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Positive Deviance

Vancouver General Hospital

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Who are we??

• VGH: 955 Bed Tertiary care facility

• Subacute Medicine is a 56 bed unit– Average patient age is 75+– Average Length of stay 25 days

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The Core Team

Me: Melissa Gail: Infection Control

Katie: Coach Dr. Tukker/ Dr. Chung

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Making the Invisible Visible

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Discover, Action, Dialogue

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Discover, Action, Dialogue

Organizing the Bathroom

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Changes through DAD

Please encourage

good hygiene by

helping patients use Hand Sanitizer

(or a washcloth with soap) before meals

New Signage

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Improv

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Improv

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Improv

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Getting the PD word out!

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Hand Hygiene

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Discovery Action Dialogue

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Improv

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Culture Survey

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Social Network Mapping

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Who have you worked with to eliminate superbugs?

Comments: •Doctor’s are at the edge of things•Syd Scharf has many contacts external to the unit•A multidisciplinary structure is potentially most effective•Eva and Lisa are key folks

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Safety Calendar: AKA Bug Tracker

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Bug Tracker

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Challenges:

• Expanding the core team to include more disciplines

• Spreading Positive Deviance to other disciplines

• Sustaining Positive Deviance

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The Future: Action Plan

• Spread to other units

• Spread to other Health Regions

• Present our data to Local Regional Forums

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Questions?