Surgical Care Improvement Project (SCIP)
Dale W. Bratzler, DO, MPH
Medical Director
Hospital Interventions Quality Improvement Organiztion Support Center
Hospital Qualitly of Care Measures Special Study
Oklahoma Foundation for Medical Qualilty
Overview
This specific presentation on the Surgical Care Improvement Project (SCIP) will benefit physicians and infection control specialists seeking guidance on the current status of SCIP initiatives. Dale W. Bratzler, DO, MPH, a nationally and internationally recognized expert on healthcare quality improvement and patient safety, addresses prophylactic antibiotic issues, performance measures for surgical infection prevention, and public accountability programs to increase the quality of healthcare for surgical patients.
Bundle of Joy Evidence Based Prevention of
BSIs: Mulit Center Successes
Carlene A. Muto, MD, MS
Medical Director of Infection Control and Hospital Epidemiology
University of Pittsburgh Medical Center (UPMC), Presbyterian
Medical Director for Infection Control
Center for Quality Improvement and Innovation
UPMC Health System
Overview
This specific presentation on Evidence-based Prevention of Blood Stream Infections (BSIs) will benefit physicians and infection control specialists seeking a model for preventing BSIs within their health care institutions. Carlene A. Muto, MD, MS, Medical Director for Infection Control at the University of Pittsburgh Medical Center (UPMC) Health System, led the movement at her multi-center health system for seeking zero tolerance in preventing blood stream infections. Her presentation will address the catheter insertion practices employed and the organizational changes required to achieve the ultimate goal of prevention of hospital acquired central line associated BSIs among patients in ICUs. The importance of standardized practices, definitions,, surveillance protocols and measurements will be outlined. The role of three essential components of successful organizational change will be emphasized.
Exploring Sugical Site Infections
Overview
The morbidity associated with postoperative surgical site infections (SSI) are a serious problem for patients, surgeons, and hospital systems. The initial focus will address the epidemiology, definitions, and microbiology and pathogenesis of SSIs. Patient-related and operation-related factors that are known to increase the risk of infection will be described. Various perioperative infection prevention strategies related to the patient, surgical environment, and surgical team will be explored. Some of the national performance measures for patient safety such as administration of prophylactic antibiotics, control of hyperglycemia, and prevention of hypothermia will be features as examples of quality of care improvements.
Ventilator-Associated Pneumonia:
Prevention and Diagnosis
Overview
Ventilator-associated pneumonia (VAP) is a significant clinical infection, affecting up to one-third of patients requiring mechanical ventilation, and is asscoaited with significant attributable morbidity and mortality. The initial focus of this continuing medical edcuation activity will address the definitions, pathogenesis, and symptoms of VAP. The risk factors for VAP incldu8ing endotracheal tube intubation, patient-related risk factors, and other treatment and personanel issues will be explored. Various prevention principles related to staff education, colonization reduction and aspiration reduction will be discussed. Both clinical and bacteriologic strategies for diagnosis will focus on accuracy and lower respiratory tract culture collection. The importance of appropriate and timely initial antibiotic therapy for VAP managment will also be highlighted.
Strategies to Prevent and Control
Multi Drug-Resistant Organisms
Arjun Srinivasan, MD
Lieutenant Commander
United States Public Health Services
Team Lead, Response Team
Division of Healthcare Quality Promotion
Centers for Disease Control and Prevention
Atlanta, Georgia
Overview
This self-study activity is one presentation from a live conference that was recorded on December 5-6, 2007 in Roswell, Georgia. This specific presentation on Strategies to Prevent and Control Multidrug-Resistant Organisms (MDROs) will benefit physicians, perioperative registered nurses, and infection control specialists involved in the prevention, management, and treatment of diseases caused by microorganisms that are resistant to antimicrobial agents. Arjun Srinivasan, MD will provide an exceptional overview of the following MDRO challenges: emergence and transmission of MDROs; control and management of MDROs, and strategies to reduce transmission of MDROs. The purpose of this activity is to focus attention on the growing challenge of MDROs in healthcare and the importance of reducing transmission of MDROs.
How New Technologies and Practices
Will Impact Patient Safety
LInda K. Groah, RN, MSN, CNOR, CNAA, FAAN
Executive Director/CEO
Association of periOperative Registered Nurses
Denver, Colorado
Overview
This self-study activity is one presentation from a live conference that was recorded on December 5-6, 2007 in Roswell, Georgia. This specific presentation on How New Technologies and Practices Will Impact Patient Safety will benefit physicians, perioperative registered nurses, and other healthcare professionals seeking an update on the application of information technology advances that can improve personnel performance and directly impact patient care. Linda K. Groah, RN, MSN, CNOR, CNAA, FAAN, the Executive Director and CEO of the Association of periOperative Registered Nurses delivers a comprehensive presentation on incorporating information technology that can shift priorities from financial management to optimizing clinical and operational performance creating a safer patient environment. Ms. Groah initially addresses the driving forces for patient safety in the future and focuses on the role of information technology as it applies to electronic medical records, (EMR), computerized provider order entry, robotic automation, telemedicine, integrated medical devices, bar coding, radiofrequency identification systems, and new facility construction. The purpose of this educational activity is to present the future benefits of information technology that improve patient safety and quality of care and increase efficiencies.
