National Program: Infecciones Zero
About 3M Health Care
3M Health Care, one of 3M’s six major business segments, provides world-class innovative products and services to help healthcare professionals improve the practice, delivery and outcome of patient care in medical, oral care, drug delivery, food safety and health information markets. Learn more at http://go.3M.com/C3SD_SlideShare
Published on: Mar 3, 2016
Transcripts - National Program: Infecciones Zero
National Program: “Infecciones Zero” INSTITUTO NACIONAL DE SALUD DEL NIÑO (National Children´s Institute) Peru David Halfin,MD July, 2010 y,
The Issue • Peru has a National Government Initiative called: “INFECCIONES ZERO” (Zero Infections) • This Program involves 11 ICUs in 5 Hospitals (public) and 1 Clinic (private) • Dr Peter Prono ost visited Lima t o years ago and introd ce Dr. Pronovost isited two ears introduce the Bundle concept into the Peruvian Ministry of Health • We identified that CLABSI are a critical issue working directly with the Infection Control Department • Th goall d fi d b th h it l The defined by the hospital was to achieve zero CLABSIs
Zero Infection Program
The Intervention• Implementation of IV Central Line Bundle Concept• E h and every patient will receive th same iinterventions Each d ti t ill i the t ti (IV Bundle) for the insertion and supervision of a central line device• The intervention included changes in the process and the technology (products) used• Hospital Director, ICU staff, Infection Control Professional and 3M technicall staff were involved t h i t ff i l d
The ResultsThe results of the changes we implemented at the ICU were: 1. I.V. Care Unit specially designed and donated by 3M 2. Hand hygiene with AvagardTM CHG 3. Skin Prep with DuraprepTM 4. 4 The use of NSBF CavilonTM 5. IV cover dressings: TegadermTM & TegadermTM I.V.
Engaging Others g g g • Local opinion leaders, “champions” at the hospital and 3M Professional Service drove the process • We got complete management support in all the process • Minister of Health and all the hospital personnel were totally engaged. No problem whatsoever.
Greatest Learnings / Largest Challenges g g g • B ildi t t with th G Building trust ith the Government was th main iissue t the i • Obstacles will dissipate when you work hand by hand with them • High impact in future projects. The foundation for a continuous and strong interaction was set. Now, we are working with three more hospitals in the same process and interventions.
Your Best Advice• Always be aware of National Government issues and initiatives• Get involved as soon as possible• Build trust with the Government authorities• Bring solutions with evidence-based practice• Always be there for them• Be creative. In this case, we donated a supply cart to the ICU that gave us the opportunity to participate with the 3M solutions in the implementation of the National program
Sustaining Change g g • Results are measured monthly •W h We have access t th iinformation, b to the f ti because we are part of the process • Monthly visits are very important. We need to be there, always getting their feedback and exploring new opportunities
YEAR: 2010 BSI: Blood Stream Infection Months Central Venous Catheter Number of BSI Number of patients p Rate of CVC infection Number of CVC days CVC-days associated with under surveillance per 1000 catheter-day the CVC a b b/a x 1000Jan 148 18 2 14Feb 175 27 3 17Mar 152 21 1 7Apr 212 20 0 0 yMay 162 15 1 6Jun 93 13 1 11Jul 218 24 0 0Aug 173 24 0 0Sep 134 16 0 0Oct 89 12 1 11Nov 150 23 0 0Dec 115 10 1 9 1821 223 10 5
Year 2011 Central Venous Catheter (CVC) Number of BSI Number of patients Rate of CVC infection Months Number of CVC-days associated with the under surveillance per 1000 catheter-day CVCJan 234 22 0 0.0Feb 240 24 0 0.0Mar 150 23 0 0.0 - - - TOTAL