Implementation Science and Research
30/30 Education Session - 30 minutes
C. diff is a gastrointestinal pathogen that causes severe diarrheal disease and leads to almost half a million illnesses and 15,000 deaths per year. C. diff can be acquired and spread in a hospital setting, and though hospitals across the country struggle to contain C. diff infections, they frequently see an increase in their rates.
This session covers the real-life experiences of a hospital that saw a stark rise in hospital-onset C. diff in Q3 of 2016, potentially due to drifting practices and pressure from increasing cases in the community. This session will review the facility’s journey of decreasing these infections and describe how they an A3 tool as a roadmap for performance improvement. LEAN methodology and enhanced engagement of nurses, physicians, and support services were used to raise awareness and improve practices. These efforts resulted in a statistically significant (p-value of 0.0176) reduction in C. diff SIR of 36% in a year-to-year comparison (from an SIR of 1.017 to 0.651).
This session will showcase the LEAN management tools used to achieve success, such as A3 thinking, learning from defect studies, plan-do-study-act cycles, application of standardized work, and Pareto charts. Participants will discuss the C. diff reduction campaign, which included the implementation of a new testing algorithm, stewardship methodologies, and an education campaign.