomes. METHODS: A group, titled STS Task Force, was created. Members included: Environmental Services, Pharmacy, Nursing, Leadership, Quality, Physicians, CVOR, Infection Control, Respiratory, Laboratory and SHC Endocrinology. Brainstorming and review of outliers was used to identify potential issues and gaps in care. Research was conducted regarding Evidence-Based Practice in both healthcare and in other industries. Multiple methods were used to standardized care from pre-admit to post discharge. Plan-Do-Study-Act was used to do quarterly evaluations of change. RESULTS: The identified issues were addressed and outcomes monitored quarterly. Improvements included Standardized order sets which start surgeon offices; standardized checklists for nursing, respiratory, EVS, and the CVOR; development of an Insulin Protocol that starts pre-op; agility in turn around to order set updates. The initial 4% CABG DSWI rate was decreased to approximately 1% over the following year. As the process continued to be refined we were able to take our DSWI to 0%. We also were given a state quality award for our process in care of the cardiac surgery patient. CONCLUSION: The STS Task Force concluded a standardized approach to patient care and improved glycemic control has resulted in zero DSWI for the past 30 months.en_GB
dc.date.available2011-10-28T15:11:25Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:11:25Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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