Just Culture is More Than Just Talk How
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Just Culture is More Than Just Talk- How CUSP Culture and Teamwork Led to ZERO CLABSI Infections
Peterson Regional Medical Center Kerrville, Texas � 125 bed rural community independent not-for-profit hospital
Our Statistics �Zero CLABSIs in the entire hospital for 28 months! � 90% of all central lines are inserted by the PICC Team
�Approximately 300 line days per month � 60 -80 CVC devices per month placed � 60 -90 CVC devices per month monitored
What We Learned… �Communication is the grease of change �They are watching �Leadership’s commitment is the driver of change
�Everyday is a learning experience �This is not an easy process �Keep it simple
Barriers to Success… �We have always… �Flavor of the month �Lack of trust �Lack of knowledge
�The territorial and resistant �They come back �Behavior change �Non-clinical people
Overcoming �Failure is not an option �Proving evidence based practice �Education is the key �I am committed �Keep your word
�Make it personal �Fix it right �Accountability �Have backup �Hardwire �Reward your staff
Wisdom to Live By �If staff believes in leadership, their resolve becomes hardened to prevent patient harm. �Conviction to not give up when things are hard. It’s the difference between success and lip service.
How this helped other areas �Daily goals used throughout facility �Standardized line care in Outpatient areas �Validated other Evidence Based Practices
�Increased team as well as patient satisfaction �Increased awareness of other HAI measures
Thanks Y’all Theresa Hickman, RN Nurse Educator 830 -258 -7429 thickman@petersonrmc. com Aaron Saul, Jr. RN VA-BC PICC/IV Infusion Clinical Supervisor 830 -258 -7431 asaul@petersonrmc. com
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