unit 9a: the bsi story hit infecting a patient safety culture this material was developed by johns...

Unit 9a: The BSI Story

HIT Infecting a Patient Safety Culture

This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013.

At the end of this segment, the student will be able to:

• Apply QI tools to the analysis of HIT errors

Objectives

Component 12/Unit 9 2Health IT Workforce Curriculum

Version 2.0/Spring 2011

Peter Pronovost



Image Source: 2005 Crosskeys Media®



Peter Pronovost


Key Topics





Apollo Mission

Image Source: MS Clipart

Apollo Mission




HIT





National Health Care Quality

Image Source: AHRQ.gov

BSI Checklist

• Wash your hands

• Clean you skin with Chlorhexidine

• Avoid placing catheters in the groin

• Use full barrier precautions

• Ask every day if you still need the catheter.




Science of SafetyStandardize Care




Science of SafetyIndependent Checks




Science of Safety




Doctors






At Hopkins


[insert picture of surgical team operating]



Speaking Up




Magic Wand

Image Sources: MS Clipart



Science of SafetyLearn from Every Defect




Checklist

http://www.hopkinsmedicine.org



Emergency Room




Rates


The BSI Story






Michigan




The U.S.




The Model




OR




Toyota


Summary

• Despite massive efforts, quality & safety have not significantly improved

• It takes teamwork and cooperation

• National efforts to improve central line BSI rates have been hugely successful.

• Standardization, independent checks, and learning from every defect are keys to success.



unit 9a: the bsi story hit infecting a patient safety culture this material was developed by johns...

Documents

workforce curriculum

ms clipartcomponent

department of health

health information technology

ratesimage source

hopkinsimage source

defectimage source

apollo missionimage