American Hospital Association-PSEP: Eliminating Central Line Associated Blood Stream Infections
PSEP has been awarded a subcontract from the Health Research & Education Trust to collaborate on the Agency for Healthcare Research & Quality (AHRQ)-sponsored Comprehensive Unit-based Safety Program/Central Line Blood stream-Associated Infections (CUSP/CLABSI) initiative. CUSP was designed by Peter Pronovost and colleagues; it addresses individual unit cultures and implements formulaic interventions; in particular it has been used to reduce central line blood stream-associated infections in the Michigan Hospital Association’s Keystone Project. Building on the success of the Keystone results, AHRQ is rolling out CUSP/CLABSI in 10 states. Dr. Linda Emanuel played a critical part in this roll out by using the PSEP design for a four-step dissemination flow schematic to teach, train and support teams in the effective use of CUSP/CLABSI.
Recent development of a contract extension will assign PSEP a larger role in a nation-wide roll out. This will likely extend not only to intensive care units but other hospital sites and address additional hospital acquired infections such as Urinary Tract Infections (UTIs). PSEP will be responsible for ensuring the use of effective dissemination of high-impact education and training.
Education in Palliative and End-of-Life Care for Emergency Medicine-PSEP: Quality Improvement in the ER using TIPS
Building on an existing strong collaboration, PSEP has created an additional partnership with our colleagues in emergency medicine and palliative care. Working specifically with Dr. Tammie Quest from PSEP’s Advisory Group, we have developed a proposal to support creation of Tailored Implementation of Practice Standards (TIPS) kits to improve the safety and quality of pain management in the ER. We have also received funding from the National Cancer Institute to evaluate implementation of training in rapid comprehensive evaluation in the ER using the QI materials developed for PSEP and TIPS.
National Council of State Boards of Nursing
PSEP has begun discussion with the National Council of State Boards of Nursing with respect to the "Transition to Practice” program. The “Transition to Practice” model has been developed to promote public safety by supporting newly licensed nurses during their critical entry period and progression into practice. The model is intended to be collaboratively implemented with education and practice through regulation. Future collaborative efforts will explore the use of case studies in safety to demonstrate skills necessary for safe nursing practice, and methods for measuring efficacy of educational programs targeting nurses new to practice.
PSEP Australia
We have continued the esteemed partnership with our colleagues from Australia, Merrilyn Walton, PhD, and Tim Shaw, PhD, who brought the Australian National Patient Safety Framework on which we built the PSEP Curriculum. A proposal has been submitted to the New South Wales (NSW) Clinical Excellence Commission to enable PSEP to be delivered to health care professionals in NSW. The Australian team is also exploring the possibility of delivering the program directly to Area Health Services. In addition, the NSW Institute of Medical Education and Training is interested in accessing the online version of the PSEP.
PSEP-Saudia Arabia
Working with Dr. Omar Shamieh of the King Abdul Aziz Medical City in Riyadh, Saudi Arabia, PSEP has planned for the first regional training in patient safety of its kind to be held in the spring of 2010. PSEP Associate Director, Debora Simmons, RN will be among the patient safety experts teaching for this event.
Emerging partnerships
PSEP is also working with the American Association of Medical Colleges, the American College of Physician Executives, the National Board of Medical Examiners, the Canadian Patient Safety Institute, the RAND Corporation and others on a range of possible projects, all involving effective dissemination of high-impact learning in patient safety and evaluation of resulting competencies and practice outcomes.