Implementation Science and Research
30/30 Education Session - 30 minutes
Sustaining improvement through standardized work is essential to a healthcare system’s success. Standardization ensures operational consistency while providing staff with the opportunity to enhance patient-centric care that is focused on promoting safety, reducing harm, and improving outcomes. This session will discuss the concept of the promise package (PP) tool developed to promote a high-reliability culture in the case study health system. This one-stop solution is a comprehensive resource containing policy and procedures, educational materials, performance tracking, alternatives for treatment, and potential barriers for staff.
Prior to the development of the PP, the organization experienced localized but unsustainable improvement, prompting the creation of methodology to improve system-wide sustainability and reduce errors/waste. The CAUTI Prevention PP, the first of its kind in this system, launched in September 2016. Post-implementation, the system saw a statistically significant improvement in the completion of the CAUTI maintenance bundle and a decrease in catheter utilization. Most notably, the organization saw a 50% reduction in CAUTIs events in a 6-month period, showcasing the intervention’s incredible success. Usage of the PP, in conjunction with staff accountability and engagement, generates a collaborative environment where clinical staff, management, and quality improvement staff, which includes IPC, work together to improve patient outcomes.
The rapid success of the PP was a breakthrough in standardizing operations in the system; this model exemplifies the organization’s commitment to achieving zero harm in HAIs and creating a culture of safety and reliability. Additionally, the CAUTI Prevention PP has sustained a positive impact on patients’ outcomes. A 52% reduction in CAUTIs was observed in the first fiscal year (20 CAUTIs compared to 42) and in the latest fiscal year, an additional 55% reduction was noted—only 9 total CAUTIs within a large healthcare system.
Participants will learn how to implement a CAUTI Prevention PP in their organization to improve patient safety and get a toolkit comprised of goals, bundles, policies, procedures, education, and dashboard to facilitate improvement.