Improving Communication Coordination and DeepClean Tracking Between Departments IOE 481 Project Team 4 Jessica Cernak Michael Shay Emily Snitchler David Walborn Background Infection Control and Epidemiology ICE is leading an initiative to deep clean 100 of Emergency Department ID: 557711
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Slide1
UM Emergency Department Deep-Cleaning Final Report
Improving Communication, Coordination
,
and Deep-Clean Tracking Between
DepartmentsSlide2
IOE 481 Project Team 4
Jessica
Cernak
Michael Shay
Emily Snitchler
David WalbornSlide3
Background
Infection Control and Epidemiology (ICE) is leading an initiative to deep clean 100% of Emergency Department rooms every 24 hours
~40-50% of rooms deep-cleaned currently
UMHS currently uses two systems
MiChart
tracks patientsTeleTracking tracks room cleansSlide4
Goals & Objectives
Goal
Provide a solution to allow Environmental Services to deep-clean Emergency Department rooms every 24 hours
Objectives
Improve communication between the ED and EVS
Develop tracking method to monitor deep-cleans in real-timeSlide5
Methodologies
Observations and Interviews
40 hours of observations
15 interviews
Literature Search
3 articlesSurvey Data17 housekeepers47 nursesData AnalysisHospital Occupancy DataTeleTracking DataSlide6
ConclusionsSlide7
Variation in Deep-Clean Understanding
1
High Dust
2
Damp Wipe
3
Clean Sink
4
Remove Trash & Linens
5
Restock Supplies
6
Dust Mop
7
Wet Mop
8
Walls & Ceilings
EVS Training
EVS Housekeepers
ED StaffSlide8
Variation in Reporting and Cleaning Practices
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16Slide9
Variation in Reporting and Cleaning Practices
Batching
Failing to Logout
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16Slide10
Variation in Reporting and Cleaning Practices
Variation in Cleaning Procedures
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16Slide11
Discontinuous Communication FlowSlide12
Missed Opportunities for Deep-Cleans
Cleaning Opportunities
Sample Size n = 17971 patient visits; Date Range: 7/1/16 – 9/30/16Slide13
Minimal Collaboration
Observations
Housekeepers primarily operate independently
Housekeepers are geographically divided
Surveys
21% of commenting nurses advocated for increased teamwork55% of commenting housekeepers advocated for increased teamworkLiterature SearchNursing Management Article cites lack of collaboration between nurses and housekeepers as main source of process disruptionSlide14
RecommendationsSlide15
Recommendations: Impact:Slide16
Communication Methods
Walkie Talkies
Cost-Effective
No Lag Time
Promote Collaboration
Two-Way CommunicationNo Written RecordHigh NoisePaging SystemWritten RecordPre-ExistingHousekeepers Rated 6.5/10 for EfficiencyLag TimeOne-Way CommunicationSlide17
Tracking Methods
Ipods
Written Record
Two-Way Communication
TeleTracking and Epic - Friendly
Tracking & Communication ToolHigh Risk of TheftResource IntensiveMisuse by WorkersPaperCost-EffectiveDrive ImprovementAccessible to Both DepartmentsData EntrySlide18
Expected ImpactSlide19
Questions?