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Interim ICU leadership helps decrease infection rates and LOS
A 17-bed ICU of a not-for-profit community hospital was struggling with high length of stay (LOS) and infection rates, staff turnover, and an inability to implement sustainable change .They looked to Philips to provide a long-term interim ICU leader and help reduce LOS and infection rates, implement performance improvement initiatives, improve staff retention.
Improving patient and staff satisfaction, along with ICU performance
A strategic approach with hands-on implementation
Assessment
As the interim ICU Manager, our consultant made immediate progress to increase staff morale and recommended an overall operational assessment of the ICU. All key stakeholders – including ICU staff, leaders, and providers – were interviewed and observed to document observations of processes, patient and staff flow, and areas of concern. Data was analyzed to assess the flow and environment and identify insights for improvement opportunities. The ICU had inconsistent criteria for intensivist consult which contributed to the high LOS.
Based on the assessment as well as national leading practices and evidenced-based literature, a list of prioritized recommendations was created and new unit goals were agreed upon. Next, a process improvement implementation plan with supporting leadership structure was developed. Four assistant supervisors were hired and participated in a weekly training and development program to support the new goals of the unit and the organization. A unit based practice council was established; the first of its kind in the organization. A list of practice issues
Implementation
During the 55-week engagement, several initiatives were implemented including:
Results*
At the end of the engagement, results* included:
In addition, AHRQ (Agency for Healthcare Research and Quality) Patient Safety Survey results specific to the ICU included:
Improving patient and staff satisfaction, along with ICU performance
* Results are rates measured prior to this engagement compared to rates measured at the end or after the engagement was completed. Results from case studies are not predictive of results in other cases. Results in other cases may vary.
1 The Joint Commission Hand Hygiene
TheraWORX is a copyright of Avadim Technologies, Inc.
Meet our team
Ryan Oglesby, PhD, MHA, RN, CEN, CFRN, NEA-BC Principal and ED Assessments Lead
Ryan brings 20+ years of clinical and administrative experience in pre-hospital, emergency, trauma, and critical care settings. He has helped clients reduce ED patient walkout and door-to-triage rates while improving patient experience.
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