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    This document summarizes the aims, methods, and results of a quality improvement collaborative conducted across 14 public sector ICUs over 56 weeks to address challenges during the COVID-19 pandemic. The aims were to achieve 90% compliance with objectives related to PPE use, patient flow, emotional support for professionals, and patient safety. The method involved a 6-week pre-intervention baseline period and 50-week intervention period. Results showed improvements over time in PPE usage rates, completion of daily checklist goals, and reductions in causes of improper PPE use.

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    ICRA 10

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    This document summarizes the aims, methods, and results of a quality improvement collaborative conducted across 14 public sector ICUs over 56 weeks to address challenges during the COVID-19 pandemic. The aims were to achieve 90% compliance with objectives related to PPE use, patient flow, emotional support for professionals, and patient safety. The method involved a 6-week pre-intervention baseline period and 50-week intervention period. Results showed improvements over time in PPE usage rates, completion of daily checklist goals, and reductions in causes of improper PPE use.

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    © All Rights Reserved
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    5 views6 pages

    Icra 10

    Uploaded by

    tanna dixit
    This document summarizes the aims, methods, and results of a quality improvement collaborative conducted across 14 public sector ICUs over 56 weeks to address challenges during the COVID-19 pandemic. The aims were to achieve 90% compliance with objectives related to PPE use, patient flow, emotional support for professionals, and patient safety. The method involved a 6-week pre-intervention baseline period and 50-week intervention period. Results showed improvements over time in PPE usage rates, completion of daily checklist goals, and reductions in causes of improper PPE use.

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    of 6

    5C: Site distribution

    3
    2
    1
    Aims

    • Achieve adequate use of PPE in 90% of encounters


    with the patient,

    To support ICUs • Achieve 90% compliance with objectives related to


    during the patient flow,
    Pandemic • Provide 90% of professionals with emotional support
    tools.
    • Maintain a 90% performance in patient safety
    indicators.
    Methods
    • We develop a quality improvement collaborative in 14 public sector
    ICUs
    • Design: interrupted, uncontrolled time series
    • Over a period of 56 weeks:
    • 6-week pre-intervention period (baseline measurement)
    • 50 week intervention period (intervention)

    Garcia-Elorrio, E. et al. (2019)


    Jandoc, R. et al. (2015)
    Wilson, T., Berwick, D. M. and Cleary, P. D. (2003)
    40
    PPE Usage
    100.0% Intervención 35,000

    90.0%
    30,000
    80.0%
    25,000

    Nº de casos de COVID-19
    70.0%
    Tasa de uso (%)

    60.0%
    20,000
    50.0%
    15,000
    40.0%

    30.0% 10,000
    20.0%
    5,000
    10.0%

    0.0% -

    Tasa uso EPP Tasa uso COVID Tasa uso no COVID Valor objetivo Mediana COVID-19

    Rocco JP, 2011


    Causes of EPP misusage
    100.00%

    90.00%

    80.00%

    70.00%

    60.00%

    50.00%

    40.00%

    30.00%

    20.00%

    10.00%

    0.00%
    Hand
    Higiene de Gloves
    Guantes Barbijo
    Surgical Máscara
    n95 N95 Protector
    Ocular ocular Camisolín
    Gown Hydro
    Camisolín hidro-
    manos
    Hygiene quirúrgico
    Mask o facial
    protection repellent gown
    repelente
    Usage of Daily goals checklist
    100.0% Intervención 35000
    90.0%
    30000
    80.0%
    Tasa de cumplimiento (%)

    70.0% 25000

    Nº Caso de COVID-19
    60.0%
    20000
    50.0%
    15000
    40.0%
    30.0% 10000
    20.0%
    5000
    10.0%
    0.0% 0

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