RITE Cohort: RITE 23 Wednesdays Summer 2022
Team Members: Dominique Watt, Patricia Tweedy, Lizz Pincus, Amanda Lawrendra, Laurie Jackson, Erika Ogden, Ryan Darke
Team Sponsor(s): Sam Wald and Andy Shelton
The Problem: Despite having Surgical Site Infection Prevention bundles in place, there is a recent increase in Standardized Infection Ratio (SIRs) for colorectal patients in SHC. A recent discovery that OR room temperatures are not consistently in range which may potentially impact maintaining patient body temperature above 36 C.
Through our analysis we ended up focusing on warming interventions in order to achieve our SMART goal.
Our team was able to improve patient experience, satisfaction, and quality of life. And there was a significant financial impact from our project as well.
There were several things that went well throughout the project to help us be successful. The team had a lot of energy and dedication to the project and learning. We worked really well together and had a healthy environment for openness and respect for different perspectives. We collaborated well and each person brought their own specialty and style. The project was also very aptly timed as it brought extra attention to the issues we identified and allowed us to identify gaps and improve upon the existing process more easily.
Prior to joining RITE, we definitely did not realize how much work it would be to improve the process related to temperature control in Interventional Platform. There were also many opinions and many stakeholders that had to be included in our interventions, which did slow down the process.
In reflecting, there were a few things we wish we had known going into this cohort. We had no idea it would inspire several additional projects after completion. We also learned both through the curriculum and in practice that education is not a high reliability or sustainable measure. We did have to consider ways to make education more reliable and included some options in our sustainment plan to help elevate it’s reliability level.
Though our process was successful, we did have a few challenges along the way. We found it challenging to bring in other stakeholders who had different senses of priorities. Though we had supportive sponsors, communication styles with sponsors varied. Data was also not easily accessible from an outside source. And we wanted to take the patients average colorectal temperature as our SMART goal, so manual data collection was not an option because it was too labor intensive. If we had known that going into this project, we might have pivoted to a different metric sooner.