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HIIN SSI ECHO Collaborative: Case Studies and Barrier Identification
Thursday, June 28, 2018, 06:00am - 07:00am
(PT) 

February – July SSI Prevention Clinic

Meeting Goal and Objectives: 

1. Overview and Introduction to ECHO
  1. What is ECHO?
  2. Clinic Expectations
  3. Program Overview
    1. Implementation of Standardized Protocols
    2. Implementing GI Bundles
    3. Program Evaluation
    4. Evaluating Outcomes
2. GI Bundle Elements and Implementation Strategies
  1. Pre-operative Preparation
    1. Skin Preparation
    2. Antibiotic Therapy
    3. Preoperative Checklists (WHO checklist)
  2. Intra-Operative Care
    1. Antibiotic Selection and Timing
    2. Normothermia
    3. Glycemic Management
    4. Preventing Wound Contamination
    5. Intraoperative Oxygenation
    6. Case Length
  3. Postoperative Wound Care
    1. Initial Dressing
    2. Dressing Changes
3. First Month Implementation/Evaluation
  1. Protocol Development
  2. Team Dynamics
    1. Engagement/Buy In
    2. Team Tools
      • Briefing Debriefing
      • Huddles
4. Follow-up to Implementation
  1. Monitoring the Process
    1. Checklists
    2. Surveys
    3. Addressing Barriers
5. Case Studies and Barrier Identification
  1. Patient Case Review
  2. Discussion of Barriers to Implementation
6. Analysis of Outcomes and Review of Leading Measures
  1. Outcome Measures
    1. SIR
    2. Readmissions
  2. Process Measures
    1. SSI Prevention Audits
  3. Balancing Measures
  4. Information Measures